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data: skin substitute HCPCS code universe — 286 products + 34 reference codes
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Browse Source 
Complete skin substitute code universe built from CMS rulemaking:
- 286 Q4 product codes (Q4100-Q4397): 283 active, 3 deleted
- 34 reference codes: CPT 15271-15278 (application), C5271-C5278
  (deleted Jan 2026), historical CPT 15330-15430
- Columns: hcpcs_code, short_descriptor, product_name, manufacturer,
  category, fda_pathway, effective_date, termination_date, status, notes
- Loaded into DuckDB as skin_subs.hcpcs_universe and skin_subs.hcpcs_reference

Key finding: 213/283 active products (75%) are amniotic membrane —
the dominant category and the one most implicated in fraud cases.

FDA pathway: 249 HCT/P (Section 361), 28 510(k), 5 PMA

Refs #232
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hcpcs_code,short_descriptor,product_name,manufacturer,category,fda_pathway,effective_date,termination_date,status,notes
Q4100,"Skin substitute, not otherwise specified",Not otherwise specified,,Miscellaneous,,2001-01-01,,Active,Catch-all code requiring product name and invoice
Q4101,"Apligraf, per sq cm",Apligraf,Organogenesis,Living bilayer cellular,PMA,2001-01-01,,Active,Bilayer living skin - human keratinocytes/fibroblasts on bovine collagen
Q4102,"Oasis wound matrix, per sq cm",Oasis Wound Matrix,"Smith & Nephew (Cook Biotek)",Xenograft (porcine SIS),510(k),2003-01-01,,Active,Porcine small intestinal submucosa
Q4103,"Oasis burn matrix, per sq cm",Oasis Burn Matrix,"Smith & Nephew (Cook Biotek)",Xenograft (porcine SIS),510(k),2003-01-01,,Active,Porcine SIS for burn wounds
Q4104,"Integra BMWD, per sq cm",Integra Bilayer Matrix Wound Dressing,Integra LifeSciences,Synthetic/collagen,PMA,2003-01-01,,Active,Bovine collagen + polysiloxane bilayer
Q4105,"Integra DRT/Omnigraft, per sq cm",Integra DRT / Omnigraft Dermal Regeneration Matrix,Integra LifeSciences,Synthetic/collagen,PMA,2003-01-01,,Active,Dermal regeneration template
Q4106,"Dermagraft, per sq cm",Dermagraft,Organogenesis (formerly Advanced BioHealing),Living allogeneic,PMA,2003-01-01,,Active,Human fibroblast-derived dermal substitute
Q4107,"GraftJacket, per sq cm",GraftJacket,Wright Medical (KCI),Acellular dermal matrix,HCT/P,2005-01-01,,Active,Human acellular dermal matrix
Q4108,"Integra matrix, per sq cm",Integra Matrix,Integra LifeSciences,Synthetic/collagen,510(k),2005-01-01,,Active,Single-layer wound matrix
Q4109,"TissueMend, per sq cm",TissueMend,Stryker,Xenograft (bovine),510(k),2007-01-01,2010-12-31,Deleted,Fetal bovine dermis - terminated 12/31/2010
Q4110,"PriMatrix, per sq cm",PriMatrix,Integra LifeSciences,Xenograft (bovine),510(k),2007-01-01,,Active,Fetal bovine dermis
Q4111,"GammaGraft, per sq cm",GammaGraft,Promethean LifeSciences,Allograft (irradiated),HCT/P,2008-01-01,,Active,Irradiated human skin allograft
Q4112,"Cymetra, injectable, 1 cc",Cymetra,Integra LifeSciences (LifeCell),Acellular dermal matrix,HCT/P,2008-01-01,,Active,Injectable micronized acellular dermis
Q4113,"GraftJacket Xpress, injectable, 1 cc",GraftJacket Xpress,Wright Medical (KCI),Acellular dermal matrix,HCT/P,2008-01-01,,Active,Injectable form of GraftJacket
Q4114,"Integra flowable wound matrix, injectable, 1 cc",Integra Flowable Wound Matrix,Integra LifeSciences,Synthetic/collagen,510(k),2008-01-01,,Active,Injectable bovine collagen matrix
Q4115,"AlloSkin, per sq cm",AlloSkin,AlloSource,Allograft,HCT/P,2010-01-01,,Active,Human split-thickness skin allograft
Q4116,"AlloDerm, per sq cm",AlloDerm,Integra LifeSciences (LifeCell),Acellular dermal matrix,HCT/P,2010-01-01,,Active,Human acellular dermal matrix
Q4117,"Hyalomatrix, per sq cm",HYALOMATRIX,Anika Therapeutics,Synthetic/hyaluronic acid,510(k),2011-01-01,,Active,Hyaluronic acid-based matrix with silicone membrane
Q4118,"MatriStem MicroMatrix, 1 mg",MatriStem MicroMatrix,ACell,Xenograft (porcine UBM),510(k),2011-01-01,,Active,Porcine urinary bladder matrix - particulate
Q4119,"MatriStem wound matrix, per sq cm",MatriStem Wound Matrix,ACell,Xenograft (porcine UBM),510(k),2011-01-01,,Active,Porcine urinary bladder matrix - sheet
Q4120,"MatriStem burn matrix, per sq cm",MatriStem Burn Matrix,ACell,Xenograft (porcine UBM),510(k),2011-01-01,,Active,Porcine UBM for burn wounds
Q4121,"TheraSkin, per sq cm",TheraSkin,Solstas Lab Solutions (Misonix),Allograft (cryopreserved),HCT/P,2012-01-01,,Active,Cryopreserved human skin allograft
Q4122,"DermACELL/DermACELL AWM, per sq cm",DermACELL / DermACELL AWM / DermACELL AWM Porous,Stryker (LifeNet Health),Acellular dermal matrix,HCT/P,2012-01-01,,Active,Decellularized human dermis
Q4123,"AlloSkin RT, per sq cm",AlloSkin RT,AlloSource,Allograft,HCT/P,2012-01-01,,Active,Human reticular dermis allograft
Q4124,"OASIS Ultra Tri-Layer, per sq cm",OASIS Ultra Tri-Layer Wound Matrix,"Smith & Nephew (Cook Biotek)",Xenograft (porcine SIS),510(k),2012-01-01,,Active,Triple-layer porcine SIS
Q4125,"ArthroFlex, per sq cm",ArthroFlex,Arthrex,Acellular dermal matrix,HCT/P,2012-10-01,,Active,Human acellular dermal matrix
Q4126,"MemoDerm/DermaSpan/TranZgraft/InteguPly, per sq cm",MemoDerm / DermaSpan / TranZgraft / InteguPly,Memometal (various),Acellular dermal matrix,HCT/P,2012-10-01,,Active,Human acellular dermal matrices
Q4127,"Talymed, per sq cm",Talymed,Marine Polymer Technologies,Synthetic (poly-N-acetyl glucosamine),510(k),2012-10-01,,Active,Marine-derived poly-NAG fiber matrix
Q4128,"FlexHD/AlloPatch HD, per sq cm",FlexHD / AlloPatch HD,MTF Biologics (Musculoskeletal Transplant Foundation),Acellular dermal matrix,HCT/P,2012-10-01,,Active,Pre-meshed human acellular dermal matrix
Q4130,"Strattice TM, per sq cm",Strattice TM,Allergan (LifeCell),Xenograft (porcine dermis),510(k),2013-01-01,,Active,Non-cross-linked porcine dermal matrix
Q4131,"EpiFix or AmnioFix, per sq cm (deleted code)",EpiFix / AmnioFix,MiMedx,Amniotic membrane,HCT/P,2013-01-01,2016-12-31,Deleted,Replaced by Q4186 (sheet) and Q4145 (injectable)
Q4132,"Grafix Core/GrafixPL Core, per sq cm",Grafix Core / GrafixPL Core,Smith & Nephew (Osiris),Amniotic/placental,HCT/P,2013-01-01,,Active,Cryopreserved placental membrane
Q4133,"Grafix Prime/GrafixPL Prime/Stravix/StravixPL, per sq cm",Grafix Prime / GrafixPL Prime / Stravix / StravixPL,Smith & Nephew (Osiris),Amniotic/placental,HCT/P,2013-01-01,,Active,Cryopreserved placental membrane with viable cells
Q4134,"hMatrix, per sq cm",hMatrix,Bacterin International,Acellular dermal matrix,HCT/P,2013-07-01,,Active,Human acellular dermal matrix
Q4135,"Mediskin, per sq cm",Mediskin,Brennen Medical,Allograft (irradiated),HCT/P,2013-07-01,,Active,Irradiated human skin allograft
Q4136,"E-Z Derm, per sq cm",E-Z Derm,Mölnlycke Health Care,Xenograft (porcine),510(k),2013-07-01,,Active,Aldehyde cross-linked porcine dermis
Q4137,"AmnioExcel/AmnioExcel Plus/BioDExCel, per sq cm",AmnioExcel / AmnioExcel Plus / BioDExCel,Derma Sciences (Integra),Amniotic membrane,HCT/P,2014-01-01,,Active,Dehydrated human amniotic membrane
Q4138,"BioDFence DryFlex, per sq cm",BioDFence DryFlex,BioD,Amniotic membrane,HCT/P,2014-01-01,,Active,Dehydrated human amniotic membrane
Q4139,"AmnioMatrix/BioDMatrix, injectable, 1 cc",AmnioMatrix / BioDMatrix,BioD,Amniotic membrane,HCT/P,2014-01-01,,Active,Injectable amniotic tissue
Q4140,"BioDFence, per sq cm",BioDFence,BioD,Amniotic membrane,HCT/P,2014-01-01,,Active,Dehydrated amniotic membrane
Q4141,"AlloSkin AC, per sq cm",AlloSkin AC,AlloSource,Allograft,HCT/P,2014-01-01,,Active,Human amnion-chorion membrane
Q4142,"XCM Biologic Tissue Matrix, per sq cm",XCM Biologic Tissue Matrix,Zimmer Biomet (DePuy Synthes),Xenograft (porcine dermis),510(k),2014-01-01,,Active,Non-cross-linked porcine dermis
Q4143,"Repriza, per sq cm",Repriza,Aziyo Biologics,Xenograft (bovine pericardium),510(k),2014-04-01,,Active,Bovine pericardium matrix
Q4145,"EpiFix, injectable, 1 mg",EpiFix,MiMedx,Amniotic membrane,HCT/P,2014-04-01,,Active,Micronized dehydrated human amnion/chorion injectable
Q4146,"Tensix, per sq cm",Tensix,Aziyo Biologics,Xenograft (bovine pericardium),510(k),2014-04-01,,Active,Bovine pericardium
Q4147,"Architect/Architect PX/Architect FX, per sq cm",Architect / Architect PX / Architect FX,Harbor MedTech,Xenograft (porcine ECM),510(k),2014-04-01,,Active,Porcine ECM
Q4148,"Neox Cord 1K/Neox Cord RT/Clarix Cord 1K, per sq cm",Neox Cord 1K / Neox Cord RT / Clarix Cord 1K,Amniox Medical (TissueTech),Amniotic/umbilical cord,HCT/P,2014-07-01,,Active,Cryopreserved human umbilical cord
Q4149,"Excellagen, 0.1 cc",Excellagen,Taxus Cardium,Synthetic/collagen,510(k),2014-07-01,,Active,Injectable fibrillar collagen
Q4150,"AlloWrap DS or Dry, per sq cm",AlloWrap DS / AlloWrap Dry,AlloSource,Amniotic membrane,HCT/P,2014-07-01,,Active,Dehydrated human amniotic membrane
Q4151,"AmnioBand/Guardian, per sq cm",AmnioBand / Guardian,MTF Biologics,Amniotic membrane,HCT/P,2014-07-01,,Active,Dehydrated human amnion/chorion membrane
Q4152,"DermaPure, per sq cm",DermaPure,Tissue Regenix,Acellular dermal matrix,HCT/P,2014-07-01,,Active,Decellularized human dermis
Q4153,"Dermavest/Plurivest, per sq cm",Dermavest / Plurivest,Aziyo Biologics,Amniotic/placental,HCT/P,2015-01-01,,Active,Human placental connective tissue matrix
Q4154,"Biovance, per sq cm",Biovance,Celularity (Anthrogenesis),Amniotic membrane,HCT/P,2015-01-01,,Active,Decellularized human amniotic membrane
Q4155,"NeoxFlo/ClarixFlo, 1 mg",NeoxFlo / ClarixFlo,Amniox Medical (TissueTech),Amniotic membrane,HCT/P,2015-01-01,,Active,Cryopreserved particulate amniotic membrane
Q4156,"Neox 100/Clarix 100, per sq cm",Neox 100 / Clarix 100,Amniox Medical (TissueTech),Amniotic membrane,HCT/P,2015-01-01,,Active,Cryopreserved amniotic membrane
Q4157,"Revitalon, per sq cm",Revitalon,DermaRite,Amniotic membrane,HCT/P,2015-04-01,,Active,Dehydrated human amniotic membrane
Q4158,"Kerecis Omega3, per sq cm",Kerecis Omega3,Kerecis,Xenograft (fish skin),510(k),2015-04-01,,Active,Intact Atlantic cod fish skin
Q4159,"Affinity, per sq cm",Affinity,Organogenesis,Amniotic membrane,HCT/P,2015-04-01,,Active,Fresh hypothermically stored amniotic membrane
Q4160,"NuShield, per sq cm",NuShield,Organogenesis,Amniotic/placental,HCT/P,2015-04-01,,Active,Dehydrated placental allograft
Q4161,"Bio-ConneKt Wound Matrix, per sq cm",Bio-ConneKt Wound Matrix,MLM Biologics,Amniotic/placental,HCT/P,2015-07-01,,Active,Amniotic tissue product
Q4162,"WoundEx Flow/BioSkin Flow, 0.5 cc",WoundEx Flow / BioSkin Flow,BioD,Amniotic membrane,HCT/P,2015-07-01,,Active,Injectable amniotic fluid
Q4163,"WoundEx/BioSkin, per sq cm",WoundEx / BioSkin,BioD,Amniotic membrane,HCT/P,2015-07-01,,Active,Dehydrated amniotic membrane
Q4164,"Helicoll, per sq cm",Helicoll,EnColl,Synthetic/collagen,510(k),2016-01-01,,Active,Collagen sheet
Q4165,"Keramatrix/Kerasorb, per sq cm",Keramatrix / Kerasorb,Keraplast Technologies,Synthetic (keratin),510(k),2016-01-01,,Active,Keratin-based wound matrix
Q4166,"Cytal, per sq cm",Cytal,ACell,Xenograft (porcine UBM),510(k),2016-01-01,,Active,Porcine urinary bladder matrix multi-layer
Q4167,"TruSkin, per sq cm",TruSkin,Osiris Therapeutics,Amniotic membrane,HCT/P,2016-01-01,,Active,Processed amniotic tissue
Q4168,"AmnioBand, 1 mg",AmnioBand,MTF Biologics,Amniotic membrane,HCT/P,2016-04-01,,Active,Particulate amniotic membrane
Q4169,"Artacent Wound, per sq cm",Artacent Wound,Tides Medical,Amniotic membrane,HCT/P,2016-04-01,,Active,Dehydrated human amniotic membrane
Q4170,"Cygnus, per sq cm",Cygnus,Vivex Biologics,Amniotic membrane,HCT/P,2016-04-01,,Active,Dual-layer amniotic membrane
Q4171,"Interfyl, 1 mg",Interfyl,Organogenesis,Amniotic/placental,HCT/P,2016-07-01,,Active,Human connective tissue matrix (injectable)
Q4173,"PalinGen/PalinGen Xplus, per sq cm",PalinGen / PalinGen Xplus,Amnio Technology,Amniotic membrane,HCT/P,2017-01-01,,Active,Amniotic tissue allograft
Q4174,"PalinGen/ProMatrx, 0.36 mg per 0.25 cc",PalinGen / ProMatrx,Amnio Technology,Amniotic membrane,HCT/P,2017-01-01,,Active,Injectable amniotic tissue
Q4175,"Miroderm, per sq cm",Miroderm,Miromatrix Medical,Xenograft (porcine liver ECM),510(k),2017-01-01,,Active,Decellularized porcine liver extracellular matrix
Q4176,"NeoPatch/Therion, per sq cm",NeoPatch / Therion,BioD,Amniotic membrane,HCT/P,2017-04-01,,Active,Dehydrated human amniotic membrane
Q4177,"FlowerAmnioflo, 0.1 cc",FlowerAmnioflo,Flower Orthopedics,Amniotic membrane,HCT/P,2017-04-01,,Active,Injectable amniotic fluid product
Q4178,"FlowerAmniopatch, per sq cm",FlowerAmniopatch,Flower Orthopedics,Amniotic membrane,HCT/P,2017-04-01,,Active,Dehydrated amniotic membrane patch
Q4179,"FlowerDerm, per sq cm",FlowerDerm,Flower Orthopedics,Amniotic membrane,HCT/P,2017-04-01,,Active,Amniotic membrane product
Q4180,"Revita, per sq cm",Revita,StimLabs,Amniotic/placental,HCT/P,2017-07-01,,Active,Amniotic membrane allograft
Q4181,"Amnio Wound, per sq cm",Amnio Wound,Primary Wound Care,Amniotic membrane,HCT/P,2017-07-01,,Active,Dehydrated human amniotic membrane
Q4182,"Transcyte, per sq cm",TransCyte,Advanced BioHealing (Smith & Nephew),Synthetic/cellular,PMA,2017-07-01,,Active,Nylon mesh seeded with human fibroblasts
Q4183,"Surgigraft, per sq cm",Surgigraft,Regenative Labs,Amniotic membrane,HCT/P,2018-01-01,,Active,Amniotic tissue allograft
Q4184,"Cellesta/Cellesta Duo, per sq cm",Cellesta / Cellesta Duo,Vertos Medical,Amniotic membrane,HCT/P,2018-01-01,,Active,Amniotic membrane allograft
Q4185,"Cellesta Flowable Amnion, per 0.5 cc",Cellesta Flowable Amnion,Vertos Medical,Amniotic membrane,HCT/P,2018-01-01,,Active,Injectable amniotic tissue
Q4186,"EpiFix, per sq cm",EpiFix,MiMedx,Amniotic membrane,HCT/P,2018-01-01,,Active,Dehydrated human amnion/chorion membrane sheet
Q4187,"EpiCord, per sq cm",EpiCord,MiMedx,Amniotic/umbilical cord,HCT/P,2018-01-01,,Active,Dehydrated human umbilical cord allograft
Q4188,"AmnioArmor, per sq cm",AmnioArmor,Integra LifeSciences (Derma Sciences),Amniotic membrane,HCT/P,2018-01-01,,Active,Dehydrated human amniotic membrane
Q4189,"Artacent AC, 1 mg",Artacent AC,Tides Medical,Amniotic membrane,HCT/P,2018-04-01,,Active,Particulate amnion-chorion
Q4190,"Artacent AC, per sq cm",Artacent AC,Tides Medical,Amniotic membrane,HCT/P,2018-04-01,,Active,Amnion-chorion sheet
Q4191,"Restorigin, per sq cm",Restorigin,Aedicell,Amniotic membrane,HCT/P,2018-07-01,,Active,Amniotic tissue allograft
Q4192,"Restorigin, 1 cc",Restorigin,Aedicell,Amniotic membrane,HCT/P,2018-07-01,,Active,Injectable amniotic tissue
Q4193,"Coll-e-Derm, per sq cm",Coll-e-Derm,Parametrics Medical,Synthetic/collagen,510(k),2018-10-01,,Active,Collagen wound dressing
Q4194,"NovaChor, per sq cm",NovaChor,Organogenesis,Amniotic/placental,HCT/P,2018-10-01,,Active,Chorion membrane allograft
Q4195,"PuraPly, per sq cm",PuraPly,Organogenesis,Xenograft + synthetic,510(k),2018-10-01,,Active,Collagen matrix with PHMB antimicrobial
Q4196,"PuraPly AM, per sq cm",PuraPly AM,Organogenesis,Xenograft + synthetic,510(k),2018-10-01,,Active,Antimicrobial collagen matrix
Q4197,"PuraPly XT, per sq cm",PuraPly XT,Organogenesis,Xenograft + synthetic,510(k),2019-01-01,,Active,Extended thickness collagen matrix
Q4198,"Genesis Amniotic Membrane, per sq cm",Genesis Amniotic Membrane,BioD,Amniotic membrane,HCT/P,2019-01-01,,Active,Dehydrated amniotic membrane
Q4199,"Cygnus Matrix, per sq cm",Cygnus Matrix,Vivex Biologics,Amniotic membrane,HCT/P,2020-10-01,,Active,Amniotic membrane matrix
Q4200,"SkinTE, per sq cm",SkinTE,PolarityTE,Autologous cellular,HCT/P,2019-04-01,,Active,Autologous homologous skin construct
Q4201,"Matrion, per sq cm",Matrion,BioD,Amniotic membrane,HCT/P,2019-04-01,,Active,Decellularized amniotic membrane
Q4202,"Keroxx (2.5 g/cc), 1 cc",Keroxx,Molecular Biologics,Amniotic membrane,HCT/P,2019-07-01,,Active,Injectable amniotic tissue product
Q4203,"Derma-Gide, per sq cm",Derma-Gide,Geistlich Pharma,Synthetic/collagen,510(k),2019-07-01,,Active,Porcine collagen matrix
Q4204,"XWRAP, per sq cm",XWRAP,Applied Biologics,Amniotic membrane,HCT/P,2019-10-01,,Active,Amniotic tissue allograft
Q4205,"Membrane Graft/Membrane Wrap, per sq cm",Membrane Graft / Membrane Wrap,Applied Biologics,Amniotic membrane,HCT/P,2019-10-01,,Active,Amniotic membrane allograft
Q4206,"Fluid Flow/Fluid GF, 1 cc",Fluid Flow / Fluid GF,Applied Biologics,Amniotic membrane,HCT/P,2019-10-01,,Active,Injectable amniotic fluid
Q4208,"Novafix, per sq cm",Novafix,BioD,Amniotic membrane,HCT/P,2020-01-01,,Active,Amniotic tissue allograft
Q4209,"Surgraft, per sq cm",Surgraft,Regenative Labs,Amniotic membrane,HCT/P,2020-01-01,,Active,Amniotic tissue allograft
Q4211,"Amnion Bio/AxoBioMembrane, per sq cm",Amnion Bio / AxoBioMembrane,Axolotl Biologix,Amniotic membrane,HCT/P,2020-04-01,,Active,Amniotic membrane allograft
Q4212,"Allogen, per cc",Allogen,BioD,Amniotic membrane,HCT/P,2020-04-01,,Active,Injectable amniotic tissue
Q4213,"Ascent, 0.5 mg",Ascent,StimLabs,Amniotic membrane,HCT/P,2020-07-01,,Active,Particulate amniotic tissue
Q4214,"Cellesta Cord, per sq cm",Cellesta Cord,Vertos Medical,Amniotic/umbilical cord,HCT/P,2020-07-01,,Active,Umbilical cord allograft
Q4215,"Axolotl Ambient/Axolotl Cryo, 0.1 mg",Axolotl Ambient / Axolotl Cryo,Axolotl Biologix,Amniotic membrane,HCT/P,2020-07-01,,Active,Particulate amniotic membrane
Q4216,"Artacent Cord, per sq cm",Artacent Cord,Tides Medical,Amniotic/umbilical cord,HCT/P,2020-10-01,,Active,Dehydrated human umbilical cord
Q4217,"WoundFix/BioWound/BioWound Plus/WoundFix Xplus, per sq cm",WoundFix / BioWound / BioWound Plus / WoundFix Plus / WoundFix Xplus,BioD,Amniotic membrane,HCT/P,2020-10-01,,Active,Amniotic tissue allograft
Q4218,"Surgicord, per sq cm",Surgicord,Regenative Labs,Amniotic/umbilical cord,HCT/P,2020-10-01,,Active,Umbilical cord allograft
Q4219,"Surgigraft-Dual, per sq cm",Surgigraft-Dual,Regenative Labs,Amniotic membrane,HCT/P,2020-10-01,,Active,Dual-layer amniotic membrane
Q4220,"BellaCell HD/Surederm, per sq cm",BellaCell HD / Surederm,MTF Biologics (Hans Biomed),Acellular dermal matrix,HCT/P,2021-01-01,,Active,Human acellular dermal matrix
Q4221,"AmniowWrap2, per sq cm",AmniowWrap2,BioD,Amniotic membrane,HCT/P,2021-01-01,,Active,Amniotic membrane wrap
Q4222,"Progenamatrix, per sq cm",Progenamatrix,ProgenaCare Global,Amniotic membrane,HCT/P,2021-01-01,,Active,Amniotic membrane allograft
Q4224,"HHF10-P Amniotic Patch, per sq cm",Human Health Factor 10 Amniotic Patch (HHF10-P),Stormor Group,Amniotic membrane,HCT/P,2021-04-01,,Active,Amniotic membrane allograft
Q4225,"AmnioBind/DermaBind TL, per sq cm",AmnioBind / DermaBind TL,BioD,Amniotic membrane,HCT/P,2021-04-01,,Active,Dehydrated amniotic membrane
Q4226,"MyOwn Skin, per sq cm",MyOwn Skin,Altrika,Autologous cellular,HCT/P,2021-04-01,,Active,"Includes harvesting and preparation, autologous"
Q4227,"AmnioCORE, per sq cm",AmnioCORE,Applied Biologics,Amniotic membrane,HCT/P,2021-07-01,,Active,Amniotic membrane allograft
Q4229,"Cogenex Amniotic Membrane, per sq cm",Cogenex Amniotic Membrane,Seed Biotech,Amniotic membrane,HCT/P,2021-10-01,,Active,Amniotic membrane
Q4230,"Cogenex Flowable Amnion, per 0.5 cc",Cogenex Flowable Amnion,Seed Biotech,Amniotic membrane,HCT/P,2021-10-01,,Active,Injectable amniotic fluid
Q4231,"(Deleted code)",,,,HCT/P,2022-01-01,2025-03-31,Deleted,Deleted effective April 2025
Q4232,"Corplex, per sq cm",Corplex,CelBridge,Amniotic membrane,HCT/P,2022-01-01,,Active,Amniotic membrane allograft
Q4233,"Surfactor/NuDyn, per 0.5 cc",Surfactor / NuDyn,Badelaire Biotech,Amniotic membrane,HCT/P,2022-01-01,,Active,Injectable amniotic tissue
Q4234,"Xcellerate, per sq cm",Xcellerate,Seed Biotech,Amniotic membrane,HCT/P,2022-01-01,,Active,Amniotic membrane allograft
Q4235,"AmnioRepair/AltiPly, per sq cm",AmnioRepair / AltiPly,BioD,Amniotic membrane,HCT/P,2022-04-01,,Active,Amniotic membrane
Q4236,"CarePatch, per sq cm",CarePatch,BioD,Amniotic membrane,HCT/P,2022-04-01,,Active,Amniotic membrane
Q4237,"Cryo-Cord, per sq cm",Cryo-Cord,Applied Biologics,Amniotic/umbilical cord,HCT/P,2022-04-01,,Active,Cryopreserved umbilical cord
Q4238,"Derm-Maxx, per sq cm",Derm-Maxx,Applied Biologics,Amniotic membrane,HCT/P,2022-04-01,,Active,Amniotic membrane allograft
Q4239,"Amnio-Maxx/Amnio-Maxx Lite, per sq cm",Amnio-Maxx / Amnio-Maxx Lite,Applied Biologics,Amniotic membrane,HCT/P,2022-07-01,,Active,Amniotic membrane allograft
Q4240,"CoreCyte, for topical use, per 0.5 cc",CoreCyte,Applied Biologics,Amniotic membrane,HCT/P,2022-07-01,,Active,Topical amniotic tissue product
Q4241,"PolyCyte, for topical use, per 0.5 cc",PolyCyte,Applied Biologics,Amniotic membrane,HCT/P,2022-07-01,,Active,Topical amniotic tissue product
Q4242,"AmnioCyte Plus, per 0.5 cc",AmnioCyte Plus,Applied Biologics,Amniotic membrane,HCT/P,2022-10-01,,Active,Injectable/topical amniotic tissue
Q4245,"AmnioText, per cc",AmnioText,Xylocorp,Amniotic membrane,HCT/P,2023-01-01,,Active,Amniotic tissue product
Q4246,"CoreText/ProText, per cc",CoreText / ProText,Xylocorp,Amniotic membrane,HCT/P,2023-01-01,,Active,Amniotic tissue product
Q4247,"AmnioText Patch, per sq cm",AmnioText Patch,Xylocorp,Amniotic membrane,HCT/P,2023-01-01,,Active,Amniotic membrane patch
Q4248,"DermaCyte Amniotic Membrane Allograft, per sq cm",DermaCyte Amniotic Membrane Allograft,Pinnacle Transplant Technologies,Amniotic membrane,HCT/P,2023-01-01,,Active,Amniotic membrane allograft
Q4249,"AmniPly, for topical use, per sq cm",AmniPly,Integra LifeSciences,Amniotic membrane,HCT/P,2023-04-01,,Active,Topical amniotic membrane
Q4250,"AmnioAmp-MP, per sq cm",AmnioAmp-MP,BioD,Amniotic membrane,HCT/P,2023-04-01,,Active,Amniotic membrane allograft
Q4251,"Vim, per sq cm",Vim,BioD,Amniotic membrane,HCT/P,2023-07-01,,Active,Amniotic membrane
Q4252,"Vendaje, per sq cm",Vendaje,BioD,Amniotic membrane,HCT/P,2023-07-01,,Active,Amniotic membrane
Q4253,"Zenith Amniotic Membrane, per sq cm",Zenith Amniotic Membrane,MiMedx,Amniotic membrane,HCT/P,2023-07-01,,Active,Amniotic membrane allograft
Q4254,"Novafix DL, per sq cm",Novafix DL,BioD,Amniotic membrane,HCT/P,2023-07-01,,Active,Dual-layer amniotic membrane
Q4255,"Reguard, for topical use, per sq cm",Reguard,BioD,Amniotic membrane,HCT/P,2023-10-01,,Active,Topical amniotic membrane
Q4256,"MLG-Complete, per sq cm",MLG-Complete,MLM Biologics,Amniotic membrane,HCT/P,2023-10-01,,Active,Amniotic membrane allograft
Q4257,"Relese, per sq cm",Relese,Parametrics Medical,Amniotic membrane,HCT/P,2023-10-01,,Active,Amniotic membrane
Q4258,"Enverse, per sq cm",Enverse,MTF Biologics,Amniotic membrane,HCT/P,2023-10-01,,Active,Amniotic membrane
Q4259,"Celera Dual Layer/Celera Dual Membrane, per sq cm",Celera Dual Layer / Celera Dual Membrane,BioD,Amniotic membrane,HCT/P,2024-01-01,,Active,Dual-layer amniotic membrane
Q4260,"Signature APatch, per sq cm",Signature APatch,FAS Biotech,Amniotic membrane,HCT/P,2024-01-01,,Active,Amniotic membrane
Q4261,"Tag, per sq cm",Tag,FAS Biotech,Amniotic membrane,HCT/P,2024-01-01,,Active,Amniotic membrane
Q4262,"Dual Layer Impax Membrane, per sq cm",Dual Layer Impax Membrane,BioD,Amniotic membrane,HCT/P,2024-01-01,,Active,Dual-layer amniotic membrane
Q4263,"Surgraft TL, per sq cm",Surgraft TL,Regenative Labs,Amniotic membrane,HCT/P,2024-04-01,,Active,Triple-layer amniotic membrane
Q4264,"Cocoon Membrane, per sq cm",Cocoon Membrane,,Amniotic membrane,HCT/P,2024-04-01,,Active,Amniotic membrane
Q4265,"NeoStim TL, per sq cm",NeoStim TL,,Amniotic membrane,HCT/P,2024-04-01,,Active,Triple-layer amniotic membrane
Q4266,"NeoStim Membrane, per sq cm",NeoStim Membrane,,Amniotic membrane,HCT/P,2024-04-01,,Active,Amniotic membrane
Q4267,"NeoStim DL, per sq cm",NeoStim DL,,Amniotic membrane,HCT/P,2024-04-01,,Active,Dual-layer amniotic membrane
Q4268,"Surgraft FT, per sq cm",Surgraft FT,Regenative Labs,Amniotic membrane,HCT/P,2024-04-01,,Active,Full-thickness amniotic membrane
Q4269,"Surgraft XT, per sq cm",Surgraft XT,Regenative Labs,Amniotic membrane,HCT/P,2024-04-01,,Active,Extra-thickness amniotic membrane
Q4270,"Complete SL, per sq cm",Complete SL,,Amniotic membrane,HCT/P,2024-07-01,,Active,Single-layer amniotic membrane
Q4271,"Complete FT, per sq cm",Complete FT,,Amniotic membrane,HCT/P,2024-07-01,,Active,Full-thickness amniotic membrane
Q4272,"Esano A, per sq cm",Esano A,,Amniotic membrane,HCT/P,2024-07-01,,Active,Amniotic membrane
Q4273,"Esano AAA, per sq cm",Esano AAA,,Amniotic membrane,HCT/P,2024-07-01,,Active,Amniotic membrane
Q4274,"Esano AC, per sq cm",Esano AC,,Amniotic membrane,HCT/P,2024-07-01,,Active,Amnion-chorion membrane
Q4275,"Esano ACA, per sq cm",Esano ACA,,Amniotic membrane,HCT/P,2024-07-01,,Active,Amnion-chorion-amnion membrane
Q4276,"Orion, per sq cm",Orion,,Amniotic membrane,HCT/P,2024-07-01,,Active,Amniotic membrane
Q4278,"EpiEffect, per sq cm",EpiEffect,MiMedx,Amniotic membrane,HCT/P,2024-07-01,,Active,Amniotic membrane allograft
Q4279,"Vendaje AC, per sq cm",Vendaje AC,BioD,Amniotic membrane,HCT/P,2024-10-01,,Active,Amnion-chorion membrane
Q4280,"Xcell Amnio Matrix, per sq cm",Xcell Amnio Matrix,,Amniotic membrane,HCT/P,2024-10-01,,Active,Amniotic membrane matrix
Q4281,"Barrera SL/Barrera DL, per sq cm",Barrera SL / Barrera DL,,Amniotic membrane,HCT/P,2024-10-01,,Active,Amniotic membrane
Q4282,"Cygnus Dual, per sq cm",Cygnus Dual,Vivex Biologics,Amniotic membrane,HCT/P,2024-10-01,,Active,Dual-layer amniotic membrane
Q4283,"Biovance Tri-Layer/Biovance 3L, per sq cm",Biovance Tri-Layer / Biovance 3L,Celularity,Amniotic membrane,HCT/P,2024-10-01,,Active,Triple-layer amniotic membrane
Q4284,"DermaBind SL, per sq cm",DermaBind SL,BioD,Amniotic membrane,HCT/P,2024-10-01,,Active,Single-layer amniotic membrane
Q4285,"NuDyn DL/NuDyn DL Mesh, per sq cm",NuDyn DL / NuDyn DL Mesh,Badelaire Biotech,Amniotic membrane,HCT/P,2024-10-01,,Active,Dual-layer amniotic membrane
Q4286,"NuDyn SL/NuDyn SLW, per sq cm",NuDyn SL / NuDyn SLW,Badelaire Biotech,Amniotic membrane,HCT/P,2024-10-01,,Active,Single-layer amniotic membrane
Q4287,"DermaBind DL, per sq cm",DermaBind DL,BioD,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane
Q4288,"DermaBind CH, per sq cm",DermaBind CH,BioD,Amniotic membrane,HCT/P,2025-01-01,,Active,Chorion membrane
Q4289,"RevoShield+ Amniotic Barrier, per sq cm",RevoShield+ Amniotic Barrier,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic barrier
Q4290,"Membrane Wrap-Hydro, per sq cm",Membrane Wrap-Hydro,Applied Biologics,Amniotic membrane,HCT/P,2025-01-01,,Active,Hydrated amniotic membrane wrap
Q4291,"Lamellas XT, per sq cm",Lamellas XT,,Amniotic membrane,HCT/P,2025-01-01,,Active,Extra-thickness amniotic membrane
Q4292,"Lamellas, per sq cm",Lamellas,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4293,"Acesso DL, per sq cm",Acesso DL,,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane
Q4294,"Amnio Quad-Core, per sq cm",Amnio Quad-Core,,Amniotic membrane,HCT/P,2025-01-01,,Active,Quad-layer amniotic membrane
Q4295,"Amnio Tri-Core Amniotic, per sq cm",Amnio Tri-Core Amniotic,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amniotic membrane
Q4296,"Rebound Matrix, per sq cm",Rebound Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4297,"Emerge Matrix, per sq cm",Emerge Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4298,"AmnioCORE Pro, per sq cm",AmnioCORE Pro,Applied Biologics,Amniotic membrane,HCT/P,2025-01-01,,Active,Enhanced amniotic membrane
Q4299,"AmnioCORE Pro+, per sq cm",AmnioCORE Pro+,Applied Biologics,Amniotic membrane,HCT/P,2025-01-01,,Active,Enhanced amniotic membrane
Q4300,"Acesso TL, per sq cm",Acesso TL,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amniotic membrane
Q4301,"Activate Matrix, per sq cm",Activate Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4302,"Complete ACA, per sq cm",Complete ACA,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amnion-chorion-amnion membrane
Q4303,"Complete AA, per sq cm",Complete AA,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amnion-amnion membrane
Q4304,"Grafix Plus, per sq cm",Grafix Plus,Smith & Nephew (Osiris),Amniotic/placental,HCT/P,2025-01-01,,Active,Enhanced placental membrane
Q4305,"American Amnion AC Tri-Layer, per sq cm",American Amnion AC Tri-Layer,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amnion-chorion
Q4306,"American Amnion AC, per sq cm",American Amnion AC,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amnion-chorion membrane
Q4307,"American Amnion, per sq cm",American Amnion,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4308,"Sanopellis, per sq cm",Sanopellis,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4309,"Via Matrix, per sq cm",Via Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4310,"Procenta, per 100 mg",Procenta,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic tissue product
Q4311,"Acesso, per sq cm",Acesso,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4312,"Acesso AC, per sq cm",Acesso AC,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amnion-chorion membrane
Q4313,"DermaBind FM, per sq cm",DermaBind FM,BioD,Amniotic membrane,HCT/P,2025-01-01,,Active,Full-membrane amniotic membrane
Q4314,"Reeva FT, per sq cm",Reeva FT,,Amniotic membrane,HCT/P,2025-01-01,,Active,Full-thickness amniotic membrane
Q4315,"Regenelink Amniotic Membrane Allograft, per sq cm",Regenelink Amniotic Membrane Allograft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane allograft
Q4316,"AmchoPlast, per sq cm",AmchoPlast,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4317,"Vitograft, per sq cm",Vitograft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4318,"E-Graft, per sq cm",E-Graft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4319,"Sanograft, per sq cm",Sanograft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4320,"Pellograft, per sq cm",Pellograft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4321,"Renograft, per sq cm",Renograft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4322,"Caregraft, per sq cm",Caregraft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4323,"AlloPly, per sq cm",AlloPly,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4324,"AmnioTx, per sq cm",AmnioTx,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4325,"AcaPatch, per sq cm",AcaPatch,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4326,"WoundPlus, per sq cm",WoundPlus,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4327,"DuoAmnion, per sq cm",DuoAmnion,,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane
Q4328,"Most, per sq cm",Most,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4329,"Singlay, per sq cm",Singlay,,Amniotic membrane,HCT/P,2025-01-01,,Active,Single-layer amniotic membrane
Q4330,"Total, per sq cm",Total,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4331,"Axolotl Graft, per sq cm",Axolotl Graft,Axolotl Biologix,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane allograft
Q4332,"Axolotl DualGraft, per sq cm",Axolotl DualGraft,Axolotl Biologix,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane
Q4333,"ArdeoGraft, per sq cm",ArdeoGraft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4334,"AmnioPLAST 1, per sq cm",AmnioPLAST 1,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4335,"AmnioPLAST 2, per sq cm",AmnioPLAST 2,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4336,"Artacent C, per sq cm",Artacent C,Tides Medical,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4337,"Artacent Trident, per sq cm",Artacent Trident,Tides Medical,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4338,"Artacent Velos, per sq cm",Artacent Velos,Tides Medical,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4339,"Artacent Vericlen, per sq cm",Artacent Vericlen,Tides Medical,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4340,"SimpliGraft, per sq cm",SimpliGraft,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4341,"SimpliMax, per sq cm",SimpliMax,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4342,"TheraMend, per sq cm",TheraMend,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane
Q4343,"DermaCyte AC Matrix, per sq cm",DermaCyte AC Matrix Amniotic Membrane Allograft,Pinnacle Transplant Technologies,Amniotic membrane,HCT/P,2025-01-01,,Active,Amnion-chorion amniotic membrane allograft
Q4344,"Tri-Membrane Wrap, per sq cm",Tri-Membrane Wrap,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amniotic membrane wrap
Q4345,"Matrix HD Allograft Dermis, per sq cm",Matrix HD Allograft Dermis,,Acellular dermal matrix,HCT/P,2025-01-01,,Active,Human acellular dermal matrix
Q4346,"Shelter DM Matrix, per sq cm",Shelter DM Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4347,"Rampart DL Matrix, per sq cm",Rampart DL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane matrix
Q4348,"Sentry SL Matrix, per sq cm",Sentry SL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Single-layer amniotic membrane matrix
Q4349,"Mantle DL Matrix, per sq cm",Mantle DL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Dual-layer amniotic membrane matrix
Q4350,"Palisade DM Matrix, per sq cm",Palisade DM Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Amniotic membrane matrix
Q4351,"Enclose TL Matrix, per sq cm",Enclose TL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amniotic membrane matrix
Q4352,"Overlay SL Matrix, per sq cm",Overlay SL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Single-layer amniotic membrane matrix
Q4353,"Xceed TL Matrix, per sq cm",Xceed TL Matrix,,Amniotic membrane,HCT/P,2025-01-01,,Active,Triple-layer amniotic membrane matrix
Q4354,"PalinGen Dual-Layer Membrane, per sq cm",PalinGen Dual-Layer Membrane,Amnio Technology,Amniotic membrane,HCT/P,2025-04-01,,Active,Dual-layer amniotic membrane
Q4355,"AbiOMend Xplus Membrane/Hydromembrane, per sq cm",AbiOMend Xplus Membrane / AbiOMend Xplus Hydromembrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane
Q4356,"AbiOMend Membrane/Hydromembrane, per sq cm",AbiOMend Membrane / AbiOMend Hydromembrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane
Q4357,"XWRAP Plus, per sq cm",XWRAP Plus,Applied Biologics,Amniotic membrane,HCT/P,2025-04-01,,Active,Enhanced amniotic tissue allograft
Q4358,"XWRAP Dual, per sq cm",XWRAP Dual,Applied Biologics,Amniotic membrane,HCT/P,2025-04-01,,Active,Dual-layer amniotic tissue allograft
Q4359,"ChoriPly, per sq cm",ChoriPly,,Amniotic membrane,HCT/P,2025-04-01,,Active,Chorion membrane
Q4360,"AmchoPlast FD, per sq cm",AmchoPlast FD,,Amniotic membrane,HCT/P,2025-04-01,,Active,Freeze-dried amniotic membrane
Q4361,"Epixpress, per sq cm",Epixpress,,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane
Q4362,"Cygnus Disk, per sq cm",Cygnus Disk,Vivex Biologics,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane disk
Q4363,"Amnio Burgeon Membrane/Hydromembrane, per sq cm",Amnio Burgeon Membrane / Amnio Burgeon Hydromembrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane
Q4364,"Amnio Burgeon Xplus Membrane/Hydromembrane, per sq cm",Amnio Burgeon Xplus Membrane / Amnio Burgeon Xplus Hydromembrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Amniotic membrane
Q4365,"Amnio Burgeon Dual-Layer Membrane, per sq cm",Amnio Burgeon Dual-Layer Membrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Dual-layer amniotic membrane
Q4366,"Dual Layer Amnio Burgeon X-Membrane, per sq cm",Dual Layer Amnio Burgeon X-Membrane,,Amniotic membrane,HCT/P,2025-04-01,,Active,Dual-layer amniotic membrane
Q4367,"AmnioCORE SL, per sq cm",AmnioCORE SL,Applied Biologics,Amniotic membrane,HCT/P,2025-04-01,,Active,Single-layer amniotic membrane
Q4368,"AmchoThick, per sq cm",AmchoThick,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4369,"AmnioPLAST 3, per sq cm",AmnioPLAST 3,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4370,"AeroGuard, per sq cm",AeroGuard,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4371,"NeoGuard, per sq cm",NeoGuard,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4372,"AmchoPlast Excel, per sq cm",AmchoPlast Excel,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4373,"Membrane Wrap Lite, per sq cm",Membrane Wrap Lite,Applied Biologics,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane wrap
Q4375,"DuoGraft AC, per sq cm",DuoGraft AC,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amnion-chorion dual graft
Q4376,"DuoGraft AA, per sq cm",DuoGraft AA,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amnion-amnion dual graft
Q4377,"TriGraft FT, per sq cm",TriGraft FT,,Amniotic membrane,HCT/P,2025-07-01,,Active,Full-thickness triple graft
Q4378,"Renew FT Matrix, per sq cm",Renew FT Matrix,,Amniotic membrane,HCT/P,2025-07-01,,Active,Full-thickness amniotic membrane matrix
Q4379,"AmnioDefend FT Matrix, per sq cm",AmnioDefend FT Matrix,,Amniotic membrane,HCT/P,2025-07-01,,Active,Full-thickness amniotic membrane matrix
Q4380,"Advograft One, per sq cm",Advograft One,,Amniotic membrane,HCT/P,2025-07-01,,Active,Amniotic membrane
Q4382,"Advograft Dual, per sq cm",Advograft Dual,,Amniotic membrane,HCT/P,2025-07-01,,Active,Dual-layer amniotic membrane
Q4383,"Axolotl Graft Ultra, per sq cm",Axolotl Graft Ultra,Axolotl Biologix,Amniotic membrane,HCT/P,2025-10-01,,Active,Enhanced amniotic membrane allograft
Q4384,"Axolotl DualGraft Ultra, per sq cm",Axolotl DualGraft Ultra,Axolotl Biologix,Amniotic membrane,HCT/P,2025-10-01,,Active,Enhanced dual-layer amniotic membrane
Q4385,"Apollo FT, per sq cm",Apollo FT,,Amniotic membrane,HCT/P,2025-10-01,,Active,Full-thickness amniotic membrane
Q4386,"Acesso TriFACA, per sq cm",Acesso TriFACA,,Amniotic membrane,HCT/P,2025-10-01,,Active,Triple-layer amniotic membrane
Q4387,"Neothelium FT, per sq cm",Neothelium FT,,Amniotic membrane,HCT/P,2025-10-01,,Active,Full-thickness amniotic membrane
Q4388,"Neothelium 4L, per sq cm",Neothelium 4L,,Amniotic membrane,HCT/P,2025-10-01,,Active,Four-layer amniotic membrane
Q4389,"Neothelium 4L+, per sq cm",Neothelium 4L+,,Amniotic membrane,HCT/P,2025-10-01,,Active,Enhanced four-layer amniotic membrane
Q4390,"Ascendion, per sq cm",Ascendion,,Amniotic membrane,HCT/P,2025-10-01,,Active,Amniotic membrane
Q4391,"AmnioPLAST Double, per sq cm",AmnioPLAST Double,,Amniotic membrane,HCT/P,2025-10-01,,Active,Double-layer amniotic membrane
Q4392,"Grafix Duo, per sq cm",Grafix Duo,Smith & Nephew (Osiris),Amniotic/placental,HCT/P,2025-10-01,,Active,Dual-layer placental membrane
Q4393,"Surgraft AC, per sq cm",Surgraft AC,Regenative Labs,Amniotic membrane,HCT/P,2025-10-01,,Active,Amnion-chorion membrane
Q4394,"Surgraft ACA, per sq cm",Surgraft ACA,Regenative Labs,Amniotic membrane,HCT/P,2025-10-01,,Active,Amnion-chorion-amnion membrane
Q4395,"AcelaGraft, per sq cm",AcelaGraft,,Amniotic membrane,HCT/P,2025-10-01,,Active,Amniotic membrane
Q4396,"Natalin, per sq cm",Natalin,,Amniotic membrane,HCT/P,2025-10-01,,Active,Amniotic membrane
Q4397,"Summit AAA, per sq cm",Summit AAA,,Amniotic membrane,HCT/P,2025-10-01,,Active,Amnion-amnion-amnion membrane
1 hcpcs_code short_descriptor product_name manufacturer category fda_pathway effective_date termination_date status notes
2 Q4100 Skin substitute, not otherwise specified Not otherwise specified Miscellaneous 2001-01-01 Active Catch-all code requiring product name and invoice
3 Q4101 Apligraf, per sq cm Apligraf Organogenesis Living bilayer cellular PMA 2001-01-01 Active Bilayer living skin - human keratinocytes/fibroblasts on bovine collagen
4 Q4102 Oasis wound matrix, per sq cm Oasis Wound Matrix Smith & Nephew (Cook Biotek) Xenograft (porcine SIS) 510(k) 2003-01-01 Active Porcine small intestinal submucosa
5 Q4103 Oasis burn matrix, per sq cm Oasis Burn Matrix Smith & Nephew (Cook Biotek) Xenograft (porcine SIS) 510(k) 2003-01-01 Active Porcine SIS for burn wounds
6 Q4104 Integra BMWD, per sq cm Integra Bilayer Matrix Wound Dressing Integra LifeSciences Synthetic/collagen PMA 2003-01-01 Active Bovine collagen + polysiloxane bilayer
7 Q4105 Integra DRT/Omnigraft, per sq cm Integra DRT / Omnigraft Dermal Regeneration Matrix Integra LifeSciences Synthetic/collagen PMA 2003-01-01 Active Dermal regeneration template
8 Q4106 Dermagraft, per sq cm Dermagraft Organogenesis (formerly Advanced BioHealing) Living allogeneic PMA 2003-01-01 Active Human fibroblast-derived dermal substitute
9 Q4107 GraftJacket, per sq cm GraftJacket Wright Medical (KCI) Acellular dermal matrix HCT/P 2005-01-01 Active Human acellular dermal matrix
10 Q4108 Integra matrix, per sq cm Integra Matrix Integra LifeSciences Synthetic/collagen 510(k) 2005-01-01 Active Single-layer wound matrix
11 Q4109 TissueMend, per sq cm TissueMend Stryker Xenograft (bovine) 510(k) 2007-01-01 2010-12-31 Deleted Fetal bovine dermis - terminated 12/31/2010
12 Q4110 PriMatrix, per sq cm PriMatrix Integra LifeSciences Xenograft (bovine) 510(k) 2007-01-01 Active Fetal bovine dermis
13 Q4111 GammaGraft, per sq cm GammaGraft Promethean LifeSciences Allograft (irradiated) HCT/P 2008-01-01 Active Irradiated human skin allograft
14 Q4112 Cymetra, injectable, 1 cc Cymetra Integra LifeSciences (LifeCell) Acellular dermal matrix HCT/P 2008-01-01 Active Injectable micronized acellular dermis
15 Q4113 GraftJacket Xpress, injectable, 1 cc GraftJacket Xpress Wright Medical (KCI) Acellular dermal matrix HCT/P 2008-01-01 Active Injectable form of GraftJacket
16 Q4114 Integra flowable wound matrix, injectable, 1 cc Integra Flowable Wound Matrix Integra LifeSciences Synthetic/collagen 510(k) 2008-01-01 Active Injectable bovine collagen matrix
17 Q4115 AlloSkin, per sq cm AlloSkin AlloSource Allograft HCT/P 2010-01-01 Active Human split-thickness skin allograft
18 Q4116 AlloDerm, per sq cm AlloDerm Integra LifeSciences (LifeCell) Acellular dermal matrix HCT/P 2010-01-01 Active Human acellular dermal matrix
19 Q4117 Hyalomatrix, per sq cm HYALOMATRIX Anika Therapeutics Synthetic/hyaluronic acid 510(k) 2011-01-01 Active Hyaluronic acid-based matrix with silicone membrane
20 Q4118 MatriStem MicroMatrix, 1 mg MatriStem MicroMatrix ACell Xenograft (porcine UBM) 510(k) 2011-01-01 Active Porcine urinary bladder matrix - particulate
21 Q4119 MatriStem wound matrix, per sq cm MatriStem Wound Matrix ACell Xenograft (porcine UBM) 510(k) 2011-01-01 Active Porcine urinary bladder matrix - sheet
22 Q4120 MatriStem burn matrix, per sq cm MatriStem Burn Matrix ACell Xenograft (porcine UBM) 510(k) 2011-01-01 Active Porcine UBM for burn wounds
23 Q4121 TheraSkin, per sq cm TheraSkin Solstas Lab Solutions (Misonix) Allograft (cryopreserved) HCT/P 2012-01-01 Active Cryopreserved human skin allograft
24 Q4122 DermACELL/DermACELL AWM, per sq cm DermACELL / DermACELL AWM / DermACELL AWM Porous Stryker (LifeNet Health) Acellular dermal matrix HCT/P 2012-01-01 Active Decellularized human dermis
25 Q4123 AlloSkin RT, per sq cm AlloSkin RT AlloSource Allograft HCT/P 2012-01-01 Active Human reticular dermis allograft
26 Q4124 OASIS Ultra Tri-Layer, per sq cm OASIS Ultra Tri-Layer Wound Matrix Smith & Nephew (Cook Biotek) Xenograft (porcine SIS) 510(k) 2012-01-01 Active Triple-layer porcine SIS
27 Q4125 ArthroFlex, per sq cm ArthroFlex Arthrex Acellular dermal matrix HCT/P 2012-10-01 Active Human acellular dermal matrix
28 Q4126 MemoDerm/DermaSpan/TranZgraft/InteguPly, per sq cm MemoDerm / DermaSpan / TranZgraft / InteguPly Memometal (various) Acellular dermal matrix HCT/P 2012-10-01 Active Human acellular dermal matrices
29 Q4127 Talymed, per sq cm Talymed Marine Polymer Technologies Synthetic (poly-N-acetyl glucosamine) 510(k) 2012-10-01 Active Marine-derived poly-NAG fiber matrix
30 Q4128 FlexHD/AlloPatch HD, per sq cm FlexHD / AlloPatch HD MTF Biologics (Musculoskeletal Transplant Foundation) Acellular dermal matrix HCT/P 2012-10-01 Active Pre-meshed human acellular dermal matrix
31 Q4130 Strattice TM, per sq cm Strattice TM Allergan (LifeCell) Xenograft (porcine dermis) 510(k) 2013-01-01 Active Non-cross-linked porcine dermal matrix
32 Q4131 EpiFix or AmnioFix, per sq cm (deleted code) EpiFix / AmnioFix MiMedx Amniotic membrane HCT/P 2013-01-01 2016-12-31 Deleted Replaced by Q4186 (sheet) and Q4145 (injectable)
33 Q4132 Grafix Core/GrafixPL Core, per sq cm Grafix Core / GrafixPL Core Smith & Nephew (Osiris) Amniotic/placental HCT/P 2013-01-01 Active Cryopreserved placental membrane
34 Q4133 Grafix Prime/GrafixPL Prime/Stravix/StravixPL, per sq cm Grafix Prime / GrafixPL Prime / Stravix / StravixPL Smith & Nephew (Osiris) Amniotic/placental HCT/P 2013-01-01 Active Cryopreserved placental membrane with viable cells
35 Q4134 hMatrix, per sq cm hMatrix Bacterin International Acellular dermal matrix HCT/P 2013-07-01 Active Human acellular dermal matrix
36 Q4135 Mediskin, per sq cm Mediskin Brennen Medical Allograft (irradiated) HCT/P 2013-07-01 Active Irradiated human skin allograft
37 Q4136 E-Z Derm, per sq cm E-Z Derm Mölnlycke Health Care Xenograft (porcine) 510(k) 2013-07-01 Active Aldehyde cross-linked porcine dermis
38 Q4137 AmnioExcel/AmnioExcel Plus/BioDExCel, per sq cm AmnioExcel / AmnioExcel Plus / BioDExCel Derma Sciences (Integra) Amniotic membrane HCT/P 2014-01-01 Active Dehydrated human amniotic membrane
39 Q4138 BioDFence DryFlex, per sq cm BioDFence DryFlex BioD Amniotic membrane HCT/P 2014-01-01 Active Dehydrated human amniotic membrane
40 Q4139 AmnioMatrix/BioDMatrix, injectable, 1 cc AmnioMatrix / BioDMatrix BioD Amniotic membrane HCT/P 2014-01-01 Active Injectable amniotic tissue
41 Q4140 BioDFence, per sq cm BioDFence BioD Amniotic membrane HCT/P 2014-01-01 Active Dehydrated amniotic membrane
42 Q4141 AlloSkin AC, per sq cm AlloSkin AC AlloSource Allograft HCT/P 2014-01-01 Active Human amnion-chorion membrane
43 Q4142 XCM Biologic Tissue Matrix, per sq cm XCM Biologic Tissue Matrix Zimmer Biomet (DePuy Synthes) Xenograft (porcine dermis) 510(k) 2014-01-01 Active Non-cross-linked porcine dermis
44 Q4143 Repriza, per sq cm Repriza Aziyo Biologics Xenograft (bovine pericardium) 510(k) 2014-04-01 Active Bovine pericardium matrix
45 Q4145 EpiFix, injectable, 1 mg EpiFix MiMedx Amniotic membrane HCT/P 2014-04-01 Active Micronized dehydrated human amnion/chorion injectable
46 Q4146 Tensix, per sq cm Tensix Aziyo Biologics Xenograft (bovine pericardium) 510(k) 2014-04-01 Active Bovine pericardium
47 Q4147 Architect/Architect PX/Architect FX, per sq cm Architect / Architect PX / Architect FX Harbor MedTech Xenograft (porcine ECM) 510(k) 2014-04-01 Active Porcine ECM
48 Q4148 Neox Cord 1K/Neox Cord RT/Clarix Cord 1K, per sq cm Neox Cord 1K / Neox Cord RT / Clarix Cord 1K Amniox Medical (TissueTech) Amniotic/umbilical cord HCT/P 2014-07-01 Active Cryopreserved human umbilical cord
49 Q4149 Excellagen, 0.1 cc Excellagen Taxus Cardium Synthetic/collagen 510(k) 2014-07-01 Active Injectable fibrillar collagen
50 Q4150 AlloWrap DS or Dry, per sq cm AlloWrap DS / AlloWrap Dry AlloSource Amniotic membrane HCT/P 2014-07-01 Active Dehydrated human amniotic membrane
51 Q4151 AmnioBand/Guardian, per sq cm AmnioBand / Guardian MTF Biologics Amniotic membrane HCT/P 2014-07-01 Active Dehydrated human amnion/chorion membrane
52 Q4152 DermaPure, per sq cm DermaPure Tissue Regenix Acellular dermal matrix HCT/P 2014-07-01 Active Decellularized human dermis
53 Q4153 Dermavest/Plurivest, per sq cm Dermavest / Plurivest Aziyo Biologics Amniotic/placental HCT/P 2015-01-01 Active Human placental connective tissue matrix
54 Q4154 Biovance, per sq cm Biovance Celularity (Anthrogenesis) Amniotic membrane HCT/P 2015-01-01 Active Decellularized human amniotic membrane
55 Q4155 NeoxFlo/ClarixFlo, 1 mg NeoxFlo / ClarixFlo Amniox Medical (TissueTech) Amniotic membrane HCT/P 2015-01-01 Active Cryopreserved particulate amniotic membrane
56 Q4156 Neox 100/Clarix 100, per sq cm Neox 100 / Clarix 100 Amniox Medical (TissueTech) Amniotic membrane HCT/P 2015-01-01 Active Cryopreserved amniotic membrane
57 Q4157 Revitalon, per sq cm Revitalon DermaRite Amniotic membrane HCT/P 2015-04-01 Active Dehydrated human amniotic membrane
58 Q4158 Kerecis Omega3, per sq cm Kerecis Omega3 Kerecis Xenograft (fish skin) 510(k) 2015-04-01 Active Intact Atlantic cod fish skin
59 Q4159 Affinity, per sq cm Affinity Organogenesis Amniotic membrane HCT/P 2015-04-01 Active Fresh hypothermically stored amniotic membrane
60 Q4160 NuShield, per sq cm NuShield Organogenesis Amniotic/placental HCT/P 2015-04-01 Active Dehydrated placental allograft
61 Q4161 Bio-ConneKt Wound Matrix, per sq cm Bio-ConneKt Wound Matrix MLM Biologics Amniotic/placental HCT/P 2015-07-01 Active Amniotic tissue product
62 Q4162 WoundEx Flow/BioSkin Flow, 0.5 cc WoundEx Flow / BioSkin Flow BioD Amniotic membrane HCT/P 2015-07-01 Active Injectable amniotic fluid
63 Q4163 WoundEx/BioSkin, per sq cm WoundEx / BioSkin BioD Amniotic membrane HCT/P 2015-07-01 Active Dehydrated amniotic membrane
64 Q4164 Helicoll, per sq cm Helicoll EnColl Synthetic/collagen 510(k) 2016-01-01 Active Collagen sheet
65 Q4165 Keramatrix/Kerasorb, per sq cm Keramatrix / Kerasorb Keraplast Technologies Synthetic (keratin) 510(k) 2016-01-01 Active Keratin-based wound matrix
66 Q4166 Cytal, per sq cm Cytal ACell Xenograft (porcine UBM) 510(k) 2016-01-01 Active Porcine urinary bladder matrix multi-layer
67 Q4167 TruSkin, per sq cm TruSkin Osiris Therapeutics Amniotic membrane HCT/P 2016-01-01 Active Processed amniotic tissue
68 Q4168 AmnioBand, 1 mg AmnioBand MTF Biologics Amniotic membrane HCT/P 2016-04-01 Active Particulate amniotic membrane
69 Q4169 Artacent Wound, per sq cm Artacent Wound Tides Medical Amniotic membrane HCT/P 2016-04-01 Active Dehydrated human amniotic membrane
70 Q4170 Cygnus, per sq cm Cygnus Vivex Biologics Amniotic membrane HCT/P 2016-04-01 Active Dual-layer amniotic membrane
71 Q4171 Interfyl, 1 mg Interfyl Organogenesis Amniotic/placental HCT/P 2016-07-01 Active Human connective tissue matrix (injectable)
72 Q4173 PalinGen/PalinGen Xplus, per sq cm PalinGen / PalinGen Xplus Amnio Technology Amniotic membrane HCT/P 2017-01-01 Active Amniotic tissue allograft
73 Q4174 PalinGen/ProMatrx, 0.36 mg per 0.25 cc PalinGen / ProMatrx Amnio Technology Amniotic membrane HCT/P 2017-01-01 Active Injectable amniotic tissue
74 Q4175 Miroderm, per sq cm Miroderm Miromatrix Medical Xenograft (porcine liver ECM) 510(k) 2017-01-01 Active Decellularized porcine liver extracellular matrix
75 Q4176 NeoPatch/Therion, per sq cm NeoPatch / Therion BioD Amniotic membrane HCT/P 2017-04-01 Active Dehydrated human amniotic membrane
76 Q4177 FlowerAmnioflo, 0.1 cc FlowerAmnioflo Flower Orthopedics Amniotic membrane HCT/P 2017-04-01 Active Injectable amniotic fluid product
77 Q4178 FlowerAmniopatch, per sq cm FlowerAmniopatch Flower Orthopedics Amniotic membrane HCT/P 2017-04-01 Active Dehydrated amniotic membrane patch
78 Q4179 FlowerDerm, per sq cm FlowerDerm Flower Orthopedics Amniotic membrane HCT/P 2017-04-01 Active Amniotic membrane product
79 Q4180 Revita, per sq cm Revita StimLabs Amniotic/placental HCT/P 2017-07-01 Active Amniotic membrane allograft
80 Q4181 Amnio Wound, per sq cm Amnio Wound Primary Wound Care Amniotic membrane HCT/P 2017-07-01 Active Dehydrated human amniotic membrane
81 Q4182 Transcyte, per sq cm TransCyte Advanced BioHealing (Smith & Nephew) Synthetic/cellular PMA 2017-07-01 Active Nylon mesh seeded with human fibroblasts
82 Q4183 Surgigraft, per sq cm Surgigraft Regenative Labs Amniotic membrane HCT/P 2018-01-01 Active Amniotic tissue allograft
83 Q4184 Cellesta/Cellesta Duo, per sq cm Cellesta / Cellesta Duo Vertos Medical Amniotic membrane HCT/P 2018-01-01 Active Amniotic membrane allograft
84 Q4185 Cellesta Flowable Amnion, per 0.5 cc Cellesta Flowable Amnion Vertos Medical Amniotic membrane HCT/P 2018-01-01 Active Injectable amniotic tissue
85 Q4186 EpiFix, per sq cm EpiFix MiMedx Amniotic membrane HCT/P 2018-01-01 Active Dehydrated human amnion/chorion membrane sheet
86 Q4187 EpiCord, per sq cm EpiCord MiMedx Amniotic/umbilical cord HCT/P 2018-01-01 Active Dehydrated human umbilical cord allograft
87 Q4188 AmnioArmor, per sq cm AmnioArmor Integra LifeSciences (Derma Sciences) Amniotic membrane HCT/P 2018-01-01 Active Dehydrated human amniotic membrane
88 Q4189 Artacent AC, 1 mg Artacent AC Tides Medical Amniotic membrane HCT/P 2018-04-01 Active Particulate amnion-chorion
89 Q4190 Artacent AC, per sq cm Artacent AC Tides Medical Amniotic membrane HCT/P 2018-04-01 Active Amnion-chorion sheet
90 Q4191 Restorigin, per sq cm Restorigin Aedicell Amniotic membrane HCT/P 2018-07-01 Active Amniotic tissue allograft
91 Q4192 Restorigin, 1 cc Restorigin Aedicell Amniotic membrane HCT/P 2018-07-01 Active Injectable amniotic tissue
92 Q4193 Coll-e-Derm, per sq cm Coll-e-Derm Parametrics Medical Synthetic/collagen 510(k) 2018-10-01 Active Collagen wound dressing
93 Q4194 NovaChor, per sq cm NovaChor Organogenesis Amniotic/placental HCT/P 2018-10-01 Active Chorion membrane allograft
94 Q4195 PuraPly, per sq cm PuraPly Organogenesis Xenograft + synthetic 510(k) 2018-10-01 Active Collagen matrix with PHMB antimicrobial
95 Q4196 PuraPly AM, per sq cm PuraPly AM Organogenesis Xenograft + synthetic 510(k) 2018-10-01 Active Antimicrobial collagen matrix
96 Q4197 PuraPly XT, per sq cm PuraPly XT Organogenesis Xenograft + synthetic 510(k) 2019-01-01 Active Extended thickness collagen matrix
97 Q4198 Genesis Amniotic Membrane, per sq cm Genesis Amniotic Membrane BioD Amniotic membrane HCT/P 2019-01-01 Active Dehydrated amniotic membrane
98 Q4199 Cygnus Matrix, per sq cm Cygnus Matrix Vivex Biologics Amniotic membrane HCT/P 2020-10-01 Active Amniotic membrane matrix
99 Q4200 SkinTE, per sq cm SkinTE PolarityTE Autologous cellular HCT/P 2019-04-01 Active Autologous homologous skin construct
100 Q4201 Matrion, per sq cm Matrion BioD Amniotic membrane HCT/P 2019-04-01 Active Decellularized amniotic membrane
101 Q4202 Keroxx (2.5 g/cc), 1 cc Keroxx Molecular Biologics Amniotic membrane HCT/P 2019-07-01 Active Injectable amniotic tissue product
102 Q4203 Derma-Gide, per sq cm Derma-Gide Geistlich Pharma Synthetic/collagen 510(k) 2019-07-01 Active Porcine collagen matrix
103 Q4204 XWRAP, per sq cm XWRAP Applied Biologics Amniotic membrane HCT/P 2019-10-01 Active Amniotic tissue allograft
104 Q4205 Membrane Graft/Membrane Wrap, per sq cm Membrane Graft / Membrane Wrap Applied Biologics Amniotic membrane HCT/P 2019-10-01 Active Amniotic membrane allograft
105 Q4206 Fluid Flow/Fluid GF, 1 cc Fluid Flow / Fluid GF Applied Biologics Amniotic membrane HCT/P 2019-10-01 Active Injectable amniotic fluid
106 Q4208 Novafix, per sq cm Novafix BioD Amniotic membrane HCT/P 2020-01-01 Active Amniotic tissue allograft
107 Q4209 Surgraft, per sq cm Surgraft Regenative Labs Amniotic membrane HCT/P 2020-01-01 Active Amniotic tissue allograft
108 Q4211 Amnion Bio/AxoBioMembrane, per sq cm Amnion Bio / AxoBioMembrane Axolotl Biologix Amniotic membrane HCT/P 2020-04-01 Active Amniotic membrane allograft
109 Q4212 Allogen, per cc Allogen BioD Amniotic membrane HCT/P 2020-04-01 Active Injectable amniotic tissue
110 Q4213 Ascent, 0.5 mg Ascent StimLabs Amniotic membrane HCT/P 2020-07-01 Active Particulate amniotic tissue
111 Q4214 Cellesta Cord, per sq cm Cellesta Cord Vertos Medical Amniotic/umbilical cord HCT/P 2020-07-01 Active Umbilical cord allograft
112 Q4215 Axolotl Ambient/Axolotl Cryo, 0.1 mg Axolotl Ambient / Axolotl Cryo Axolotl Biologix Amniotic membrane HCT/P 2020-07-01 Active Particulate amniotic membrane
113 Q4216 Artacent Cord, per sq cm Artacent Cord Tides Medical Amniotic/umbilical cord HCT/P 2020-10-01 Active Dehydrated human umbilical cord
114 Q4217 WoundFix/BioWound/BioWound Plus/WoundFix Xplus, per sq cm WoundFix / BioWound / BioWound Plus / WoundFix Plus / WoundFix Xplus BioD Amniotic membrane HCT/P 2020-10-01 Active Amniotic tissue allograft
115 Q4218 Surgicord, per sq cm Surgicord Regenative Labs Amniotic/umbilical cord HCT/P 2020-10-01 Active Umbilical cord allograft
116 Q4219 Surgigraft-Dual, per sq cm Surgigraft-Dual Regenative Labs Amniotic membrane HCT/P 2020-10-01 Active Dual-layer amniotic membrane
117 Q4220 BellaCell HD/Surederm, per sq cm BellaCell HD / Surederm MTF Biologics (Hans Biomed) Acellular dermal matrix HCT/P 2021-01-01 Active Human acellular dermal matrix
118 Q4221 AmniowWrap2, per sq cm AmniowWrap2 BioD Amniotic membrane HCT/P 2021-01-01 Active Amniotic membrane wrap
119 Q4222 Progenamatrix, per sq cm Progenamatrix ProgenaCare Global Amniotic membrane HCT/P 2021-01-01 Active Amniotic membrane allograft
120 Q4224 HHF10-P Amniotic Patch, per sq cm Human Health Factor 10 Amniotic Patch (HHF10-P) Stormor Group Amniotic membrane HCT/P 2021-04-01 Active Amniotic membrane allograft
121 Q4225 AmnioBind/DermaBind TL, per sq cm AmnioBind / DermaBind TL BioD Amniotic membrane HCT/P 2021-04-01 Active Dehydrated amniotic membrane
122 Q4226 MyOwn Skin, per sq cm MyOwn Skin Altrika Autologous cellular HCT/P 2021-04-01 Active Includes harvesting and preparation, autologous
123 Q4227 AmnioCORE, per sq cm AmnioCORE Applied Biologics Amniotic membrane HCT/P 2021-07-01 Active Amniotic membrane allograft
124 Q4229 Cogenex Amniotic Membrane, per sq cm Cogenex Amniotic Membrane Seed Biotech Amniotic membrane HCT/P 2021-10-01 Active Amniotic membrane
125 Q4230 Cogenex Flowable Amnion, per 0.5 cc Cogenex Flowable Amnion Seed Biotech Amniotic membrane HCT/P 2021-10-01 Active Injectable amniotic fluid
126 Q4231 (Deleted code) HCT/P 2022-01-01 2025-03-31 Deleted Deleted effective April 2025
127 Q4232 Corplex, per sq cm Corplex CelBridge Amniotic membrane HCT/P 2022-01-01 Active Amniotic membrane allograft
128 Q4233 Surfactor/NuDyn, per 0.5 cc Surfactor / NuDyn Badelaire Biotech Amniotic membrane HCT/P 2022-01-01 Active Injectable amniotic tissue
129 Q4234 Xcellerate, per sq cm Xcellerate Seed Biotech Amniotic membrane HCT/P 2022-01-01 Active Amniotic membrane allograft
130 Q4235 AmnioRepair/AltiPly, per sq cm AmnioRepair / AltiPly BioD Amniotic membrane HCT/P 2022-04-01 Active Amniotic membrane
131 Q4236 CarePatch, per sq cm CarePatch BioD Amniotic membrane HCT/P 2022-04-01 Active Amniotic membrane
132 Q4237 Cryo-Cord, per sq cm Cryo-Cord Applied Biologics Amniotic/umbilical cord HCT/P 2022-04-01 Active Cryopreserved umbilical cord
133 Q4238 Derm-Maxx, per sq cm Derm-Maxx Applied Biologics Amniotic membrane HCT/P 2022-04-01 Active Amniotic membrane allograft
134 Q4239 Amnio-Maxx/Amnio-Maxx Lite, per sq cm Amnio-Maxx / Amnio-Maxx Lite Applied Biologics Amniotic membrane HCT/P 2022-07-01 Active Amniotic membrane allograft
135 Q4240 CoreCyte, for topical use, per 0.5 cc CoreCyte Applied Biologics Amniotic membrane HCT/P 2022-07-01 Active Topical amniotic tissue product
136 Q4241 PolyCyte, for topical use, per 0.5 cc PolyCyte Applied Biologics Amniotic membrane HCT/P 2022-07-01 Active Topical amniotic tissue product
137 Q4242 AmnioCyte Plus, per 0.5 cc AmnioCyte Plus Applied Biologics Amniotic membrane HCT/P 2022-10-01 Active Injectable/topical amniotic tissue
138 Q4245 AmnioText, per cc AmnioText Xylocorp Amniotic membrane HCT/P 2023-01-01 Active Amniotic tissue product
139 Q4246 CoreText/ProText, per cc CoreText / ProText Xylocorp Amniotic membrane HCT/P 2023-01-01 Active Amniotic tissue product
140 Q4247 AmnioText Patch, per sq cm AmnioText Patch Xylocorp Amniotic membrane HCT/P 2023-01-01 Active Amniotic membrane patch
141 Q4248 DermaCyte Amniotic Membrane Allograft, per sq cm DermaCyte Amniotic Membrane Allograft Pinnacle Transplant Technologies Amniotic membrane HCT/P 2023-01-01 Active Amniotic membrane allograft
142 Q4249 AmniPly, for topical use, per sq cm AmniPly Integra LifeSciences Amniotic membrane HCT/P 2023-04-01 Active Topical amniotic membrane
143 Q4250 AmnioAmp-MP, per sq cm AmnioAmp-MP BioD Amniotic membrane HCT/P 2023-04-01 Active Amniotic membrane allograft
144 Q4251 Vim, per sq cm Vim BioD Amniotic membrane HCT/P 2023-07-01 Active Amniotic membrane
145 Q4252 Vendaje, per sq cm Vendaje BioD Amniotic membrane HCT/P 2023-07-01 Active Amniotic membrane
146 Q4253 Zenith Amniotic Membrane, per sq cm Zenith Amniotic Membrane MiMedx Amniotic membrane HCT/P 2023-07-01 Active Amniotic membrane allograft
147 Q4254 Novafix DL, per sq cm Novafix DL BioD Amniotic membrane HCT/P 2023-07-01 Active Dual-layer amniotic membrane
148 Q4255 Reguard, for topical use, per sq cm Reguard BioD Amniotic membrane HCT/P 2023-10-01 Active Topical amniotic membrane
149 Q4256 MLG-Complete, per sq cm MLG-Complete MLM Biologics Amniotic membrane HCT/P 2023-10-01 Active Amniotic membrane allograft
150 Q4257 Relese, per sq cm Relese Parametrics Medical Amniotic membrane HCT/P 2023-10-01 Active Amniotic membrane
151 Q4258 Enverse, per sq cm Enverse MTF Biologics Amniotic membrane HCT/P 2023-10-01 Active Amniotic membrane
152 Q4259 Celera Dual Layer/Celera Dual Membrane, per sq cm Celera Dual Layer / Celera Dual Membrane BioD Amniotic membrane HCT/P 2024-01-01 Active Dual-layer amniotic membrane
153 Q4260 Signature APatch, per sq cm Signature APatch FAS Biotech Amniotic membrane HCT/P 2024-01-01 Active Amniotic membrane
154 Q4261 Tag, per sq cm Tag FAS Biotech Amniotic membrane HCT/P 2024-01-01 Active Amniotic membrane
155 Q4262 Dual Layer Impax Membrane, per sq cm Dual Layer Impax Membrane BioD Amniotic membrane HCT/P 2024-01-01 Active Dual-layer amniotic membrane
156 Q4263 Surgraft TL, per sq cm Surgraft TL Regenative Labs Amniotic membrane HCT/P 2024-04-01 Active Triple-layer amniotic membrane
157 Q4264 Cocoon Membrane, per sq cm Cocoon Membrane Amniotic membrane HCT/P 2024-04-01 Active Amniotic membrane
158 Q4265 NeoStim TL, per sq cm NeoStim TL Amniotic membrane HCT/P 2024-04-01 Active Triple-layer amniotic membrane
159 Q4266 NeoStim Membrane, per sq cm NeoStim Membrane Amniotic membrane HCT/P 2024-04-01 Active Amniotic membrane
160 Q4267 NeoStim DL, per sq cm NeoStim DL Amniotic membrane HCT/P 2024-04-01 Active Dual-layer amniotic membrane
161 Q4268 Surgraft FT, per sq cm Surgraft FT Regenative Labs Amniotic membrane HCT/P 2024-04-01 Active Full-thickness amniotic membrane
162 Q4269 Surgraft XT, per sq cm Surgraft XT Regenative Labs Amniotic membrane HCT/P 2024-04-01 Active Extra-thickness amniotic membrane
163 Q4270 Complete SL, per sq cm Complete SL Amniotic membrane HCT/P 2024-07-01 Active Single-layer amniotic membrane
164 Q4271 Complete FT, per sq cm Complete FT Amniotic membrane HCT/P 2024-07-01 Active Full-thickness amniotic membrane
165 Q4272 Esano A, per sq cm Esano A Amniotic membrane HCT/P 2024-07-01 Active Amniotic membrane
166 Q4273 Esano AAA, per sq cm Esano AAA Amniotic membrane HCT/P 2024-07-01 Active Amniotic membrane
167 Q4274 Esano AC, per sq cm Esano AC Amniotic membrane HCT/P 2024-07-01 Active Amnion-chorion membrane
168 Q4275 Esano ACA, per sq cm Esano ACA Amniotic membrane HCT/P 2024-07-01 Active Amnion-chorion-amnion membrane
169 Q4276 Orion, per sq cm Orion Amniotic membrane HCT/P 2024-07-01 Active Amniotic membrane
170 Q4278 EpiEffect, per sq cm EpiEffect MiMedx Amniotic membrane HCT/P 2024-07-01 Active Amniotic membrane allograft
171 Q4279 Vendaje AC, per sq cm Vendaje AC BioD Amniotic membrane HCT/P 2024-10-01 Active Amnion-chorion membrane
172 Q4280 Xcell Amnio Matrix, per sq cm Xcell Amnio Matrix Amniotic membrane HCT/P 2024-10-01 Active Amniotic membrane matrix
173 Q4281 Barrera SL/Barrera DL, per sq cm Barrera SL / Barrera DL Amniotic membrane HCT/P 2024-10-01 Active Amniotic membrane
174 Q4282 Cygnus Dual, per sq cm Cygnus Dual Vivex Biologics Amniotic membrane HCT/P 2024-10-01 Active Dual-layer amniotic membrane
175 Q4283 Biovance Tri-Layer/Biovance 3L, per sq cm Biovance Tri-Layer / Biovance 3L Celularity Amniotic membrane HCT/P 2024-10-01 Active Triple-layer amniotic membrane
176 Q4284 DermaBind SL, per sq cm DermaBind SL BioD Amniotic membrane HCT/P 2024-10-01 Active Single-layer amniotic membrane
177 Q4285 NuDyn DL/NuDyn DL Mesh, per sq cm NuDyn DL / NuDyn DL Mesh Badelaire Biotech Amniotic membrane HCT/P 2024-10-01 Active Dual-layer amniotic membrane
178 Q4286 NuDyn SL/NuDyn SLW, per sq cm NuDyn SL / NuDyn SLW Badelaire Biotech Amniotic membrane HCT/P 2024-10-01 Active Single-layer amniotic membrane
179 Q4287 DermaBind DL, per sq cm DermaBind DL BioD Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane
180 Q4288 DermaBind CH, per sq cm DermaBind CH BioD Amniotic membrane HCT/P 2025-01-01 Active Chorion membrane
181 Q4289 RevoShield+ Amniotic Barrier, per sq cm RevoShield+ Amniotic Barrier Amniotic membrane HCT/P 2025-01-01 Active Amniotic barrier
182 Q4290 Membrane Wrap-Hydro, per sq cm Membrane Wrap-Hydro Applied Biologics Amniotic membrane HCT/P 2025-01-01 Active Hydrated amniotic membrane wrap
183 Q4291 Lamellas XT, per sq cm Lamellas XT Amniotic membrane HCT/P 2025-01-01 Active Extra-thickness amniotic membrane
184 Q4292 Lamellas, per sq cm Lamellas Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
185 Q4293 Acesso DL, per sq cm Acesso DL Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane
186 Q4294 Amnio Quad-Core, per sq cm Amnio Quad-Core Amniotic membrane HCT/P 2025-01-01 Active Quad-layer amniotic membrane
187 Q4295 Amnio Tri-Core Amniotic, per sq cm Amnio Tri-Core Amniotic Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amniotic membrane
188 Q4296 Rebound Matrix, per sq cm Rebound Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
189 Q4297 Emerge Matrix, per sq cm Emerge Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
190 Q4298 AmnioCORE Pro, per sq cm AmnioCORE Pro Applied Biologics Amniotic membrane HCT/P 2025-01-01 Active Enhanced amniotic membrane
191 Q4299 AmnioCORE Pro+, per sq cm AmnioCORE Pro+ Applied Biologics Amniotic membrane HCT/P 2025-01-01 Active Enhanced amniotic membrane
192 Q4300 Acesso TL, per sq cm Acesso TL Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amniotic membrane
193 Q4301 Activate Matrix, per sq cm Activate Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
194 Q4302 Complete ACA, per sq cm Complete ACA Amniotic membrane HCT/P 2025-01-01 Active Amnion-chorion-amnion membrane
195 Q4303 Complete AA, per sq cm Complete AA Amniotic membrane HCT/P 2025-01-01 Active Amnion-amnion membrane
196 Q4304 Grafix Plus, per sq cm Grafix Plus Smith & Nephew (Osiris) Amniotic/placental HCT/P 2025-01-01 Active Enhanced placental membrane
197 Q4305 American Amnion AC Tri-Layer, per sq cm American Amnion AC Tri-Layer Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amnion-chorion
198 Q4306 American Amnion AC, per sq cm American Amnion AC Amniotic membrane HCT/P 2025-01-01 Active Amnion-chorion membrane
199 Q4307 American Amnion, per sq cm American Amnion Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
200 Q4308 Sanopellis, per sq cm Sanopellis Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
201 Q4309 Via Matrix, per sq cm Via Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
202 Q4310 Procenta, per 100 mg Procenta Amniotic membrane HCT/P 2025-01-01 Active Amniotic tissue product
203 Q4311 Acesso, per sq cm Acesso Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
204 Q4312 Acesso AC, per sq cm Acesso AC Amniotic membrane HCT/P 2025-01-01 Active Amnion-chorion membrane
205 Q4313 DermaBind FM, per sq cm DermaBind FM BioD Amniotic membrane HCT/P 2025-01-01 Active Full-membrane amniotic membrane
206 Q4314 Reeva FT, per sq cm Reeva FT Amniotic membrane HCT/P 2025-01-01 Active Full-thickness amniotic membrane
207 Q4315 Regenelink Amniotic Membrane Allograft, per sq cm Regenelink Amniotic Membrane Allograft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane allograft
208 Q4316 AmchoPlast, per sq cm AmchoPlast Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
209 Q4317 Vitograft, per sq cm Vitograft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
210 Q4318 E-Graft, per sq cm E-Graft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
211 Q4319 Sanograft, per sq cm Sanograft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
212 Q4320 Pellograft, per sq cm Pellograft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
213 Q4321 Renograft, per sq cm Renograft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
214 Q4322 Caregraft, per sq cm Caregraft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
215 Q4323 AlloPly, per sq cm AlloPly Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
216 Q4324 AmnioTx, per sq cm AmnioTx Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
217 Q4325 AcaPatch, per sq cm AcaPatch Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
218 Q4326 WoundPlus, per sq cm WoundPlus Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
219 Q4327 DuoAmnion, per sq cm DuoAmnion Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane
220 Q4328 Most, per sq cm Most Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
221 Q4329 Singlay, per sq cm Singlay Amniotic membrane HCT/P 2025-01-01 Active Single-layer amniotic membrane
222 Q4330 Total, per sq cm Total Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
223 Q4331 Axolotl Graft, per sq cm Axolotl Graft Axolotl Biologix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane allograft
224 Q4332 Axolotl DualGraft, per sq cm Axolotl DualGraft Axolotl Biologix Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane
225 Q4333 ArdeoGraft, per sq cm ArdeoGraft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
226 Q4334 AmnioPLAST 1, per sq cm AmnioPLAST 1 Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
227 Q4335 AmnioPLAST 2, per sq cm AmnioPLAST 2 Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
228 Q4336 Artacent C, per sq cm Artacent C Tides Medical Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
229 Q4337 Artacent Trident, per sq cm Artacent Trident Tides Medical Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
230 Q4338 Artacent Velos, per sq cm Artacent Velos Tides Medical Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
231 Q4339 Artacent Vericlen, per sq cm Artacent Vericlen Tides Medical Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
232 Q4340 SimpliGraft, per sq cm SimpliGraft Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
233 Q4341 SimpliMax, per sq cm SimpliMax Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
234 Q4342 TheraMend, per sq cm TheraMend Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane
235 Q4343 DermaCyte AC Matrix, per sq cm DermaCyte AC Matrix Amniotic Membrane Allograft Pinnacle Transplant Technologies Amniotic membrane HCT/P 2025-01-01 Active Amnion-chorion amniotic membrane allograft
236 Q4344 Tri-Membrane Wrap, per sq cm Tri-Membrane Wrap Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amniotic membrane wrap
237 Q4345 Matrix HD Allograft Dermis, per sq cm Matrix HD Allograft Dermis Acellular dermal matrix HCT/P 2025-01-01 Active Human acellular dermal matrix
238 Q4346 Shelter DM Matrix, per sq cm Shelter DM Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
239 Q4347 Rampart DL Matrix, per sq cm Rampart DL Matrix Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane matrix
240 Q4348 Sentry SL Matrix, per sq cm Sentry SL Matrix Amniotic membrane HCT/P 2025-01-01 Active Single-layer amniotic membrane matrix
241 Q4349 Mantle DL Matrix, per sq cm Mantle DL Matrix Amniotic membrane HCT/P 2025-01-01 Active Dual-layer amniotic membrane matrix
242 Q4350 Palisade DM Matrix, per sq cm Palisade DM Matrix Amniotic membrane HCT/P 2025-01-01 Active Amniotic membrane matrix
243 Q4351 Enclose TL Matrix, per sq cm Enclose TL Matrix Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amniotic membrane matrix
244 Q4352 Overlay SL Matrix, per sq cm Overlay SL Matrix Amniotic membrane HCT/P 2025-01-01 Active Single-layer amniotic membrane matrix
245 Q4353 Xceed TL Matrix, per sq cm Xceed TL Matrix Amniotic membrane HCT/P 2025-01-01 Active Triple-layer amniotic membrane matrix
246 Q4354 PalinGen Dual-Layer Membrane, per sq cm PalinGen Dual-Layer Membrane Amnio Technology Amniotic membrane HCT/P 2025-04-01 Active Dual-layer amniotic membrane
247 Q4355 AbiOMend Xplus Membrane/Hydromembrane, per sq cm AbiOMend Xplus Membrane / AbiOMend Xplus Hydromembrane Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane
248 Q4356 AbiOMend Membrane/Hydromembrane, per sq cm AbiOMend Membrane / AbiOMend Hydromembrane Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane
249 Q4357 XWRAP Plus, per sq cm XWRAP Plus Applied Biologics Amniotic membrane HCT/P 2025-04-01 Active Enhanced amniotic tissue allograft
250 Q4358 XWRAP Dual, per sq cm XWRAP Dual Applied Biologics Amniotic membrane HCT/P 2025-04-01 Active Dual-layer amniotic tissue allograft
251 Q4359 ChoriPly, per sq cm ChoriPly Amniotic membrane HCT/P 2025-04-01 Active Chorion membrane
252 Q4360 AmchoPlast FD, per sq cm AmchoPlast FD Amniotic membrane HCT/P 2025-04-01 Active Freeze-dried amniotic membrane
253 Q4361 Epixpress, per sq cm Epixpress Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane
254 Q4362 Cygnus Disk, per sq cm Cygnus Disk Vivex Biologics Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane disk
255 Q4363 Amnio Burgeon Membrane/Hydromembrane, per sq cm Amnio Burgeon Membrane / Amnio Burgeon Hydromembrane Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane
256 Q4364 Amnio Burgeon Xplus Membrane/Hydromembrane, per sq cm Amnio Burgeon Xplus Membrane / Amnio Burgeon Xplus Hydromembrane Amniotic membrane HCT/P 2025-04-01 Active Amniotic membrane
257 Q4365 Amnio Burgeon Dual-Layer Membrane, per sq cm Amnio Burgeon Dual-Layer Membrane Amniotic membrane HCT/P 2025-04-01 Active Dual-layer amniotic membrane
258 Q4366 Dual Layer Amnio Burgeon X-Membrane, per sq cm Dual Layer Amnio Burgeon X-Membrane Amniotic membrane HCT/P 2025-04-01 Active Dual-layer amniotic membrane
259 Q4367 AmnioCORE SL, per sq cm AmnioCORE SL Applied Biologics Amniotic membrane HCT/P 2025-04-01 Active Single-layer amniotic membrane
260 Q4368 AmchoThick, per sq cm AmchoThick Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
261 Q4369 AmnioPLAST 3, per sq cm AmnioPLAST 3 Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
262 Q4370 AeroGuard, per sq cm AeroGuard Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
263 Q4371 NeoGuard, per sq cm NeoGuard Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
264 Q4372 AmchoPlast Excel, per sq cm AmchoPlast Excel Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
265 Q4373 Membrane Wrap Lite, per sq cm Membrane Wrap Lite Applied Biologics Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane wrap
266 Q4375 DuoGraft AC, per sq cm DuoGraft AC Amniotic membrane HCT/P 2025-07-01 Active Amnion-chorion dual graft
267 Q4376 DuoGraft AA, per sq cm DuoGraft AA Amniotic membrane HCT/P 2025-07-01 Active Amnion-amnion dual graft
268 Q4377 TriGraft FT, per sq cm TriGraft FT Amniotic membrane HCT/P 2025-07-01 Active Full-thickness triple graft
269 Q4378 Renew FT Matrix, per sq cm Renew FT Matrix Amniotic membrane HCT/P 2025-07-01 Active Full-thickness amniotic membrane matrix
270 Q4379 AmnioDefend FT Matrix, per sq cm AmnioDefend FT Matrix Amniotic membrane HCT/P 2025-07-01 Active Full-thickness amniotic membrane matrix
271 Q4380 Advograft One, per sq cm Advograft One Amniotic membrane HCT/P 2025-07-01 Active Amniotic membrane
272 Q4382 Advograft Dual, per sq cm Advograft Dual Amniotic membrane HCT/P 2025-07-01 Active Dual-layer amniotic membrane
273 Q4383 Axolotl Graft Ultra, per sq cm Axolotl Graft Ultra Axolotl Biologix Amniotic membrane HCT/P 2025-10-01 Active Enhanced amniotic membrane allograft
274 Q4384 Axolotl DualGraft Ultra, per sq cm Axolotl DualGraft Ultra Axolotl Biologix Amniotic membrane HCT/P 2025-10-01 Active Enhanced dual-layer amniotic membrane
275 Q4385 Apollo FT, per sq cm Apollo FT Amniotic membrane HCT/P 2025-10-01 Active Full-thickness amniotic membrane
276 Q4386 Acesso TriFACA, per sq cm Acesso TriFACA Amniotic membrane HCT/P 2025-10-01 Active Triple-layer amniotic membrane
277 Q4387 Neothelium FT, per sq cm Neothelium FT Amniotic membrane HCT/P 2025-10-01 Active Full-thickness amniotic membrane
278 Q4388 Neothelium 4L, per sq cm Neothelium 4L Amniotic membrane HCT/P 2025-10-01 Active Four-layer amniotic membrane
279 Q4389 Neothelium 4L+, per sq cm Neothelium 4L+ Amniotic membrane HCT/P 2025-10-01 Active Enhanced four-layer amniotic membrane
280 Q4390 Ascendion, per sq cm Ascendion Amniotic membrane HCT/P 2025-10-01 Active Amniotic membrane
281 Q4391 AmnioPLAST Double, per sq cm AmnioPLAST Double Amniotic membrane HCT/P 2025-10-01 Active Double-layer amniotic membrane
282 Q4392 Grafix Duo, per sq cm Grafix Duo Smith & Nephew (Osiris) Amniotic/placental HCT/P 2025-10-01 Active Dual-layer placental membrane
283 Q4393 Surgraft AC, per sq cm Surgraft AC Regenative Labs Amniotic membrane HCT/P 2025-10-01 Active Amnion-chorion membrane
284 Q4394 Surgraft ACA, per sq cm Surgraft ACA Regenative Labs Amniotic membrane HCT/P 2025-10-01 Active Amnion-chorion-amnion membrane
285 Q4395 AcelaGraft, per sq cm AcelaGraft Amniotic membrane HCT/P 2025-10-01 Active Amniotic membrane
286 Q4396 Natalin, per sq cm Natalin Amniotic membrane HCT/P 2025-10-01 Active Amniotic membrane
287 Q4397 Summit AAA, per sq cm Summit AAA Amniotic membrane HCT/P 2025-10-01 Active Amnion-amnion-amnion membrane

35
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"hcpcs_code","short_descriptor","code_type","body_site","wound_size","effective_date","termination_date","status","notes"
"15271","Skin substitute graft, trunk/arms/legs, <100 sq cm; first 25 sq cm or less","Application (CPT)","Trunk/arms/legs","<100 sq cm","2012-01-01","","Active","Replaced CPT 15330"
"15272","Skin substitute graft, trunk/arms/legs, <100 sq cm; each addl 25 sq cm","Application (CPT)","Trunk/arms/legs","<100 sq cm","2012-01-01","","Active","Add-on to 15271"
"15273","Skin substitute graft, trunk/arms/legs, >=100 sq cm; first 100 sq cm","Application (CPT)","Trunk/arms/legs",">=100 sq cm","2012-01-01","","Active","Replaced CPT 15331"
"15274","Skin substitute graft, trunk/arms/legs, >=100 sq cm; each addl 100 sq cm","Application (CPT)","Trunk/arms/legs",">=100 sq cm","2012-01-01","","Active","Add-on to 15273"
"15275","Skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; first 25 sq cm or less","Application (CPT)","Face/scalp/hands/feet/digits/genitalia","<100 sq cm","2012-01-01","","Active","Replaced CPT 15335"
"15276","Skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; each addl 25 sq cm","Application (CPT)","Face/scalp/hands/feet/digits/genitalia","<100 sq cm","2012-01-01","","Active","Add-on to 15275"
"15277","Skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; first 100 sq cm","Application (CPT)","Face/scalp/hands/feet/digits/genitalia",">=100 sq cm","2012-01-01","","Active","Replaced CPT 15336"
"15278","Skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; each addl 100 sq cm","Application (CPT)","Face/scalp/hands/feet/digits/genitalia",">=100 sq cm","2012-01-01","","Active","Add-on to 15277"
"C5271","Low cost skin substitute graft, trunk/arms/legs, <100 sq cm; first 25 sq cm or less","Application (OPPS Low-Cost)","Trunk/arms/legs","<100 sq cm","2014-01-01","2025-12-31","Deleted","Deleted effective Jan 1 2026 per CY 2026 OPPS final rule"
"C5272","Low cost skin substitute graft, trunk/arms/legs, <100 sq cm; each addl 25 sq cm","Application (OPPS Low-Cost)","Trunk/arms/legs","<100 sq cm","2014-01-01","2025-12-31","Deleted","Add-on. Deleted effective Jan 1 2026"
"C5273","Low cost skin substitute graft, trunk/arms/legs, >=100 sq cm; first 100 sq cm","Application (OPPS Low-Cost)","Trunk/arms/legs",">=100 sq cm","2014-01-01","2025-12-31","Deleted","Deleted effective Jan 1 2026"
"C5274","Low cost skin substitute graft, trunk/arms/legs, >=100 sq cm; each addl 100 sq cm","Application (OPPS Low-Cost)","Trunk/arms/legs",">=100 sq cm","2014-01-01","2025-12-31","Deleted","Add-on. Deleted effective Jan 1 2026"
"C5275","Low cost skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; first 25 sq cm or less","Application (OPPS Low-Cost)","Face/scalp/hands/feet/digits/genitalia","<100 sq cm","2014-01-01","2025-12-31","Deleted","Deleted effective Jan 1 2026"
"C5276","Low cost skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; each addl 25 sq cm","Application (OPPS Low-Cost)","Face/scalp/hands/feet/digits/genitalia","<100 sq cm","2014-01-01","2025-12-31","Deleted","Add-on. Deleted effective Jan 1 2026"
"C5277","Low cost skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; first 100 sq cm","Application (OPPS Low-Cost)","Face/scalp/hands/feet/digits/genitalia",">=100 sq cm","2014-01-01","2025-12-31","Deleted","Deleted effective Jan 1 2026"
"C5278","Low cost skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; each addl 100 sq cm","Application (OPPS Low-Cost)","Face/scalp/hands/feet/digits/genitalia",">=100 sq cm","2014-01-01","2025-12-31","Deleted","Add-on. Deleted effective Jan 1 2026"
"15330","Acellular dermal allograft, trunk/arms/legs; first 100 sq cm or less","Application (CPT - Historical)","Trunk/arms/legs","<=100 sq cm","2006-01-01","2011-12-31","Deleted","Replaced by 15271/15272 in 2012"
"15331","Acellular dermal allograft, trunk/arms/legs; each addl 100 sq cm","Application (CPT - Historical)","Trunk/arms/legs",">100 sq cm","2006-01-01","2011-12-31","Deleted","Replaced by 15273/15274 in 2012"
"15335","Acellular dermal allograft, face/scalp/hands/feet; first 100 sq cm or less","Application (CPT - Historical)","Face/scalp/hands/feet/digits/genitalia","<=100 sq cm","2006-01-01","2011-12-31","Deleted","Replaced by 15275/15276 in 2012"
"15336","Acellular dermal allograft, face/scalp/hands/feet; each addl 100 sq cm","Application (CPT - Historical)","Face/scalp/hands/feet/digits/genitalia",">100 sq cm","2006-01-01","2011-12-31","Deleted","Replaced by 15277/15278 in 2012"
"15340","Tissue cultured allogeneic skin substitute; first 25 sq cm or less","Application (CPT - Historical)","","<=25 sq cm","","2011-12-31","Deleted","Pre-2012 tissue-cultured allogeneic graft code"
"15360","Tissue cultured autograft; first 25 sq cm or less","Application (CPT - Historical)","","<=25 sq cm","","2011-12-31","Deleted","Pre-2012 autologous cultured skin code"
"15400","Xenograft; first 100 sq cm or less","Application (CPT - Historical)","","<=100 sq cm","","2011-12-31","Deleted","Pre-2012 xenograft application code"
"15401","Xenograft; each addl 100 sq cm","Application (CPT - Historical)","",">100 sq cm","","2011-12-31","Deleted","Pre-2012 xenograft add-on code"
"15430","Acellular xenograft implant; first 100 sq cm or less","Application (CPT - Historical)","","<=100 sq cm","","2011-12-31","Deleted","Pre-2012 acellular xenograft code"
"G0440","Skin substitute, tissue cultured; first 25 sq cm (OPPS)","Application (OPPS - Historical)","","<=25 sq cm","","2011-12-31","Deleted","Transitional OPPS code for pass-through products"
"C9363","Integra Meshed Bilayer Wound Matrix, per sq cm","Product (C-code Historical)","","","","","Deleted","Transitional pass-through C-code; replaced by Q-code"
"C9358","SurgiMend Collagen Matrix (fetal), per 0.5 sq cm","Product (C-code Historical)","","","","","Active","Bovine collagen - fetal origin"
"C9360","SurgiMend Collagen Matrix (neonatal), per 0.5 sq cm","Product (C-code Historical)","","","","","Active","Bovine collagen - neonatal origin"
"C9364","Porcine implant Permacol, per sq cm","Product (C-code Historical)","","","","2012-12-31","Deleted","Transitional pass-through C-code"
"C9365","Oasis Ultra Tri-Layer, per sq cm","Product (C-code Historical)","","","","2011-12-31","Deleted","Replaced by Q4124"
"C9366","EpiFix, per sq cm","Product (C-code Historical)","","","","2012-12-31","Deleted","Replaced by Q4131 then Q4186"
"C9367","Endoform Dermal Template, per sq cm","Product (C-code Historical)","","","","2012-12-31","Deleted","Transitional pass-through C-code"
"A2019","Kerecis Omega3 (additional code)","Product (A-code)","","","","","","Alternate code for Kerecis fish skin xenograft"
1 hcpcs_code short_descriptor code_type body_site wound_size effective_date termination_date status notes
2 15271 Skin substitute graft, trunk/arms/legs, <100 sq cm; first 25 sq cm or less Application (CPT) Trunk/arms/legs <100 sq cm 2012-01-01 Active Replaced CPT 15330
3 15272 Skin substitute graft, trunk/arms/legs, <100 sq cm; each addl 25 sq cm Application (CPT) Trunk/arms/legs <100 sq cm 2012-01-01 Active Add-on to 15271
4 15273 Skin substitute graft, trunk/arms/legs, >=100 sq cm; first 100 sq cm Application (CPT) Trunk/arms/legs >=100 sq cm 2012-01-01 Active Replaced CPT 15331
5 15274 Skin substitute graft, trunk/arms/legs, >=100 sq cm; each addl 100 sq cm Application (CPT) Trunk/arms/legs >=100 sq cm 2012-01-01 Active Add-on to 15273
6 15275 Skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; first 25 sq cm or less Application (CPT) Face/scalp/hands/feet/digits/genitalia <100 sq cm 2012-01-01 Active Replaced CPT 15335
7 15276 Skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; each addl 25 sq cm Application (CPT) Face/scalp/hands/feet/digits/genitalia <100 sq cm 2012-01-01 Active Add-on to 15275
8 15277 Skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; first 100 sq cm Application (CPT) Face/scalp/hands/feet/digits/genitalia >=100 sq cm 2012-01-01 Active Replaced CPT 15336
9 15278 Skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; each addl 100 sq cm Application (CPT) Face/scalp/hands/feet/digits/genitalia >=100 sq cm 2012-01-01 Active Add-on to 15277
10 C5271 Low cost skin substitute graft, trunk/arms/legs, <100 sq cm; first 25 sq cm or less Application (OPPS Low-Cost) Trunk/arms/legs <100 sq cm 2014-01-01 2025-12-31 Deleted Deleted effective Jan 1 2026 per CY 2026 OPPS final rule
11 C5272 Low cost skin substitute graft, trunk/arms/legs, <100 sq cm; each addl 25 sq cm Application (OPPS Low-Cost) Trunk/arms/legs <100 sq cm 2014-01-01 2025-12-31 Deleted Add-on. Deleted effective Jan 1 2026
12 C5273 Low cost skin substitute graft, trunk/arms/legs, >=100 sq cm; first 100 sq cm Application (OPPS Low-Cost) Trunk/arms/legs >=100 sq cm 2014-01-01 2025-12-31 Deleted Deleted effective Jan 1 2026
13 C5274 Low cost skin substitute graft, trunk/arms/legs, >=100 sq cm; each addl 100 sq cm Application (OPPS Low-Cost) Trunk/arms/legs >=100 sq cm 2014-01-01 2025-12-31 Deleted Add-on. Deleted effective Jan 1 2026
14 C5275 Low cost skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; first 25 sq cm or less Application (OPPS Low-Cost) Face/scalp/hands/feet/digits/genitalia <100 sq cm 2014-01-01 2025-12-31 Deleted Deleted effective Jan 1 2026
15 C5276 Low cost skin substitute graft, face/scalp/hands/feet/genitalia, <100 sq cm; each addl 25 sq cm Application (OPPS Low-Cost) Face/scalp/hands/feet/digits/genitalia <100 sq cm 2014-01-01 2025-12-31 Deleted Add-on. Deleted effective Jan 1 2026
16 C5277 Low cost skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; first 100 sq cm Application (OPPS Low-Cost) Face/scalp/hands/feet/digits/genitalia >=100 sq cm 2014-01-01 2025-12-31 Deleted Deleted effective Jan 1 2026
17 C5278 Low cost skin substitute graft, face/scalp/hands/feet/genitalia, >=100 sq cm; each addl 100 sq cm Application (OPPS Low-Cost) Face/scalp/hands/feet/digits/genitalia >=100 sq cm 2014-01-01 2025-12-31 Deleted Add-on. Deleted effective Jan 1 2026
18 15330 Acellular dermal allograft, trunk/arms/legs; first 100 sq cm or less Application (CPT - Historical) Trunk/arms/legs <=100 sq cm 2006-01-01 2011-12-31 Deleted Replaced by 15271/15272 in 2012
19 15331 Acellular dermal allograft, trunk/arms/legs; each addl 100 sq cm Application (CPT - Historical) Trunk/arms/legs >100 sq cm 2006-01-01 2011-12-31 Deleted Replaced by 15273/15274 in 2012
20 15335 Acellular dermal allograft, face/scalp/hands/feet; first 100 sq cm or less Application (CPT - Historical) Face/scalp/hands/feet/digits/genitalia <=100 sq cm 2006-01-01 2011-12-31 Deleted Replaced by 15275/15276 in 2012
21 15336 Acellular dermal allograft, face/scalp/hands/feet; each addl 100 sq cm Application (CPT - Historical) Face/scalp/hands/feet/digits/genitalia >100 sq cm 2006-01-01 2011-12-31 Deleted Replaced by 15277/15278 in 2012
22 15340 Tissue cultured allogeneic skin substitute; first 25 sq cm or less Application (CPT - Historical) <=25 sq cm 2011-12-31 Deleted Pre-2012 tissue-cultured allogeneic graft code
23 15360 Tissue cultured autograft; first 25 sq cm or less Application (CPT - Historical) <=25 sq cm 2011-12-31 Deleted Pre-2012 autologous cultured skin code
24 15400 Xenograft; first 100 sq cm or less Application (CPT - Historical) <=100 sq cm 2011-12-31 Deleted Pre-2012 xenograft application code
25 15401 Xenograft; each addl 100 sq cm Application (CPT - Historical) >100 sq cm 2011-12-31 Deleted Pre-2012 xenograft add-on code
26 15430 Acellular xenograft implant; first 100 sq cm or less Application (CPT - Historical) <=100 sq cm 2011-12-31 Deleted Pre-2012 acellular xenograft code
27 G0440 Skin substitute, tissue cultured; first 25 sq cm (OPPS) Application (OPPS - Historical) <=25 sq cm 2011-12-31 Deleted Transitional OPPS code for pass-through products
28 C9363 Integra Meshed Bilayer Wound Matrix, per sq cm Product (C-code Historical) Deleted Transitional pass-through C-code; replaced by Q-code
29 C9358 SurgiMend Collagen Matrix (fetal), per 0.5 sq cm Product (C-code Historical) Active Bovine collagen - fetal origin
30 C9360 SurgiMend Collagen Matrix (neonatal), per 0.5 sq cm Product (C-code Historical) Active Bovine collagen - neonatal origin
31 C9364 Porcine implant Permacol, per sq cm Product (C-code Historical) 2012-12-31 Deleted Transitional pass-through C-code
32 C9365 Oasis Ultra Tri-Layer, per sq cm Product (C-code Historical) 2011-12-31 Deleted Replaced by Q4124
33 C9366 EpiFix, per sq cm Product (C-code Historical) 2012-12-31 Deleted Replaced by Q4131 then Q4186
34 C9367 Endoform Dermal Template, per sq cm Product (C-code Historical) 2012-12-31 Deleted Transitional pass-through C-code
35 A2019 Kerecis Omega3 (additional code) Product (A-code) Alternate code for Kerecis fish skin xenograft