HCPCS Level IItemporaryActive
Q4391
Amnioplast double per sq cm
BETOS: O1E
Effective: 2025-10-01
Referenced in 2 policies
Description
Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure)
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
$0.00
Non-Facility Price
$0.00
Facility Price
0.00
Work RVU
3.81
Total RVU (Non-Fac)
ZZZ
Global Days
Active
Status