| Source HCPCS Code |
|
Target NDC Code |
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8021-10
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8021-20
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8021-30
AmnioExcel
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8021-40
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-00
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-10
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-20
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-30
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-40
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-50
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-60
AMNIOEXCEL
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-71
AmnioExcel Plus
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-81
AmnioExcel Plus
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8022-91
AmnioExcel Plus
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8023-01
AmnioExcel Plus
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8023-11
AmnioExcel Plus
|
| 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 |
|
|
|
|
Q4137
Amnioexcel biodexcel 1sq cm
|
⇄
|
00995-8023-21
AmnioExcel Plus
|
| 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 |
|
|
|
|