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    HCPCS Details

    HCPC Q4143
    Short Description Repriza, 1cm
    Long Description Repriza, per square centimeter
    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

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    RZT10.20 Q4143 Repriza, 1cm ACELLULAR DERMAL MATRIX PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 200 1 200 200
    RZT13.23 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 299 1 299 299
    RZT14.22 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 308 1 308 308
    RZT15.26 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 390 1 390 390
    RZT16.20 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 320 1 320 320
    RZT16.25 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 400 1 400 400
    RZT17.18 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 306 1 306 306
    RZT17.22 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 374 1 374 374
    RZT18.21 Q4143 Repriza, 1cm ACELLULAR DERMAL MATRIX PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 378 1 378 378
    RZT2.2 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 4 1 4 4
    RZT20.25 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 500 1 500 500
    RZT21.23 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 483 1 483 483
    RZT21.35 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 735 1 735 735
    RZT23.30 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 690 1 690 690
    RZT27.32 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 864 1 864 864
    RZT3.8 Q4143 Repriza, 1cm ACELLULAR DERMAL MATRIX PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 24 1 24 24
    RZT30.30 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 900 1 900 900
    RZT4.12 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 48 1 48 48
    RZT5.10 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 50 1 50 50
    RZT5.8 Q4143 Repriza, 1cm ACELLULAR DERMAL MATRIX PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 40 1 40 40
    RZT6.12 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 72 1 72 72
    RZT6.16 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 96 1 96 96
    RZT8.16 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 128 1 128 128
    RZT8.22 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 176 1 176 176
    RZT9.19 Q4143 Repriza, 1cm Repriza PROMETHEAN LIFESCIENCES, INC. 1 SQ CM 171 1 171 171
    The ASP crosswalks are maintained by the Division of Data Analysis and Market Based Pricing to support ASP-based Medicare Part B payments only. The crosswalks are intended to help the public (including entities that submit manufacturer ASP data and providers who bill for drugs) understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes. The crosswalks are not intended to be a comprehensive list of all drugs/NDCs available in the United States. The NDC to HCPCS Crosswalk also includes information on the NDC package size and the number of billable units (as defined by the HCPCS code descriptor). Comments on the file may be sent to [email protected].

    HCPCS Billing Calculator

    Dosage given to patient (per dose)
    HCPCS Dosage 1 SQ CM
    HCPCS/CPT Billing Units 1
    Total doses ordered
    Billing Units 1