Q4180 – Revita, per square centimeter (add-on, list separately in addition to primary procedure)

Long description

Revita, per square centimeter (add-on, list separately in addition to primary procedure)

Short description

Revita, per sq cm

Pricing indicator

11 Priced using national RVUs (Physician Fee Schedule)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

O1E Other drugs

ASC

Approved for ambulatory surgical centers

Added

January 1, 2018

Last change

January 1, 2026 – No change

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