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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• Q4283

  Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4284

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

• Q4285

  Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4286

  Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4287

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

• Q4288

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

• Q4289

  Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4290

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

• Q4291

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

• Q4292

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

• Q4293

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

• Q4294

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

• Q4295

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

• Q4296

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

• Q4297

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

• Q4298

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

• Q4299

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

• Q4300

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

• Q4301

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

• Q4302

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

• Q4303

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

• Q4304

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

• Q4305

  American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure)

• Q4306

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

• Q4307

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

• Q4308

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

• Q4309

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

• Q4310

  Procenta, per 100 mg

• Q4311

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

• Q4312

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

• Q4313

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

• Q4314

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

• Q4315

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

• Q4316

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

• Q4317

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

• Q4318

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

• Q4319

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

• Q4320

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

• Q4321

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

• Q4322

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

• Q4323

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

• Q4324

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

• Q4325

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

• Q4326

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

• Q4327

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

• Q4328

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

• Q4329

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

• Q4330

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

• Q4331

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

• Q4332

  Axolotl dualgraft, 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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