Q4158 HCPCS code: Kerecis omega3, per square centimeter
Q4158 is the HCPCS Level II code for kerecis omega3, per square centimeter. In 2024 Medicare paid an average of $135.31 per service for Q4158 across 75,104 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 2024 (181,768 to 75,104 services). In 2024, about 540 clinicians billed Medicare for Q4158 for 2,010 beneficiaries; Florida, Kansas, Texas accounted for 35% of services.
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 | 2015-01-01 |
| Last action effective | 2018-01-01 |
Who bills Q4158 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 540 |
| Medicare beneficiaries | 2,010 |
| States with claims | 26 |
| Share of services in top 3 states (Florida, Kansas, Texas) | 35% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4158, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 181,768 | 2,211 | $359.79 | $287.14 |
| 2023 | 111,023 | 1,806 | $328.66 | $261.84 |
| 2024 | 75,104 | 2,010 | $169.91 | $135.31 |
States with the most Q4158 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 13,602 | $107.41 |
| Kansas | 6,270 | $139.97 |
| Texas | 4,642 | $109.10 |
| Pennsylvania | 4,017 | $106.42 |
| North Carolina | 3,922 | $111.70 |
What changed for Q4158
- 2015-01-01: Q4158 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 Q4158?
Q4158 is the HCPCS Level II code for kerecis omega3, per square centimeter. Short descriptor: "Kerecis omega3, per sq cm".
How much does Medicare pay for Q4158?
In 2024, the average Medicare payment was $135.31 per service (average allowed $169.91).
Does Medicare cover Q4158?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
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Next steps
- Run a reimbursement report for a device billed under Q4158
- Watch Q4158 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4158
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.