Q4160 HCPCS code: Nushield, per square centimeter
Q4160 is the HCPCS Level II code for nushield, per square centimeter. In 2024 Medicare paid an average of $75.60 per service for Q4160 across 9,523 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 64% from 2022 to 2024 (26,128 to 9,523 services). In 2024, about 113 clinicians billed Medicare for Q4160 for 243 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 | 2015-01-01 |
| Last action effective | 2015-01-01 |
Who bills Q4160 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 113 |
| Medicare beneficiaries | 243 |
| States with claims | 3 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4160, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 26,128 | 555 | $91.97 | $73.33 |
| 2023 | 16,321 | 380 | $93.03 | $74.07 |
| 2024 | 9,523 | 243 | $95.06 | $75.60 |
States with the most Q4160 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 4,134 | $75.85 |
| Pennsylvania | 668 | $76.16 |
| Illinois | 563 | $75.92 |
What changed for Q4160
- 2015-01-01: Q4160 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 Q4160?
Q4160 is the HCPCS Level II code for nushield, per square centimeter. Short descriptor: "Nushield 1 square cm".
How much does Medicare pay for Q4160?
In 2024, the average Medicare payment was $75.60 per service (average allowed $95.06).
Does Medicare cover Q4160?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
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- Q4107 — Graftjacket, per square centimeter
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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 Q4160
- Watch Q4160 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4160
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.