Q4289 Revoshield+ amnio, per sq cm

Full Description

Revoshield + amniotic barrier, per square centimeter (add-on, list separately

Code
Q4289
Short Description
Revoshield+ amnio, per sq cm
Section
Q — Miscellaneous Services
Pricing Indicator
11
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026