Q4217 HCPCS code: Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
Q4217 is the HCPCS Level II code for woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $530.58 per service for Q4217 across 12,455 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 95% from 2022 to 2024 (255,326 to 12,455 services). In 2024, about 73 clinicians billed Medicare for Q4217 for 127 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 | 2019-10-01 |
| Last action effective | 2026-01-01 |
Who bills Q4217 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 73 |
| Medicare beneficiaries | 127 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4217, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 255,326 | 2,203 | $601.11 | $479.65 |
| 2023 | 329,665 | 2,520 | $1,274.99 | $1,015.78 |
| 2024 | 12,455 | 127 | $666.17 | $530.58 |
States with the most Q4217 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,869 | $611.49 |
| Florida | 494 | $507.88 |
What changed for Q4217
- January 2026: Descriptor revised (Was: Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter)
- 2019-10-01: Q4217 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 Q4217?
Q4217 is the HCPCS Level II code for woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Woundfix biowound plus xplus".
How much does Medicare pay for Q4217?
In 2024, the average Medicare payment was $530.58 per service (average allowed $666.17).
Does Medicare cover Q4217?
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 (add-on, list separately in addition to primary procedure)
- Q4201 — Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4202 — Keroxx (2.5g/cc), 1cc
- Q4203 — Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4204 — Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4205 — Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4206 — Fluid flow or fluid gf, 1 cc
- Q4207 — Carbon life, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4208 — Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)
- Q4209 — Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4210 — Axolotl graft or axolotl dualgraft, per square centimeter
- Q4211 — Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
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Next steps
- Run a reimbursement report for a device billed under Q4217
- Watch Q4217 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4217
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.