| Source HCPCS Code |
|
Target NDC Code |
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-12
ACELL MICROMATRIX 20MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-13
ACELL MICROMATRIX 30MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-14
ACELL MICROMATRIX 60MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-15
ACELL MICROMATRIX 100MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-16
ACELL MICROMATRIX (FINE) 100MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-17
ACELL MICROMATRIX 200MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-18
ACELL MICROMATRIX 500MG
|
| 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 |
|
|
|
|
Q4118
Matristem micromatrix
|
⇄
|
86190-0001-20
ACELL MICROMATRIX 1000MG
|
| 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 |
|
|
|
|