HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • Q4175

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

  • Q4176

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

  • Q4177

    Floweramnioflo, 0.1 cc

  • Q4178

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

  • Q4179

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

  • 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