Q4210 HCPCS code: Axolotl graft or axolotl dualgraft, per square centimeter
Q4210 is the HCPCS Level II code for axolotl graft or axolotl dualgraft, per square centimeter. CMS terminated Q4210 on 2024-06-30; do not bill it for later dates of service. In 2024 Medicare paid an average of $663.83 per service for Q4210 across 10,699 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 73% from 2022 to 2024 (39,947 to 10,699 services). In 2024, about 120 clinicians billed Medicare for Q4210 for 285 beneficiaries; Illinois, Georgia, Florida accounted for 56% 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 | 2019-10-01 |
| Last action effective | 2024-07-01 |
| Terminated | 2024-06-30 |
Who bills Q4210 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 120 |
| Medicare beneficiaries | 285 |
| States with claims | 9 |
| Share of services in top 3 states (Illinois, Georgia, Florida) | 56% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4210, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 39,947 | 727 | $905.22 | $721.92 |
| 2023 | 37,398 | 772 | $818.09 | $651.73 |
| 2024 | 10,699 | 285 | $833.49 | $663.83 |
States with the most Q4210 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Illinois | 2,472 | $664.11 |
| Georgia | 1,568 | $664.74 |
| Florida | 1,531 | $664.33 |
| California | 1,404 | $663.77 |
| Texas | 897 | $664.73 |
What changed for Q4210
- 2019-10-01: Q4210 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 Q4210?
Q4210 is the HCPCS Level II code for axolotl graft or axolotl dualgraft, per square centimeter. Short descriptor: "Axolotl graf dualgraf sq cm".
How much does Medicare pay for Q4210?
In 2024, the average Medicare payment was $663.83 per service (average allowed $833.49).
Does Medicare cover Q4210?
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
- Q4204 — Xwrap, 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
- 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 Q4210
- Watch Q4210 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4210
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.