| Source HCPCS Code |
|
Target NDC Code |
Q4108
SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER
|
⇄
|
08478-4014-02
INTEGRA MATRIX WOUND DRESSING (2"X2")
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
Q4108
SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER
|
⇄
|
08478-4014-05
INTEGRA MATRIX WOUND DRESSING (4"X5")
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
Q4108
SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER
|
⇄
|
08478-4014-06
INTEGRA MATRIX WOUND DRESSING (4"X10")
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|
Q4108
SKIN SUBSTITUTE, INTEGRA MATRIX, PER SQUARE CENTIMETER
|
⇄
|
08478-4014-08
INTEGRA MATRIX WOUND DRESSING (8"X10")
|
| Detail Information |
| Relationship Start Date |
1/1/2009 |
| Relationship End Date |
|
| Number Of Items In Ndc Package |
1 |
| Ndc Package Measure |
EA |
| Ndc Package Type |
NA |
| Route Of Administration |
TP |
| Billing Units |
EA |
|
|
|