Q4187 HCPCS code: Epicord, per square centimeter (add-on, list separately in addition to primary procedure)
Q4187 is the HCPCS Level II code for epicord, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $191.13 per service for Q4187 across 5,982 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 39% from 2022 to 2024 (9,841 to 5,982 services). In 2024, about 122 clinicians billed Medicare for Q4187 for 290 beneficiaries; California, Florida, Georgia accounted for 71% of services.
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 | 2019-01-01 |
| Last action effective | 2026-01-01 |
Who bills Q4187 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 122 |
| Medicare beneficiaries | 290 |
| States with claims | 6 |
| Share of services in top 3 states (California, Florida, Georgia) | 71% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4187, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 9,841 | 376 | $223.10 | $177.97 |
| 2023 | 12,601 | 484 | $232.76 | $185.33 |
| 2024 | 5,982 | 290 | $240.20 | $191.13 |
States with the most Q4187 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,877 | $192.37 |
| Florida | 729 | $192.48 |
| Georgia | 613 | $192.66 |
| Arizona | 581 | $192.40 |
| Texas | 556 | $192.92 |
What changed for Q4187
- January 2026: Descriptor revised (Was: Epicord, per square centimeter)
- 2019-01-01: Q4187 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 Q4187?
Q4187 is the HCPCS Level II code for epicord, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Epicord 1 sq cm".
How much does Medicare pay for Q4187?
In 2024, the average Medicare payment was $191.13 per service (average allowed $240.20).
Does Medicare cover Q4187?
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 Q4187
- Watch Q4187 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4187
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.