Code: Q4103

Description:
Description: Oasis burn matrix, per square centimeter
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OASIS BURN MATRIX PER SQ CM
OASIS BURN MATRIX 3x7PERSQCM
OASIS BURN MATRIX 7x20PERSQCM
OASIS BURN MATRIX 7x10PERSQCM
Related codes:
Code: Q4100
SKIN SUBSTITUTE NOS
Code: Q4101
APLIGRAF 44 SQ CM
Code: Q4102
OASIS WND MATRX 21 SQCM
Code: Q4104
INTEGRA BMWD 1SQCM
Code: Q4105
INTEGRA DRTOMNIGF 1SQCM
Code: Q4106
DERMAGRAFT 37.5 SQCM
Code: Q4107
GRAFTJACKET 8 SQCM
Code: Q4108
INTEGRA MATRIX 25 SQCM
Code: Q4109
SKIN SUBSTITUTE TISSUEMEND PER SQ CM
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q4103 $3 [source] 4 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q4103 $61 [source] 4 years ago
Texoma Medical Center 5016 South Us Highway 75, Denison Q4103 $158 [source] 4 years ago
ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.