List of HCPCS codes for: Temporary Codes (Q-codes) - Group Q4



HCPCS Code: Q4
Short Description: Svc exempt - ordrg/rfrng md
Long Description: Service for ordering/referring physician qualifies as a service exemption

HCPCS Code: Q4001
Short Description: Cast sup body cast plaster
Long Description: Casting supplies, body cast adult, with or without head, plaster

HCPCS Code: Q4002
Short Description: Cast sup body cast fiberglas
Long Description: Cast supplies, body cast adult, with or without head, fiberglass

HCPCS Code: Q4003
Short Description: Cast sup shoulder cast plstr
Long Description: Cast supplies, shoulder cast, adult (11 years +), plaster

HCPCS Code: Q4004
Short Description: Cast sup shoulder cast fbrgl
Long Description: Cast supplies, shoulder cast, adult (11 years +), fiberglass

HCPCS Code: Q4005
Short Description: Cast sup long arm adult plst
Long Description: Cast supplies, long arm cast, adult (11 years +), plaster

HCPCS Code: Q4006
Short Description: Cast sup long arm adult fbrg
Long Description: Cast supplies, long arm cast, adult (11 years +), fiberglass

HCPCS Code: Q4007
Short Description: Cast sup long arm ped plster
Long Description: Cast supplies, long arm cast, pediatric (0-10 years), plaster

HCPCS Code: Q4008
Short Description: Cast sup long arm ped fbrgls
Long Description: Cast supplies, long arm cast, pediatric (0-10 years), fiberglass

HCPCS Code: Q4009
Short Description: Cast sup sht arm adult plstr
Long Description: Cast supplies, short arm cast, adult (11 years +), plaster

HCPCS Code: Q4010
Short Description: Cast sup sht arm adult fbrgl
Long Description: Cast supplies, short arm cast, adult (11 years +), fiberglass

HCPCS Code: Q4011
Short Description: Cast sup sht arm ped plaster
Long Description: Cast supplies, short arm cast, pediatric (0-10 years), plaster

HCPCS Code: Q4012
Short Description: Cast sup sht arm ped fbrglas
Long Description: Cast supplies, short arm cast, pediatric (0-10 years), fiberglass

HCPCS Code: Q4013
Short Description: Cast sup gauntlet plaster
Long Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster

HCPCS Code: Q4014
Short Description: Cast sup gauntlet fiberglass
Long Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass

HCPCS Code: Q4015
Short Description: Cast sup gauntlet ped plster
Long Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster

HCPCS Code: Q4016
Short Description: Cast sup gauntlet ped fbrgls
Long Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass

HCPCS Code: Q4017
Short Description: Cast sup lng arm splint plst
Long Description: Cast supplies, long arm splint, adult (11 years +), plaster

HCPCS Code: Q4018
Short Description: Cast sup lng arm splint fbrg
Long Description: Cast supplies, long arm splint, adult (11 years +), fiberglass

HCPCS Code: Q4019
Short Description: Cast sup lng arm splnt ped p
Long Description: Cast supplies, long arm splint, pediatric (0-10 years), plaster

HCPCS Code: Q4020
Short Description: Cast sup lng arm splnt ped f
Long Description: Cast supplies, long arm splint, pediatric (0-10 years), fiberglass

HCPCS Code: Q4021
Short Description: Cast sup sht arm splint plst
Long Description: Cast supplies, short arm splint, adult (11 years +), plaster

HCPCS Code: Q4022
Short Description: Cast sup sht arm splint fbrg
Long Description: Cast supplies, short arm splint, adult (11 years +), fiberglass

HCPCS Code: Q4023
Short Description: Cast sup sht arm splnt ped p
Long Description: Cast supplies, short arm splint, pediatric (0-10 years), plaster

HCPCS Code: Q4024
Short Description: Cast sup sht arm splnt ped f
Long Description: Cast supplies, short arm splint, pediatric (0-10 years), fiberglass

HCPCS Code: Q4025
Short Description: Cast sup hip spica plaster
Long Description: Cast supplies, hip spica (one or both legs), adult (11 years +), plaster

HCPCS Code: Q4026
Short Description: Cast sup hip spica fiberglas
Long Description: Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass

HCPCS Code: Q4027
Short Description: Cast sup hip spica ped plstr
Long Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster

HCPCS Code: Q4028
Short Description: Cast sup hip spica ped fbrgl
Long Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass

HCPCS Code: Q4029
Short Description: Cast sup long leg plaster
Long Description: Cast supplies, long leg cast, adult (11 years +), plaster

HCPCS Code: Q4030
Short Description: Cast sup long leg fiberglass
Long Description: Cast supplies, long leg cast, adult (11 years +), fiberglass

HCPCS Code: Q4031
Short Description: Cast sup lng leg ped plaster
Long Description: Cast supplies, long leg cast, pediatric (0-10 years), plaster

HCPCS Code: Q4032
Short Description: Cast sup lng leg ped fbrgls
Long Description: Cast supplies, long leg cast, pediatric (0-10 years), fiberglass

HCPCS Code: Q4033
Short Description: Cast sup lng leg cylinder pl
Long Description: Cast supplies, long leg cylinder cast, adult (11 years +), plaster

HCPCS Code: Q4034
Short Description: Cast sup lng leg cylinder fb
Long Description: Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass

HCPCS Code: Q4035
Short Description: Cast sup lngleg cylndr ped p
Long Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster

HCPCS Code: Q4036
Short Description: Cast sup lngleg cylndr ped f
Long Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass

HCPCS Code: Q4037
Short Description: Cast sup shrt leg plaster
Long Description: Cast supplies, short leg cast, adult (11 years +), plaster

HCPCS Code: Q4038
Short Description: Cast sup shrt leg fiberglass
Long Description: Cast supplies, short leg cast, adult (11 years +), fiberglass

HCPCS Code: Q4039
Short Description: Cast sup shrt leg ped plster
Long Description: Cast supplies, short leg cast, pediatric (0-10 years), plaster

HCPCS Code: Q4040
Short Description: Cast sup shrt leg ped fbrgls
Long Description: Cast supplies, short leg cast, pediatric (0-10 years), fiberglass

HCPCS Code: Q4041
Short Description: Cast sup lng leg splnt plstr
Long Description: Cast supplies, long leg splint, adult (11 years +), plaster

HCPCS Code: Q4042
Short Description: Cast sup lng leg splnt fbrgl
Long Description: Cast supplies, long leg splint, adult (11 years +), fiberglass

HCPCS Code: Q4043
Short Description: Cast sup lng leg splnt ped p
Long Description: Cast supplies, long leg splint, pediatric (0-10 years), plaster

HCPCS Code: Q4044
Short Description: Cast sup lng leg splnt ped f
Long Description: Cast supplies, long leg splint, pediatric (0-10 years), fiberglass

HCPCS Code: Q4045
Short Description: Cast sup sht leg splnt plstr
Long Description: Cast supplies, short leg splint, adult (11 years +), plaster

HCPCS Code: Q4046
Short Description: Cast sup sht leg splnt fbrgl
Long Description: Cast supplies, short leg splint, adult (11 years +), fiberglass

HCPCS Code: Q4047
Short Description: Cast sup sht leg splnt ped p
Long Description: Cast supplies, short leg splint, pediatric (0-10 years), plaster

HCPCS Code: Q4048
Short Description: Cast sup sht leg splnt ped f
Long Description: Cast supplies, short leg splint, pediatric (0-10 years), fiberglass

HCPCS Code: Q4049
Short Description: Finger splint, static
Long Description: Finger splint, static

HCPCS Code: Q4050
Short Description: Cast supplies unlisted
Long Description: Cast supplies, for unlisted types and materials of casts

HCPCS Code: Q4051
Short Description: Splint supplies misc
Long Description: Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

HCPCS Code: Q4074
Short Description: Iloprost non-comp unit dose
Long Description: Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms

HCPCS Code: Q4081
Short Description: Epoetin alfa, 100 units esrd
Long Description: Injection, epoetin alfa, 100 units (for esrd on dialysis)

HCPCS Code: Q4082
Short Description: Drug/bio noc part b drug cap
Long Description: Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)

HCPCS Code: Q4100
Short Description: Skin substitute, nos
Long Description: Skin substitute, not otherwise specified

HCPCS Code: Q4101
Short Description: Apligraf
Long Description: Apligraf, per square centimeter

HCPCS Code: Q4102
Short Description: Oasis wound matrix
Long Description: Oasis wound matrix, per square centimeter

HCPCS Code: Q4103
Short Description: Oasis burn matrix
Long Description: Oasis burn matrix, per square centimeter

HCPCS Code: Q4104
Short Description: Integra bmwd
Long Description: Integra bilayer matrix wound dressing (bmwd), per square centimeter

HCPCS Code: Q4105
Short Description: Integra drt
Long Description: Integra dermal regeneration template (drt), per square centimeter

HCPCS Code: Q4106
Short Description: Dermagraft
Long Description: Dermagraft, per square centimeter

HCPCS Code: Q4107
Short Description: Graftjacket
Long Description: Graftjacket, per square centimeter

HCPCS Code: Q4108
Short Description: Integra matrix
Long Description: Integra matrix, per square centimeter

HCPCS Code: Q4110
Short Description: Primatrix
Long Description: Primatrix, per square centimeter

HCPCS Code: Q4111
Short Description: Gammagraft
Long Description: Gammagraft, per square centimeter

HCPCS Code: Q4112
Short Description: Cymetra injectable
Long Description: Cymetra, injectable, 1 cc

HCPCS Code: Q4113
Short Description: Graftjacket xpress
Long Description: Graftjacket xpress, injectable, 1 cc

HCPCS Code: Q4114
Short Description: Integra flowable wound matri
Long Description: Integra flowable wound matrix, injectable, 1 cc

HCPCS Code: Q4115
Short Description: Alloskin
Long Description: Alloskin, per square centimeter

HCPCS Code: Q4116
Short Description: Alloderm
Long Description: Alloderm, per square centimeter

HCPCS Code: Q4117
Short Description: Hyalomatrix
Long Description: Hyalomatrix, per square centimeter

HCPCS Code: Q4118
Short Description: Matristem micromatrix
Long Description: Matristem micromatrix, 1 mg

HCPCS Code: Q4119
Short Description: Matristem wound matrix
Long Description: Matristem wound matrix, per square centimeter

HCPCS Code: Q4120
Short Description: Matristem burn matrix
Long Description: Matristem burn matrix, per square centimeter

HCPCS Code: Q4121
Short Description: Theraskin
Long Description: Theraskin, per square centimeter

HCPCS Code: Q4122
Short Description: Dermacell
Long Description: Dermacell, per square centimeter

HCPCS Code: Q4123
Short Description: Alloskin
Long Description: Alloskin rt, per square centimeter

HCPCS Code: Q4124
Short Description: Oasis tri-layer wound matrix
Long Description: Oasis ultra tri-layer wound matrix, per square centimeter

HCPCS Code: Q4125
Short Description: Arthroflex
Long Description: Arthroflex, per square centimeter

HCPCS Code: Q4126
Short Description: Memoderm/derma/tranz/integup
Long Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter

HCPCS Code: Q4127
Short Description: Talymed
Long Description: Talymed, per square centimeter

HCPCS Code: Q4128
Short Description: Flexhd/allopatchhd/matrixhd
Long Description: Flex hd, allopatch hd, or matrix hd, per square centimeter

HCPCS Code: Q4129
Short Description: Unite biomatrix
Long Description: Unite biomatrix, per square centimeter

HCPCS Code: Q4130
Short Description: Strattice tm
Long Description: Strattice tm, per square centimeter

HCPCS Code: Q4131
Short Description: Epifix
Long Description: Epifix, per square centimeter

HCPCS Code: Q4132
Short Description: Grafix core
Long Description: Grafix core, per square centimeter

HCPCS Code: Q4133
Short Description: Grafix prime
Long Description: Grafix prime, per square centimeter

HCPCS Code: Q4134
Short Description: Hmatrix
Long Description: Hmatrix, per square centimeter

HCPCS Code: Q4135
Short Description: Mediskin
Long Description: Mediskin, per square centimeter

HCPCS Code: Q4136
Short Description: Ezderm
Long Description: Ez-derm, per square centimeter

HCPCS Code: Q4137
Short Description: Amnioexcel or biodexcel, 1cm
Long Description: Amnioexcel or biodexcel, per square centimeter

HCPCS Code: Q4138
Short Description: Biodfence dryflex, 1cm
Long Description: Biodfence dryflex, per square centimeter

HCPCS Code: Q4139
Short Description: Amnio or biodmatrix, inj 1cc
Long Description: Amniomatrix or biodmatrix, injectable, 1 cc

HCPCS Code: Q4140
Short Description: Biodfence 1cm
Long Description: Biodfence, per square centimeter

HCPCS Code: Q4141
Short Description: Alloskin ac, 1 cm
Long Description: Alloskin ac, per square centimeter

HCPCS Code: Q4142
Short Description: Xcm biologic tiss matrix 1cm
Long Description: Xcm biologic tissue matrix, per square centimeter

HCPCS Code: Q4143
Short Description: Repriza, 1cm
Long Description: Repriza, per square centimeter

HCPCS Code: Q4145
Short Description: Epifix, inj, 1mg
Long Description: Epifix, injectable, 1 mg

HCPCS Code: Q4146
Short Description: Tensix, 1cm
Long Description: Tensix, per square centimeter

HCPCS Code: Q4147
Short Description: Architect ecm px fx 1 sq cm
Long Description: Architect, architect px, or architect fx, extracellular matrix, per square centimeter

HCPCS Code: Q4148
Short Description: Neox 1k, 1cm
Long Description: Neox 1k, per square centimeter

HCPCS Code: Q4149
Short Description: Excellagen, 0.1 cc
Long Description: Excellagen, 0.1 cc

HCPCS Code: Q4150
Short Description: Allowrap ds or dry 1 sq cm
Long Description: Allowrap ds or dry, per square centimeter

HCPCS Code: Q4151
Short Description: Amnioband, guardian 1 sq cm
Long Description: Amnioband or guardian, per square centimeter

HCPCS Code: Q4152
Short Description: Dermapure 1 square cm
Long Description: Dermapure, per square centimeter

HCPCS Code: Q4153
Short Description: Dermavest, plurivest sq cm
Long Description: Dermavest and plurivest, per square centimeter

HCPCS Code: Q4154
Short Description: Biovance 1 square cm
Long Description: Biovance, per square centimeter

HCPCS Code: Q4155
Short Description: Neoxflo or clarixflo 1 mg
Long Description: Neoxflo or clarixflo, 1 mg

HCPCS Code: Q4156
Short Description: Neox 100 1 square cm
Long Description: Neox 100, per square centimeter

HCPCS Code: Q4157
Short Description: Revitalon 1 square cm
Long Description: Revitalon, per square centimeter

HCPCS Code: Q4158
Short Description: Marigen 1 square cm
Long Description: Marigen, per square centimeter

HCPCS Code: Q4159
Short Description: Affinity1 square cm
Long Description: Affinity, per square centimeter

HCPCS Code: Q4160
Short Description: Nushield 1 square cm
Long Description: Nushield, per square centimeter

HCPCS Code: Q4161
Short Description: Bio-connekt per square cm
Long Description: Bio-connekt wound matrix, per square centimeter

HCPCS Code: Q4162
Short Description: Amnio bio and woundex flow
Long Description: Amniopro flow, bioskin flow, biorenew flow, woundex flow, amniogen-a, amniogen-c, 0.5 cc

HCPCS Code: Q4163
Short Description: Amnio bio and woundex sq cm
Long Description: Amniopro, bioskin, biorenew, woundex, amniogen-45, amniogen-200, per square centimeter

HCPCS Code: Q4164
Short Description: Helicoll, per square cm
Long Description: Helicoll, per square centimeter

HCPCS Code: Q4165
Short Description: Keramatrix, per square cm
Long Description: Keramatrix, per square centimeter