Q4226 HCPCS code: Myown skin, includes harvesting and preparation procedures, per square centimeter
Q4226 is the HCPCS Level II code for myown skin, includes harvesting and preparation procedures, per square centimeter. In 2023 Medicare paid an average of $826.66 per service for Q4226 across 1,025 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 28% from 2022 to 2023 (1,426 to 1,025 services). In 2023, about 19 clinicians billed Medicare for Q4226 for 40 beneficiaries.
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 | 2019-10-01 |
Who bills Q4226 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 19 |
| Medicare beneficiaries | 40 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4226, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,426 | 29 | $398.27 | $317.77 |
| 2023 | 1,025 | 40 | $1,037.55 | $826.66 |
States with the most Q4226 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| California | 325 | $940.80 |
| Nevada | 248 | $680.94 |
What changed for Q4226
- 2019-10-01: Q4226 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 Q4226?
Q4226 is the HCPCS Level II code for myown skin, includes harvesting and preparation procedures, per square centimeter. Short descriptor: "Myown harv prep proc sq cm".
How much does Medicare pay for Q4226?
In 2023, the average Medicare payment was $826.66 per service (average allowed $1,037.55).
Does Medicare cover Q4226?
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
- Q4210 — Axolotl graft or axolotl dualgraft, per square centimeter
- Q4211 — Amnion bio or axobiomembrane, per square centimeter
- Q4212 — Allogen, per 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 Q4226
- Watch Q4226 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4226
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.