A4100 – Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)

Long description

Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)

Short description

Nosht skin sub fda clrd nos

Pricing indicator

13 Priced by the Medicare contractor (carrier)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

P5A Ambulatory procedures - skin

Added

April 1, 2022

Last change

January 1, 2026 – No change

Nearby A codes

• A2043 – Biobrane (add-on, list separately in addition to primary procedure), per square centimeter
• A2044 – Biobrane glove, each
• A2045 – Novashield or novogen wound matrix (add-on, list separately in addition to primary procedure), per square centimeter
• A2046 – Dermisphere hdrt, per square centimeter (add-on, list separately in addition to primary procedure)
• A2047 – Lacertamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
• A2048 – Puraply mz, per milligram
• A2049 – Theracor, per square centimeter (add-on, list separately in addition to primary procedure)
• A2050 – Fibrillar collagen wound dressing, per milligram
• A4206 – Syringe with needle, sterile, 1 cc or less, each
• A4207 – Syringe with needle, sterile 2 cc, each
• A4208 – Syringe with needle, sterile 3 cc, each
• A4209 – Syringe with needle, sterile 5 cc or greater, each
• A4210 – Needle-free injection device, each
• A4211 – Supplies for self-administered injections
• A4212 – Non-coring needle or stylet with or without catheter
• A4213 – Syringe, sterile, 20 cc or greater, each