Q4173 HCPCS code: Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4173 is the HCPCS Level II code for palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $302.92 per service for Q4173 across 14,996 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 89% from 2022 to 2024 (130,689 to 14,996 services). In 2024, about 74 clinicians billed Medicare for Q4173 for 189 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | O1E — Other drugs |
| Added | 2017-01-01 |
| Last action effective | 2026-01-01 |
Who bills Q4173 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 74 |
| Medicare beneficiaries | 189 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4173, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 130,689 | 1,556 | $452.22 | $360.78 |
| 2023 | 90,978 | 831 | $509.11 | $405.61 |
| 2024 | 14,996 | 189 | $380.28 | $302.92 |
States with the most Q4173 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 4,713 | $302.16 |
| California | 2,251 | $301.15 |
| Arizona | 1,169 | $307.35 |
| Florida | 966 | $297.52 |
What changed for Q4173
- January 2026: Descriptor revised (Was: Palingen or palingen xplus, per square centimeter)
- 2017-01-01: Q4173 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 Q4173?
Q4173 is the HCPCS Level II code for palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Palingen or palingen xplus".
How much does Medicare pay for Q4173?
In 2024, the average Medicare payment was $302.92 per service (average allowed $380.28).
Does Medicare cover Q4173?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related Q41 codes
- Q4100 — Skin substitute, not otherwise specified
- Q4101 — Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4102 — Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4103 — Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4104 — Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
- Q4105 — Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4106 — Dermagraft, per square centimeter
- Q4107 — Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4108 — Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4110 — Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4111 — Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4112 — Cymetra, injectable, 1 cc
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 Q4173
- Watch Q4173 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4173
Sources: CMS HCPCS Level II release October 2026; 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.