| Source HCPCS Code |
|
Target NDC Code |
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-02
SURGIMEND COLLAGEN MATRIX (5X6CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-04
SURGIMEND COLLAGEN MATRIX (6X12CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-05
SURGIMEND COLLAGEN MATRIX (10X10CM,THICK,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-06
SURGIMEND COLLAGEN MATRIX (10X15CM,THICK,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-07
SURGIMEND COLLAGEN MATRIX (10X20CM,THICK,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-08
SURGIMEND COLLAGEN MATRIX (16X20CM,THICK,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-09
SURGIMEND COLLAGEN MATRIX (13X25CM,THICK,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-10
SURGIMEND COLLAGEN MATRIX (4X16CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-12
SURGIMEND COLLAGEN MATRIX (3X3CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-13
SURGIMEND COLLAGEN MATRIX (4X7CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6010-14
SURGIMEND COLLAGEN MATRIX (4X12CM,THICK,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6020-02
SURGIMEND COLLAGEN MATRIX (4X7CM,THIN,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6020-03
SURGIMEND COLLAGEN MATRIX (5X6CM,THIN,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6020-05
SURGIMEND COLLAGEN MATRIX (3X3CM,THIN,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6030-01
SURGIMEND COLLAGEN MATRIX (.3X25CM,STRIP,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6030-02
SURGIMEND COLLAGEN MATRIX (.6X25CM,STRIP,SINGLEUSE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6030-03
SURGIMEND COLLAGEN MATRIX (1X25CM,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6070-09
PRIMATRIX DERMAL REPAIR SCAFFOLD (0.2X26.5CM,SINGLE USE)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
3 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
|
⇄
|
08533-6071-12
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J7349
|
⇄
|
08533-6071-25
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J7349
|
⇄
|
08533-6072-25
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6074-40
PRIMATRIX DERMAL REPAIR SCAFFOLD (4X4CM)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6078-12
PRIMATRIX DERMAL REPAIR SCAFFOLD (8X12CM)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
DERMAL (SUBSTITUTE) TISSUE OF NONHUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS (PRIMATRIX), PER SQUARE CENTIMETER
|
⇄
|
08533-6078-80
PRIMATRIX DERMAL REPAIR SCAFFOLD (8X8CM)
|
| Detail Information |
| Relationship Start Date |
1/1/2008 |
| Relationship End Date |
12/31/2008 |
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
J7349
|
⇄
|
08533-6744-40
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|
J7349
|
⇄
|
08533-6748-80
|
| Detail Information |
| Relationship Start Date |
|
| Relationship End Date |
|
| Number Of Items In Ndc Package |
|
| Ndc Package Measure |
|
| Ndc Package Type |
|
| Route Of Administration |
|
| Billing Units |
|
|
|
|