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    HCPCS Details

    HCPC Q4139
    Short Description Amnio or biodmatrix, inj 1cc
    Long Description Amniomatrix or biodmatrix, injectable, 1 cc
    Pricing indicator 51
    Coverage code C
    ASC payment group code
    BETOS2 code O1E
    Action code N
    Type of service 1
    Effective date 2014-01-01
    Date Added 2014-01-01