2026 CA Physician Fee Schedule Changes Part 2: HCPCS Modifications
Effective for all dates of service on or after March 1, 2026, the California Division of Workers’ Compensation (CA DWC) updated the Physician and Non-Physician Practitioner fee schedule.
In previous articles, daisyNews explained how the update increased flat rates for California-specific codes and increased the Conversion Factor providers use to determine other reimbursement rates.
Below, we explain how the CA DWC modified the reimbursement calculations for hundreds of procedure codes under the updated Physician fee schedule, and share the complete list of billing codes for which the CA DWC altered calculations.
The new calculations are part of a broader update that aligns the Physician fee schedule with the Medicare payment system, as required by California Labor Code Section 5307.1. The CA DWC announced the update in a Newsline and posted the adoption order on its website.
In future articles, we’ll explore other fee schedule changes, including new and deleted procedure codes.
daisyBillers, rest easy: our software is updated with the latest fee schedule changes. We invite non-daisyBill providers to try the daisyWizard’s Fee Schedule Calculator to obtain the new reimbursement rates.
CA DWC Alters Reimbursement Calculations for 305 Codes
For dates of service on or after March 1, the method for calculating reimbursement rates changes for 305 Healthcare Common Procedure Coding System (HCPCS) billing codes, as explained below.
289 HCPCS codes are no longer assigned a “By Report” reimbursement status. The “Base Maximum Fee” reimbursement for each of these HCPCS will be calculated using:
- The Medicare Relative Value Units (RVUs) assigned to the HCPCS
- The Medicare Geographic Practice Cost Index (GPCI) of the service location
- The 2026 California Conversion Factor (CF)
14 HCPCS codes will have a new “Status Indicator” that is not fee-affecting. Medicare assigns all HCPCS codes a status indicator code (e.g., ‘B,’ ‘M’), which is used to determine reimbursement status (e.g., bundled codes, codes for reporting purposes only). The Status Indicator will change for 14 HCPCS codes for dates of service on or after March 1. However, the status code changes will not impact the final reimbursement amounts for these 14 HCPCS codes.
HCPCS 77417 will be a “Bundled” code. Payment for this HCPCS code will be bundled into payment for other services. This HCPCS code previously had an established reimbursement amount.
Reimbursement for HCPCS 3269F will be determined “By Report.” For dates of service on or after March 1, reimbursement rates for this HCPCS code are determined by identifying a comparable procedure in terms of the time, skill, and resources required and charging accordingly. Complete “By Report” billing instructions are available in California Code of Regulations Section 9789.12.4.
Details of the reimbursement calculations for each of the 305 affected codes are shown in the table below. The table lists:
- The HCPCS code affected by the CA DWC 2026 Physician and Non-Physician fee schedule update
- Billing code modifier, where applicable
- The method for calculating reimbursement for dates of service prior to March 1, 2026
- The method for calculating reimbursement, effective March 1, 2026
- Whether or not the change is“Fee-Affecting,” i.e., whether the reimbursement amount changed
HCPCS |
Modifier |
Description |
Reimbursement Calculation for Dates of Service Prior to March 1, 2026 |
New Reimbursement Calculation for Dates of Service On or After March 1, 2026 |
Fee-Affecting Change? |
75894 |
X-rays transcath therapy |
By Report |
RVU+GPCI+CF |
Yes |
|
75894 |
TC |
X-rays transcath therapy |
By Report |
RVU+GPCI+CF |
Yes |
75898 |
Follow-up angiography |
By Report |
RVU+GPCI+CF |
Yes |
|
75898 |
TC |
Follow-up angiography |
By Report |
RVU+GPCI+CF |
Yes |
77387 |
Guidance for radj tx dlvr |
By Report |
RVU+GPCI+CF |
Yes |
|
77402 |
Radiation tx delivery lvl 1 |
By Report |
RVU+GPCI+CF |
Yes |
|
77407 |
Radiation tx delivery lvl 2 |
By Report |
RVU+GPCI+CF |
Yes |
|
77412 |
Radiation tx delivery lvl 3 |
By Report |
RVU+GPCI+CF |
Yes |
|
77417 |
Ther radiology port image(s) |
RVU+GPCI+CF |
Bundled |
Yes |
|
0583T |
Tmpst auto tube dlvr sys |
By Report |
RVU+GPCI+CF |
Yes |
|
0596T |
Temp fml iu vlv-pmp 1st insj |
By Report |
RVU+GPCI+CF |
Yes |
|
0597T |
Temp fml iu valve-pmp rplcmt |
By Report |
RVU+GPCI+CF |
Yes |
|
0605T |
Rem oct rta techl sprt min 8 |
By Report |
RVU+GPCI+CF |
Yes |
|
3269F |
Bone scn b/4 txmnt/aftr dx |
Reporting purposes only |
By Report |
Yes |
|
A0382 |
Basic support routine suppls |
By Report |
By Report |
No |
|
A0384 |
Bls defibrillation supplies |
By Report |
By Report |
No |
|
A0392 |
Als defibrillation supplies |
By Report |
By Report |
No |
|
A0394 |
Als iv drug therapy supplies |
By Report |
By Report |
No |
|
A0396 |
Als esophageal intub suppls |
By Report |
By Report |
No |
|
A0398 |
Als routine disposble suppls |
By Report |
By Report |
No |
|
A0420 |
Ambulance waiting 1/2 hr |
By Report |
By Report |
No |
|
A0422 |
Ambulance 02 life sustaining |
By Report |
By Report |
No |
|
A0424 |
Extra ambulance attendant |
By Report |
By Report |
No |
|
A2001 |
Innovamatrix ac, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2002 |
Mirragen adv wnd mat per sq |
By Report |
RVU+GPCI+CF |
Yes |
|
A2005 |
Microlyte matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2006 |
Novosorb synpath per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2007 |
Restrata, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2008 |
Theragenesis, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2009 |
Symphony, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2010 |
Apis, per square centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
A2011 |
Supra sdrm, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2012 |
Suprathel, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2013 |
Innovamatrix fs, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2015 |
Phoenix wnd mtrx, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2016 |
Permeaderm b, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2018 |
Permeaderm c, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2019 |
Kerecis marigen shld sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2021 |
Neomatrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2022 |
Innovabrn/innovamatx xl sqcm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2024 |
Resolve or xenopatch sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2025 |
Miro3d per cubic cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2027 |
Matriderm per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2029 |
Mirotract matrix sheet |
By Report |
RVU+GPCI+CF |
Yes |
|
A2031 |
Mirodry, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2032 |
Myriad matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2034 |
Found drs solo, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2036 |
Cohealyx col dml mx pr sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2038 |
Marigen pacto, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A2039 |
Innovamatrix fd, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
A4100 |
Nosht skin sub fda clrd nos |
By Report |
RVU+GPCI+CF |
Yes |
|
A4611 |
Heavy duty battery |
By Report |
By Report |
No |
|
A4612 |
Battery cables |
By Report |
By Report |
No |
|
A4613 |
Battery charger |
By Report |
By Report |
No |
|
A9274 |
Ext amb insulin delivery sys |
By Report |
By Report |
No |
|
A9279 |
Monitoring feature/devicenoc |
By Report |
By Report |
No |
|
Q4101 |
Apligraf |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4102 |
Oasis wound matrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4103 |
Oasis burn matrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4104 |
Integra bmwd |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4105 |
Integra drt or omnigraft |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4107 |
Graftjacket |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4108 |
Integra matrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4110 |
Primatrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4111 |
Gammagraft |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4115 |
Alloskin |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4116 |
Alloderm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4117 |
Hyalomatrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4121 |
Theraskin |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4122 |
Dermacell, awm, porous sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4123 |
Alloskin |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4124 |
Oasis tri-layer wound matrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4125 |
Arthroflex |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4126 |
Memoderm/derma/tranz/integup |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4127 |
Talymed |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4128 |
Flexhd/allopatchhd/sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4130 |
Strattice tm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4132 |
Grafix core, grafixpl core |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4133 |
Grafix stravix prime pl sqcm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4134 |
Hmatrix |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4135 |
Mediskin |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4136 |
Ezderm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4137 |
Amnioexcel biodexcel 1sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4138 |
Biodfence dryflex, 1cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4140 |
Biodfence 1cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4141 |
Alloskin ac, 1 cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4142 |
Xcm biologic tiss matrix 1cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4143 |
Repriza, 1cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4146 |
Tensix, 1cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4147 |
Architect ecm px fx 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4148 |
Neox neox rt or clarix cord |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4150 |
Allowrap ds or dry 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4151 |
Amnioband, guardian 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4152 |
Dermapure 1 square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4153 |
Dermavest, plurivest sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4154 |
Biovance 1 square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4156 |
Neox 100 or clarix 100 |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4157 |
Revitalon 1 square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4158 |
Kerecis omega3, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4159 |
Affinity1 square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4160 |
Nushield 1 square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4161 |
Bio-connekt per square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4163 |
Woundex, bioskin, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4164 |
Helicoll, per square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4165 |
Keramatrix, kerasorb sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4166 |
Cytal, per square centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4167 |
Truskin, per sq centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4169 |
Artacent wound, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4170 |
Cygnus, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4173 |
Palingen or palingen xplus |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4175 |
Miroderm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4176 |
Neopatch or therion, 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4178 |
Floweramniopatch, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4179 |
Flowerderm, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4180 |
Revita, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4181 |
Amnio wound, per square cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4182 |
Transcyte, per sq centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4183 |
Surgigraft, 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4184 |
Cellesta or duo per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4186 |
Epifix 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4187 |
Epicord 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4188 |
Amnioarmor 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4190 |
Artacent ac 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4191 |
Restorigin 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4193 |
Coll-e-derm 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4194 |
Novachor 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4195 |
Puraply 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4196 |
Puraply am 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4197 |
Puraply xt 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4198 |
Genesis amnio membrane 1sqcm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4199 |
Cygnus matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4200 |
Skin te 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4201 |
Matrion 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4203 |
Derma-gide, 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4204 |
Xwrap 1 sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4205 |
Membrane graft or wrap sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4208 |
Novafix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4209 |
Surgraft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4211 |
Amnion bio or axobio sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4214 |
Cellesta cord per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4216 |
Artacent cord per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4217 |
Woundfix biowound plus xplus |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4218 |
Surgicord per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4219 |
Surgigraft dual per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4220 |
Bellacell hd, surederm sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4221 |
Amniowrap2 per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4222 |
Progenamatrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4224 |
Hhf10-p per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4225 |
Amnio or derma tl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4227 |
Amniocore per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4229 |
Cogenex amnio memb per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4232 |
Corplex, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4234 |
Xcellerate, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4235 |
Amniorepair or altiply sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4236 |
Carepatch per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4237 |
Cryo-cord, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4238 |
Derm-maxx, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4239 |
Amnio-maxx or lite per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4247 |
Amniotext patch, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4248 |
Dermacyte amn mem allo sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4249 |
Amniply, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4250 |
Amnioamp-mp per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4251 |
Vim, per square centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4252 |
Vendaje, per square centimet |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4253 |
Zenith amniotic membrane psc |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4254 |
Novafix dl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4255 |
Reguard, topical use per sq |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4256 |
Mlg complet, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4257 |
Relese, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4258 |
Enverse, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4259 |
Celera per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4260 |
Signature apatch, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4261 |
Tag, per square centimeter |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4262 |
Dual layer impax, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4263 |
Surgraft tl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4264 |
Cocoon membrane, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4265 |
Neostim tl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4266 |
Neostim per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4267 |
Neostim dl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4268 |
Surgraft ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4269 |
Surgraft xt per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4270 |
Complete sl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4271 |
Complete ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4272 |
Esano a, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4273 |
Esano aaa, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4274 |
Esano ac, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4275 |
Esano aca, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4276 |
Orion, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4278 |
Epieffect, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4279 |
Vendaje ac, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4280 |
Xcell amnio matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4281 |
Barrera slor dl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4282 |
Cygnus dual per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4283 |
Biovance tri or 3l, sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4284 |
Dermabind sl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4285 |
Nudyn dl or dl mesh pr sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4286 |
Nudyn sl or slw, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4287 |
Dermabind dl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4288 |
Dermabind ch, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4289 |
Revoshield+ amnio, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4290 |
Membrane wrap hydr per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4291 |
Lamellas xt, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4292 |
Lamellas, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4293 |
Acesso dl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4294 |
Amnio quad-core, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4295 |
Amnio tri-core, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4296 |
Rebound matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4297 |
Emerge matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4298 |
Amniocore pro, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4299 |
Amniocore pro+, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4300 |
Acesso tl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4301 |
Activate matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4302 |
Complete aca, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4303 |
Complete aa, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4304 |
Grafix plus, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4305 |
Amer am ac tri-lay per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4306 |
Americ amnion ac per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4307 |
American amnion, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4308 |
Sanopellis, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4309 |
Via matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4311 |
Acesso, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4312 |
Acesso ac, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4313 |
Dermabind fm, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4314 |
Reeva, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4315 |
Regenelink amniotic mem allo |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4316 |
Amchoplast, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4317 |
Vitograft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4318 |
E-graft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4319 |
Sanograft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4320 |
Pellograft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4321 |
Renograft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4322 |
Caregraft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4323 |
Alloply, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4324 |
Amniotx, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4325 |
Acapatch, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4326 |
Woundplus, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4327 |
Duoamnion, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4328 |
Most, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4329 |
Singlay, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4330 |
Total, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4331 |
Axolotl graft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4332 |
Axolotl dualgraft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4333 |
Ardeograft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4334 |
Amnioplast 1, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4335 |
Amnioplast 2, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4336 |
Artecent c, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4337 |
Artecent trident, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4338 |
Artacent velos, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4339 |
Artacent vericlen, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4340 |
Simpligraft, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4341 |
Simplimax, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4342 |
Theramend, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4343 |
Dermacyte ac matrx per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4344 |
Tri membrane wrap, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4345 |
Matrix hd allogrft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4346 |
Shelter dm matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4347 |
Rampart dl matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4348 |
Sentry sl matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4349 |
Mantle dl matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4350 |
Palisade dm matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4351 |
Enclose tl matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4352 |
Overlay sl matrix, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4353 |
Xceed tl matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4354 |
Palingen dl-palingen dl-x |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4355 |
Abio xpl abio xpl hy p sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4356 |
Abio mem abio hyd per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4357 |
Xwrap plus, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4358 |
Xwrap dual, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4359 |
Choriply, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4360 |
Amchoplast fd per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4361 |
Epixpress, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4362 |
Cygnus disk, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4363 |
Am bur mem hydro per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4364 |
Am bur xp mem xpl hy p sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4365 |
Amnio bur dl mem per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4366 |
Dl amnio bur x-mem per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4367 |
Amniocore sl, per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4368 |
Amchothick per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4369 |
Amnioplast 3 per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4370 |
Aeroguard per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4371 |
Neoguard per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4372 |
Amchoplast excl per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4373 |
Membrane wrp lt per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4375 |
Duograft ac per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4376 |
Duograft aa per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4377 |
Trigraft ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4378 |
Renew ft matrix per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4379 |
Amniodefend ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4380 |
Advograft one per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4382 |
Advograft dual per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4383 |
Axolotl graft ult per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4384 |
Axolotl dual ult per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4385 |
Apollo ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4386 |
Acesso trifaca per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4387 |
Neothelium ft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4388 |
Neothelium 4l per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4389 |
Neothelium 4l+ per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4390 |
Ascendion per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4391 |
Amnioplast double per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4392 |
Grafix duo per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4393 |
Surgraft ac per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4394 |
Surgraft aca per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4395 |
Acelagraft per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4396 |
Natalin per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
|
Q4397 |
Summit aaa per sq cm |
By Report |
RVU+GPCI+CF |
Yes |
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