HCPCS Code Section: HCPCS Q Codes

Q4035

Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster Short Description: Cast sup lngleg cylndr ped p Coverage Code: Carrier judgment Action Code: No maintenance for this code …

Q4034

Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass Short Description: Cast sup lng leg cylinder fb Coverage Code: Carrier judgment Action Code: No maintenance for this …

Q4033

Cast supplies, long leg cylinder cast, adult (11 years +), plaster Short Description: Cast sup lng leg cylinder pl Coverage Code: Carrier judgment Action Code: No maintenance for this …

Q4032

Cast supplies, long leg cast, pediatric (0-10 years), fiberglass Short Description: Cast sup lng leg ped fbrgls Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Q4031

Cast supplies, long leg cast, pediatric (0-10 years), plaster Short Description: Cast sup lng leg ped plaster Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Q4030

Cast supplies, long leg cast, adult (11 years +), fiberglass Short Description: Cast sup long leg fiberglass Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Q4106

Dermagraft, per square centimeter Short Description: Dermagraft Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2014 Termination …

Q4105

Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter Short Description: Integra drt or omnigraft Coverage Code: Carrier judgment Action Code: No maintenance for …

Q4104

Integra bilayer matrix wound dressing (bmwd), per square centimeter Short Description: Integra bmwd Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 …

Q4103

Oasis burn matrix, per square centimeter Short Description: Oasis burn matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: …