Q4019 HCPCS code: Cast supplies, long arm splint, pediatric (0-10 years), plaster
Q4019 is the HCPCS Level II code for cast supplies, long arm splint, pediatric (0-10 years), plaster. The 2026 Medicare DMEPOS fee schedule pays $5.80 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on outpatient hospital claims. In 2023, about 22 clinicians billed Medicare for Q4019 for 23 beneficiaries. Its average fee ranks 4 of 49 Q40 codes (family range $2.68–$235.64).
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 55 |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2001-07-01 |
| Last action effective | 2014-10-01 |
2026 Medicare DMEPOS fee schedule for Q4019
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $5.80 | $5.80 | $5.80 | $4.93 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $5.80 | — |
| AL | — | $5.80 | — |
| AR | — | $5.80 | — |
| AZ | — | $5.80 | — |
| CA | — | $5.80 | — |
| CO | — | $5.80 | — |
| CT | — | $5.80 | — |
| DC | — | $5.80 | — |
| DE | — | $5.80 | — |
| FL | — | $5.80 | — |
| GA | — | $5.80 | — |
| HI | — | $5.80 | — |
| IA | — | $5.80 | — |
| ID | — | $5.80 | — |
| IL | — | $5.80 | — |
| IN | — | $5.80 | — |
| KS | — | $5.80 | — |
| KY | — | $5.80 | — |
| LA | — | $5.80 | — |
| MA | — | $5.80 | — |
| MD | — | $5.80 | — |
| ME | — | $5.80 | — |
| MI | — | $5.80 | — |
| MN | — | $5.80 | — |
| MO | — | $5.80 | — |
| MS | — | $5.80 | — |
| MT | — | $5.80 | — |
| NC | — | $5.80 | — |
| ND | — | $5.80 | — |
| NE | — | $5.80 | — |
| NH | — | $5.80 | — |
| NJ | — | $5.80 | — |
| NM | — | $5.80 | — |
| NV | — | $5.80 | — |
| NY | — | $5.80 | — |
| OH | — | $5.80 | — |
| OK | — | $5.80 | — |
| OR | — | $5.80 | — |
| PA | — | $5.80 | — |
| PR | — | $5.80 | — |
| RI | — | $5.80 | — |
| SC | — | $5.80 | — |
| SD | — | $5.80 | — |
| TN | — | $5.80 | — |
| TX | — | $5.80 | — |
| UT | — | $5.80 | — |
| VA | — | $5.80 | — |
| VI | — | $5.80 | — |
| VT | — | $5.80 | — |
| WA | — | $5.80 | — |
| WI | — | $5.80 | — |
| WV | — | $5.80 | — |
| WY | — | $5.80 | — |
How the Q4019 fee compares
| Measure | Value |
|---|---|
| Rank among 49 Q40 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $2.68–$235.64 |
| Rural fee uplift | — |
Who bills Q4019 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 22 |
| Medicare beneficiaries | 23 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4019, 2023–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 23 | 23 | $5.33 | $4.25 |
States with the most Q4019 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| California | 22 | $4.25 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Anatomic Consideration |
| practitioner claims | 2 | Anatomic Consideration |
What changed for Q4019
- 2026-01-01: Average state fee rose 1.9%: $5.69 to $5.80
- 2001-07-01: Q4019 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code Q4019?
Q4019 is the HCPCS Level II code for cast supplies, long arm splint, pediatric (0-10 years), plaster. Short descriptor: "Cast sup lng arm splnt ped p".
How much does Medicare pay for Q4019?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $5.80. Rural fees can be higher.
Does Medicare cover Q4019?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for Q4019 change in 2026?
The average non-rural state fee moved from $5.69 in 2025 to $5.80 in 2026 (+1.9%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of Q4019 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related Q40 codes
- Q4001 — Casting supplies, body cast adult, with or without head, plaster ($62.36–$62.36)
- Q4002 — Cast supplies, body cast adult, with or without head, fiberglass ($235.64–$235.64)
- Q4003 — Cast supplies, shoulder cast, adult (11 years +), plaster ($44.78–$44.78)
- Q4004 — Cast supplies, shoulder cast, adult (11 years +), fiberglass ($155.03–$155.03)
- Q4005 — Cast supplies, long arm cast, adult (11 years +), plaster ($16.51–$16.51)
- Q4006 — Cast supplies, long arm cast, adult (11 years +), fiberglass ($37.20–$37.20)
- Q4007 — Cast supplies, long arm cast, pediatric (0-10 years), plaster ($8.25–$8.25)
- Q4008 — Cast supplies, long arm cast, pediatric (0-10 years), fiberglass ($18.59–$18.59)
- Q4009 — Cast supplies, short arm cast, adult (11 years +), plaster ($11.03–$11.03)
- Q4010 — Cast supplies, short arm cast, adult (11 years +), fiberglass ($24.80–$24.80)
- Q4011 — Cast supplies, short arm cast, pediatric (0-10 years), plaster ($5.50–$5.50)
- Q4012 — Cast supplies, short arm cast, pediatric (0-10 years), fiberglass ($12.43–$12.43)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under Q4019
- Watch Q4019 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4019
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.