About Amnio Quad-Core:
Amnio Quad-Core is a four-layer, allogeneic amniotic membrane allograft for use as a barrier and applied as a covering.
Stability’s proprietary processing method results in large graft sizes with repositionable design and excellent handling properties. This allows for easy manipulation and results in a dependable, flexible allograft that is ideal for use as a barrier and applied as a covering.
Amnio Quad-Core Reimbursement
- Centers for Medicare and Medicaid Services (CMS) has issued an established rate for reimbursement for Amnio Quad Core at $2,650.00/billable unit.
- Amnio Quad-Core is billed using Level II HCPCS code Q4294, per square cm. One billable unit = 1cm2 .
- Amniotic membranes are widely used as a covering in a multitude of applications.
- Dry Storage – no cryopreservation necessary
- Large graft sizes with repositionable design
- Please reference the full Stability Biologics Wound Care Coding Guide for further details. Providers are encouraged to contact the patient’s insurer directly for specific details regarding reimbursement, coding and coverage. If you have questions regarding reimbursement for please contact the Stability Reimbursement Hotline.
Product Offering
| Type | Item Number | Size |
|---|---|---|
| Disc | AMQ-5160 | 16 mm |
| Sheet | AMQ-5220 | 2×2 cm |
| Sheet | AMQ-5230 | 2×3 cm |
| Sheet | AMQ-5330 | 3×3 cm |
| Sheet | AMQ-5340 | 3×4 cm |
| Sheet | AMQ-5440 | 4×4 cm |
| Sheet | AMQ-5212 | 2×12 cm |
| Sheet | AMQ-5460 | 4×6 cm |
| Sheet | AMQ-5480 | 4×8 cm |
| Sheet | AMQ-5660 | 6×6 cm |
| Sheet | AMQ-5690 | 6×9 cm |
| Sheet | AMQ-5616 | 6×16 cm |
| Sheet | AMQ-5010 | 10×10 cm |
| Sheet | AMQ-5920 | 9×20 cm |
CPT® is a registered trademark of the American Medical Association®.
Procedure coding should be based upon medical necessity, procedures and supplies provided to the patient. Coding and reimbursement information is provided for educational purposes and does not assure coverage of the specific item or service in a given case. Stability Biologics makes no guarantee of coverage or reimbursement of fees. These payment rates are nationally unadjusted average amounts and do not account for differences in payment due to geographic variation. Contact your local Medicare Administrative Contractor (MAC) or CMS for specific information as payment rates listed are subject to change. To the extent that you submit cost information to Medicare, Medicaid or any other reimbursement program to support claims for services or items, you are obligated to accurately report the actual price paid for such items, including any subsequent adjustments. CPT five-digit numeric codes, descriptions, and numeric modifiers only are Copyright AMA. (Updated January 2022).
The Stability Biologics® Amnio Quad-Core Product Line is regulated by the FDA under 21 CFR Part 1271 Human Cells, Tissues and Cellular and Tissue-Based Products (HCT/Ps). Amnio Quad-Core is processed by and donor eligibility determined by Stability Biologics®. Stability Biologics® is registered with the FDA for tissue processing and accredited by the American Association of Tissue Banks (AATB).
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