Q4148 HCPCS code: Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter
Q4148 is the HCPCS Level II code for neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter. In 2023 Medicare paid an average of $177.57 per service for Q4148 across 257 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 59% from 2022 to 2023 (622 to 257 services). In 2023, about 8 clinicians billed Medicare for Q4148 for 18 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 | 2018-01-01 |
Who bills Q4148 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 8 |
| Medicare beneficiaries | 18 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4148, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 622 | 15 | $210.78 | $167.60 |
| 2023 | 257 | 18 | $222.87 | $177.57 |
What changed for Q4148
- 2014-01-01: Q4148 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 Q4148?
Q4148 is the HCPCS Level II code for neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter. Short descriptor: "Neox neox rt or clarix cord".
How much does Medicare pay for Q4148?
In 2023, the average Medicare payment was $177.57 per service (average allowed $222.87).
Does Medicare cover Q4148?
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 Q4148
- Watch Q4148 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4148
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.