Q4194 HCPCS code: Novachor, per square centimeter
Q4194 is the HCPCS Level II code for novachor, per square centimeter. In 2024 Medicare paid an average of $773.91 per service for Q4194 across 56,670 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 95% from 2022 to 2024 (29,123 to 56,670 services). In 2024, about 627 clinicians billed Medicare for Q4194 for 3,007 beneficiaries; Florida, Alabama, South Carolina accounted for 59% 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 | 2019-01-01 |
| Last action effective | 2019-01-01 |
Who bills Q4194 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 627 |
| Medicare beneficiaries | 3,007 |
| States with claims | 20 |
| Share of services in top 3 states (Florida, Alabama, South Carolina) | 59% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4194, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 29,123 | 1,385 | $1,036.89 | $826.93 |
| 2023 | 78,271 | 3,437 | $1,007.98 | $802.95 |
| 2024 | 56,670 | 3,007 | $971.60 | $773.91 |
States with the most Q4194 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 17,825 | $777.17 |
| Alabama | 9,336 | $786.47 |
| South Carolina | 5,177 | $773.39 |
| Georgia | 5,052 | $778.30 |
| Oklahoma | 3,304 | $777.39 |
What changed for Q4194
- 2019-01-01: Q4194 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 Q4194?
Q4194 is the HCPCS Level II code for novachor, per square centimeter. Short descriptor: "Novachor 1 sq cm".
How much does Medicare pay for Q4194?
In 2024, the average Medicare payment was $773.91 per service (average allowed $971.60).
Does Medicare cover Q4194?
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 Q4194
- Watch Q4194 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4194
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.