HCPCS Code Details - Q4210

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q4210
Description

Long description:
Axolotl graft or axolotl dualgraft, per square centimeter

Short description:
Axolotl graf dualgraf sq cm

HCPCS Modifier1
HCPCS Pricing indicator 51 - Drugs
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code O1E - Other drugs
HCPCS Action code D - Discontinue procedure or modifier code
Type of service 1 - Medical care
Effective date Effective Jul 01, 2024
Date added Added Oct 01, 2019
Termination date Jun 30, 2024
HCPCS Coding Procedures
  HCPCS Code Q4210 has been discontinued effective Jul 01, 2024.

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

ASP Drug pricing - Q4210

Effective Code Dosage Payment
Limit
Vaccine AWP % Vaccine Limit Infusion AWP % DME infusion limit Blood AWP % Blood limit Clotting factor Note
April 1, 2024 - June 30, 2024 1 SQ CM 848 - - - - - -
January 1, 2024 - March 31, 2024 1 SQ CM 848 - - - - - -
October 1, 2023 - December 31, 2023 1 SQ CM 848 20% - - - - -
Jul 1, 2023 - Sep 30, 2023 1 SQ CM 826.8 20% - - - - -
1 SQ CM 831.04 20% - - - - -

See also

  • HCPCS Q4209 · Surgraft, per square centimeter

  • HCPCS Q4211 · Amnion bio or axobiomembrane, per square centimeter


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”