Q4137 HCPCS code: Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
Q4137 is the HCPCS Level II code for amnioexcel, amnioexcel plus or biodexcel, per square centimeter. In 2024 Medicare paid an average of $81.42 per service for Q4137 across 13,862 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 38% from 2022 to 2024 (22,325 to 13,862 services). In 2024, about 50 clinicians billed Medicare for Q4137 for 162 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2014-01-01 |
| Last action effective | 2019-01-01 |
Who bills Q4137 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 50 |
| Medicare beneficiaries | 162 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4137, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 22,325 | 205 | $97.21 | $77.53 |
| 2023 | 16,705 | 193 | $97.73 | $77.81 |
| 2024 | 13,862 | 162 | $102.26 | $81.42 |
States with the most Q4137 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 7,426 | $81.65 |
| California | 1,949 | $84.92 |
| Indiana | 685 | $83.18 |
| New Jersey | 554 | $82.86 |
What changed for Q4137
- 2014-01-01: Q4137 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 Q4137?
Q4137 is the HCPCS Level II code for amnioexcel, amnioexcel plus or biodexcel, per square centimeter. Short descriptor: "Amnioexcel biodexcel 1sq cm".
How much does Medicare pay for Q4137?
In 2024, the average Medicare payment was $81.42 per service (average allowed $102.26).
Does Medicare cover Q4137?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
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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 Q4137
- Watch Q4137 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4137
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.