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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• Q4232

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

• Q4233

  Surfactor or nudyn, per 0.5 cc

• Q4234

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

• Q4235

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

• Q4236

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

• Q4237

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

• Q4238

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

• Q4239

  Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4240

  Corecyte, for topical use only, per 0.5 cc

• Q4241

  Polycyte, for topical use only, per 0.5 cc

• Q4242

  Amniocyte plus, per 0.5 cc

• Q4244

  Procenta, per 200 mg

• Q4245

  Amniotext, per cc

• Q4246

  Coretext or protext, per cc

• Q4247

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

• Q4248

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

• Q4249

  Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4250

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

• Q4251

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

• Q4252

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

• Q4253

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

• Q4254

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

• Q4255

  Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4256

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

• Q4257

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

• Q4258

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

• Q4259

  Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4260

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

• Q4261

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

• Q4262

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

• Q4263

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

• Q4264

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

• Q4265

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

• Q4266

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

• Q4267

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

• Q4268

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

• Q4269

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

• Q4270

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

• Q4271

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

• Q4272

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

• Q4273

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

• Q4274

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

• Q4275

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

• Q4276

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

• Q4277

  Woundplus membrane or e-graft, per square centimeter

• Q4278

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

• Q4279

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

• Q4280

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

• Q4281

  Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4282

  Cygnus dual, 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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