HCPCS Code Details - Q4263

HCPCS Level II Code
Miscellaneous Services (Temporary Codes)
HCPCS Code Q4263
Description

Long description:
Surgraft tl, per square centimeter

Short description:
Surgraft tl, per 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 N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2023
Date added Added Jan 01, 2023
HCPCS Coding Procedures

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 - Q4263

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 1004.13 - - - - - -
January 1, 2024 - March 31, 2024 1 SQ CM 1054.305 - - - - - -

See also

  • HCPCS Q4262 · Dual layer impax membrane, per square centimeter

  • HCPCS Q4264 · Cocoon membrane, 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”