Amnio-maxx

Last updated on 12/20/24 | First published on 12/20/24 | Literature review current through Nov. 2024 [cite]

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Technology and Product Assessment

Product Type: Allogeneic matrix

Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.

Amnio-Maxx is a dual layered, dehydrated, amniotic tissue membrane graft derived from Cesarean Section donors. The Amnio-Maxx Lite version is a single layer.

INTENDED USES: The product is for wound covering, applied directly to the wound bed. Both products are used for chronic, non-healing wounds such as diabetic foot ulcers and venous leg ulcers or soft tissue defects.

CLAIMED BENEFITS: Amniotic tissue consists primarily of fibrillary and membranous collagens, elastin, and a mix cytokines and growth factors that provide the properties unique to placental tissues.

OPTION: There are various sizes of each product; the provider uses the size that most closely matches the wound size. Once the graft has been applied, it is covered with a bandage. Amnio-Maxx and Amnio-Maxx-Lite both come in sterile pouches.

AMN-23: Amnio-maxx DL, 2x3cm: Q4239

AMN-44: Amnio-maxx DL, 4x4cm: Q4239

AMN-46: Amnio-maxx DL, 4x6cm: Q4239

AMN-48: Amnio-maxx DL, 4x8cm: Q4239

Manufacturer: Royal Biologics

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Amnio-maxx DL, per square centimeter

Amnio-maxx or amnio-maxx lite, per square centimeter

Q4239

Amnio-maxx UC, per square centimeter: Q4239

Amnio-maxx or amnio-maxx lite, per square centimeter

Q4239

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your state for Medicare
DME coverage and co-payment

Product

Estimated
Out-of-pocket
Cost

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

Royal Biologics
Amnio-maxx DL, per square centimeter

$.00

Coming soon

Royal Biologics
Amnio-maxx UC, per square centimeter: Q4239

$.00

Coming soon

* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

Amnio-maxx DL, per square centimeter

Coming soon

Amnio-maxx UC, per square centimeter: Q4239

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Amnio-maxx DL, per square centimeter

Amnio-maxx UC, per square centimeter: Q4239

No CPT codes to display.

Hover on the information button next to each header for detailed explanation on the type of information provided by the table
The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Topic 2779 Version 1.0

Amnio-maxx

Amnio-maxx

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