Xcell amnio matrix per sq cm
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 3Q24 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 3Q24 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $2,355.854 | −$536.996 | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted September 8, 2026 |
| 3Q25 | $2,892.85 | −$353.198 | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted March 10, 2026 |
| 2Q25 | $3,246.048 | +$1,185.651 | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted March 10, 2026 |
| 1Q25 | $2,060.397 | −$1,119.603 | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted December 19, 2025 |
| 4Q24 | $3,180.00 | +$1,590.00 | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted June 11, 2025 |
| 3Q24 | $1,590.00 | – | 1 SQ CM | Xcell amnio matrix per sq cm | v1, posted June 11, 2025 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.