CMS assigns Q codes to procedures, services, and supplies on a temporary basis. When a permanent code is assigned, the Q code is deleted and cross-referenced.

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• Q4385

  Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4386

  Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4387

  Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4388

  Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4389

  Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4390

  Ascendion, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4391

  Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4392

  Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4393

  Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4394

  Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4395

  Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4396

  Natalin, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4397

  Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4398

  Summit ac, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4399

  Summit fx, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4400

  Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4401

  Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4402

  Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4403

  Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4404

  Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4405

  Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4406

  Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4407

  Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4408

  Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4409

  Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4410

  Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4411

  Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4412

  Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4413

  Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4414

  Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4415

  Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4416

  Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4417

  Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4418

  Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4419

  Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4420

  Nuform, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4421

  Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4422

  A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4423

  Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4424

  Revive ft, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4425

  Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4426

  Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4427

  Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4428

  Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4429

  Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4431

  Pma skin substitute product, not otherwise specified (list in addition to primary procedure)

• Q4432

  510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)

• Q4433

  361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)

• Q4435

  Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4436

  Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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