Dermagraft 2"x3" Sheet Q Code: Q4106
Dermagraft, per square centimeter
Drug & Product Overview
About Dermagraft 2"x3" Sheet
Dermagraft 2"x3" Sheet is a medication aligned to the HCPCS Q Code: Q4106 for billing, pricing, and reimbursement purposes in the United States. It is a Wound Care drug manufactured by Organogenesis.
Manufacturers, reach out to us to add more information.
NDC Code Information
1 NDC package is crosswalked to Q4106. Package detail is available to logged-in subscribers.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| •••••-••••-•• Log in to view | Dermagraft 2"x3" Sheet | •••••••••••• Log in to view | •••• Log in to view | ••• •• / • •• Log in to view |
Dermagraft 2"x3" Sheet CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 15271 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area. |
| 15272 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure) |
| 15273 Login for More | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area. Login for More |
| 15274 Login for More | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; total wound surface area up to 100 sq cm, or 1% of body area of infants and children. Login for More |
CMS does not include Dermagraft 2"x3" Sheet (Q4106) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q4106. Wastage billing guide →
Dermagraft 2"x3" Sheet Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
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Does billing Dermagraft 2"x3" Sheet require JZ/JW wastage modifiers?
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