Q4204 HCPCS code: Xwrap, per square centimeter
Q4204 is the HCPCS Level II code for xwrap, per square centimeter. In 2024 Medicare paid an average of $2,237.16 per service for Q4204 across 58,447 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 784% from 2022 to 2024 (6,611 to 58,447 services). In 2024, about 342 clinicians billed Medicare for Q4204 for 933 beneficiaries; Texas, California, New York accounted for 52% 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 Q4204 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 342 |
| Medicare beneficiaries | 933 |
| States with claims | 17 |
| Share of services in top 3 states (Texas, California, New York) | 52% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4204, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 6,611 | 171 | $1,445.71 | $1,152.57 |
| 2023 | 22,694 | 368 | $1,420.38 | $1,131.55 |
| 2024 | 58,447 | 933 | $2,807.89 | $2,237.16 |
States with the most Q4204 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 11,957 | $2,334.44 |
| California | 8,847 | $2,111.54 |
| New York | 6,074 | $2,191.52 |
| Florida | 4,250 | $2,287.70 |
| Nevada | 3,697 | $2,152.44 |
What changed for Q4204
- 2019-01-01: Q4204 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 Q4204?
Q4204 is the HCPCS Level II code for xwrap, per square centimeter. Short descriptor: "Xwrap 1 sq cm".
How much does Medicare pay for Q4204?
In 2024, the average Medicare payment was $2,237.16 per service (average allowed $2,807.89).
Does Medicare cover Q4204?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related Q42 codes
- Q4200 — Skin te, per square centimeter
- Q4201 — Matrion, per square centimeter
- Q4202 — Keroxx (2.5g/cc), 1cc
- Q4203 — Derma-gide, per square centimeter
- Q4205 — Membrane graft or membrane wrap, per square centimeter
- Q4206 — Fluid flow or fluid gf, 1 cc
- Q4208 — Novafix, per square cenitmeter
- Q4209 — Surgraft, per square centimeter
- Q4210 — Axolotl graft or axolotl dualgraft, per square centimeter
- Q4211 — Amnion bio or axobiomembrane, per square centimeter
- Q4212 — Allogen, per cc
- Q4213 — Ascent, 0.5 mg
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 Q4204
- Watch Q4204 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4204
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.