| Source NDC Code |
|
Target HCPCS Code |
08121-8604-07
GRAFTJACKET (MAXFORCE-EXTREME)
|
⇄
|
J7344
DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITHOUT METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER
|
| Detail Information |
| Relationship Start Date |
6/30/2005 |
| 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 |
|
|
|
08121-8604-07
GRAFTJACKET (MAXFORCE EXTREME 28SQ CM)
|
⇄
|
Q4107
SKIN SUBSTITUTE, GRAFTJACKET, PER SQUARE CENTIMETER
|
| 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 |
|
|
|