| Source NDC Code |
|
Target HCPCS Code |
08541-0001-01
DERMAGRAFT (W/CRYOPROTECTANT)
|
⇄
|
J7342
DERMAL TISSUE, OF HUMAN ORIGIN, WITH OR WITHOUT OTHER BIOENGINEERED OR PROCESSED ELEMENTS, WITH METABOLICALLY ACTIVE ELEMENTS, PER SQUARE CENTIMETER
|
| Detail Information |
| Relationship Start Date |
7/10/2006 |
| 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 |
|
|
|
08541-0001-01
DERMAGRAFT (W/CRYOPROTECT,5X7.5CM,FR)
|
⇄
|
Q4106
SKIN SUBSTITUTE, DERMAGRAFT, 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 |
|
|
|
08541-0001-01
Dermagraft
|
⇄
|
Q4106
Dermagraft
|
| 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 |
|
|
|
|