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

  • Q4407

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

  • Q4408

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

  • Q4409

    Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4410

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

  • Q4411

    Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4412

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

  • Q4413

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

  • Q4414

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

  • Q4415

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

  • Q4416

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

  • Q4417

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

  • Q4418

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

  • Q4419

    Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4420

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

  • Q4421

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

  • Q4422

    A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4423

    Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4424

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

  • Q4425

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

  • Q4426

    Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4427

    Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4428

    Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4429

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

  • Q4431

    Pma skin substitute product, not otherwise specified (list in addition to primary procedure)

  • Q4432

    510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)

  • Q4433

    361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)

  • Q4435

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

  • Q4436

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

  • Q4437

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

  • Q4438

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

  • Q4439

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

  • Q4440

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

  • Q5001

    Hospice or home health care provided in patient's home/residence

  • Q5002

    Hospice or home health care provided in assisted living facility

  • Q5003

    Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)

  • Q5004

    Hospice care provided in skilled nursing facility (snf)

  • Q5005

    Hospice care provided in inpatient hospital

  • Q5006

    Hospice care provided in inpatient hospice facility

  • Q5007

    Hospice care provided in long term care facility

  • Q5008

    Hospice care provided in inpatient psychiatric facility

  • Q5009

    Hospice or home health care provided in place not otherwise specified (nos)

  • Q5010

    Hospice home care provided in a hospice facility

  • Q5098

    Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg

  • Q5099

    Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg

  • Q5100

    Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg

  • Q5101

    Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram

  • Q5102

    Injection, infliximab, biosimilar, 10 mg

  • Q5103

    Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg

  • Q5104

    Injection, infliximab-abda, biosimilar, (renflexis), 10 mg

  • Q5105

    Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units