From the Jan 2019 news about the GNBT purchase of Olaregen(Excellagen)
"Excellagen has a reimbursement code by the Healthcare Common Procedure Coding System that has a unique Q Code designation 4149 referred to as a skin substitute."
I looked up the code in the Medicare fee schedule and there is no value assigned. Not surprising as "skin substitute" is very generic. Just curious if Olaregen has begun the process of seeing if Medicare is going to cover the product and if so, how much will they reimburse. Are they going to be assigned a more specific HCPCS code for the product?
This code was assigned back 2014.
2019 HCPCS Code Q4149
Excellagen, 0.1 cc
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Short Description
Excellagen, 0.1 cc
HCPCS Coverage Code
C = Carrier judgment
HCPCS Action Code
N = No maintenance for this code
HCPCS Action Effective Date
January 01, 2014
HCPCS Code Added Date
January 01, 2014
HCPCS Pricing Indicator Code
51 = Drugs
HCPCS Multiple Pricing Indicator Code
A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code
1 = Medical care
HCPCS Anesthesia Base Unit Quantity
0
"Excellagen has a reimbursement code by the Healthcare Common Procedure Coding System that has a unique Q Code designation 4149 referred to as a skin substitute."
I looked up the code in the Medicare fee schedule and there is no value assigned. Not surprising as "skin substitute" is very generic. Just curious if Olaregen has begun the process of seeing if Medicare is going to cover the product and if so, how much will they reimburse. Are they going to be assigned a more specific HCPCS code for the product?
This code was assigned back 2014.
2019 HCPCS Code Q4149
Excellagen, 0.1 cc
Report Advertisement
Short Description
Excellagen, 0.1 cc
HCPCS Coverage Code
C = Carrier judgment
HCPCS Action Code
N = No maintenance for this code
HCPCS Action Effective Date
January 01, 2014
HCPCS Code Added Date
January 01, 2014
HCPCS Pricing Indicator Code
51 = Drugs
HCPCS Multiple Pricing Indicator Code
A = Not applicable as HCPCS priced under one methodology
HCPCS Type Of Service Code
1 = Medical care
HCPCS Anesthesia Base Unit Quantity
0
