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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• Q4180

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

• Q4181

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

• Q4182

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

• Q4183

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

• Q4184

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

• Q4185

  Cellesta flowable amnion (25 mg per cc); per 0.5 cc

• Q4186

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

• Q4187

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

• Q4188

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

• Q4189

  Artacent ac, 1 mg

• Q4190

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

• Q4191

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

• Q4192

  Restorigin, 1 cc

• Q4193

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

• Q4194

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

• Q4195

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

• Q4196

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

• Q4197

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

• Q4198

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

• Q4199

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

• Q4200

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

• Q4201

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

• Q4202

  Keroxx (2.5g/cc), 1cc

• Q4203

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

• Q4204

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

• Q4205

  Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4206

  Fluid flow or fluid gf, 1 cc

• Q4208

  Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)

• Q4209

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

• Q4210

  Axolotl graft or axolotl dualgraft, per square centimeter

• Q4211

  Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4212

  Allogen, per cc

• Q4213

  Ascent, 0.5 mg

• Q4214

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

• Q4215

  Axolotl ambient or axolotl cryo, 0.1 mg

• Q4216

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

• Q4217

  Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4218

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

• Q4219

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

• Q4220

  Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4221

  Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4222

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

• Q4224

  Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)

• Q4225

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

• Q4226

  Myown skin, includes harvesting and preparation procedures, per square centimeter

• Q4227

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

• Q4228

  Bionextpatch, per square centimeter

• Q4229

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

• Q4230

  Cogenex flowable amnion, per 0.5 cc

• Q4231

  Corplex p, per cc

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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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