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    HCPCS Details

    HCPC Q4161
    Short Description Bio-connekt per square cm
    Long Description Bio-connekt wound matrix, 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 2016-01-01
    Date Added 2016-01-01

    HCPCS/NDC Cross-Walk

    NDC HCPC Description Drug Name Labeler Name HCPCS Dosage PKG Size PKG QTY Bill Units Bill Units PKG
    11010202 Q4161 Bio-connekt per square cm bio-ConneK​t MLM BIOLOGICS, INC 1 SQ CM 4 1 4 4
    11010303 Q4161 Bio-connekt per square cm bio-ConneK​t MLM BIOLOGICS, INC. 1 SQ CM 9 1 9 9
    11010404 Q4161 Bio-connekt per square cm bio-ConneKt Wound Matrix MLM BIOLOGICS, INC. 1 SQ CM 16 1 16 16
    11010505 Q4161 Bio-connekt per square cm bio-ConneK​t MLM BIOLOGICS, INC 1 SQ CM 25 1 25 25
    11010607 Q4161 Bio-connekt per square cm Bio-ConneKt Wound Matrix MLM BIOLOGICS, INC 1 SQ CM 42 1 42 42
    11011515 Q4161 Bio-connekt per square cm bio-ConneKt Wound Matrix MLM BIOLOGICS, INC 1 SQ CM 2.25 1 2.25 2.25
    BNK033 Q4161 Bio-connekt per square cm ORTHONOVIS CONNECT MLM BIOLOGICS, INC 1 SQ CM 9 1 9 9
    BNK044 Q4161 Bio-connekt per square cm ORTHONOVIS CONNECT MLM BIOLOGICS, INC. 1 SQ CM 16 1 16 16
    BNK055 Q4161 Bio-connekt per square cm ORTHONOVIS CONNECT MLM BIOLOGICS, INC 1 SQ CM 25 1 25 25
    BNK067 Q4161 Bio-connekt per square cm ORTHONOVIS CONNECT MLM BIOLOGICS, INC 1 SQ CM 42 1 42 42
    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