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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• Q4032

  Cast supplies, long leg cast, pediatric (0-10 years), fiberglass

• Q4033

  Cast supplies, long leg cylinder cast, adult (11 years +), plaster

• Q4034

  Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass

• Q4035

  Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster

• Q4036

  Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass

• Q4037

  Cast supplies, short leg cast, adult (11 years +), plaster

• Q4038

  Cast supplies, short leg cast, adult (11 years +), fiberglass

• Q4039

  Cast supplies, short leg cast, pediatric (0-10 years), plaster

• Q4040

  Cast supplies, short leg cast, pediatric (0-10 years), fiberglass

• Q4041

  Cast supplies, long leg splint, adult (11 years +), plaster

• Q4042

  Cast supplies, long leg splint, adult (11 years +), fiberglass

• Q4043

  Cast supplies, long leg splint, pediatric (0-10 years), plaster

• Q4044

  Cast supplies, long leg splint, pediatric (0-10 years), fiberglass

• Q4045

  Cast supplies, short leg splint, adult (11 years +), plaster

• Q4046

  Cast supplies, short leg splint, adult (11 years +), fiberglass

• Q4047

  Cast supplies, short leg splint, pediatric (0-10 years), plaster

• Q4048

  Cast supplies, short leg splint, pediatric (0-10 years), fiberglass

• Q4049

  Finger splint, static

• Q4050

  Cast supplies, for unlisted types and materials of casts

• Q4051

  Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)

• Q4074

  Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms

• Q4081

  Injection, epoetin alfa, 100 units (for esrd on dialysis)

• Q4082

  Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)

• Q4100

  Skin substitute, not otherwise specified

• Q4101

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

• Q4102

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

• Q4103

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

• Q4104

  Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)

• Q4105

  Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4106

  Dermagraft, per square centimeter

• Q4107

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

• Q4108

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

• Q4110

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

• Q4111

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

• Q4112

  Cymetra, injectable, 1 cc

• Q4113

  Graftjacket xpress, injectable, 1 cc

• Q4114

  Integra flowable wound matrix, injectable, 1 cc

• Q4115

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

• Q4116

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

• Q4117

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

• Q4118

  Matristem micromatrix, 1 mg

• Q4119

  Matristem wound matrix, per square centimeter

• Q4120

  Matristem burn matrix, per square centimeter

• Q4121

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

• Q4122

  Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4123

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

• Q4124

  Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4125

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

• Q4126

  Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4127

  Talymed, 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 7/20/2026

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