Short Descriptor
Injection, dexamethasone intravitreal implant, 0.1 mg
Dermal substitute, native, non-denatured collagen, fetal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters
Dermal substitute, native, non-denatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters
Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap), per 0.5 centimeter length
Porcine implant, Permacol, per square centimeter
Injection, collagenase clostridium histolyticum, 0.1 mg
Injection, von Willebrand factor complex (human), Wilate, per 100 IU VWF: RCO

Drug Name (Brand Name or Generic Name)
ARTISS Kit (Freeze-Dried) with DUPLOJECT System
Permacol Porcine Acellular Dermal Matrix, 1 ea.
Permacol® - Porcine ACell, Inc.ular Dermal Matrix, 1 ea.
Permacol® - Porcine Acellular Dermal Matrix, 1 ea.
Neonatal SurgiMend, 6x12 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 13x25 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 2.0 mm; 1 each
Neonatal SurgiMend, 6x12 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 10x15 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 13x25 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 25x40 cm x 4.0 mm; 1 each
Neonatal SurgiMend, 20x30 cm x 4.0 mm; 1 each
Omidria (phenylephrine + ketorolac irrigation)
Neonatal SurgiMend, 13x25 cm x 3.0 mm; 1 each
Neonatal SurgiMend, 6x12 cm x 4.0 mm; 1 each

Dosage descriptor assigned to the HCPCS code
lidocaine 70 mg/tetracaine 70 mg, per patch