Q4248 HCPCS code: Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4248 is the HCPCS Level II code for dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $847.58 per service for Q4248 across 28,540 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 1% from 2022 to 2024 (28,257 to 28,540 services). In 2024, about 291 clinicians billed Medicare for Q4248 for 793 beneficiaries; California, Florida, Tennessee accounted for 30% of services.
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 | 2020-07-01 |
| Last action effective | 2026-01-01 |
Who bills Q4248 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 291 |
| Medicare beneficiaries | 793 |
| States with claims | 22 |
| Share of services in top 3 states (California, Florida, Tennessee) | 30% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4248, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 28,257 | 496 | $1,057.54 | $843.35 |
| 2023 | 71,864 | 1,148 | $1,027.34 | $818.49 |
| 2024 | 28,540 | 793 | $1,064.18 | $847.58 |
States with the most Q4248 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,940 | $843.10 |
| Florida | 2,600 | $849.04 |
| Tennessee | 2,380 | $848.90 |
| New York | 2,172 | $846.23 |
| North Carolina | 1,815 | $847.78 |
What changed for Q4248
- January 2026: Descriptor revised (Was: Dermacyte amniotic membrane allograft, per square centimeter)
- 2020-07-01: Q4248 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 Q4248?
Q4248 is the HCPCS Level II code for dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Dermacyte amn mem allo sq cm".
How much does Medicare pay for Q4248?
In 2024, the average Medicare payment was $847.58 per service (average allowed $1,064.18).
Does Medicare cover Q4248?
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 Q4248
- Watch Q4248 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4248
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.