Q4250 HCPCS code: Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
Q4250 is the HCPCS Level II code for amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $1,887.59 per service for Q4250 across 70,405 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 350% from 2023 to 2024 (15,644 to 70,405 services). In 2024, about 285 clinicians billed Medicare for Q4250 for 1,283 beneficiaries; California, Texas, Florida accounted for 82% 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 | 2020-10-01 |
| Last action effective | 2026-01-01 |
Who bills Q4250 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 285 |
| Medicare beneficiaries | 1,283 |
| States with claims | 8 |
| Share of services in top 3 states (California, Texas, Florida) | 82% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4250, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 15,644 | 300 | $1,618.19 | $1,289.29 |
| 2024 | 70,405 | 1,283 | $2,369.20 | $1,887.59 |
States with the most Q4250 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 21,354 | $1,754.49 |
| Texas | 18,249 | $1,979.01 |
| Florida | 15,860 | $2,092.19 |
| Nevada | 5,695 | $1,751.75 |
| Utah | 4,264 | $1,516.60 |
What changed for Q4250
- January 2026: Descriptor revised (Was: Amnioamp-mp, per square centimeter)
- 2020-10-01: Q4250 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 Q4250?
Q4250 is the HCPCS Level II code for amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Amnioamp-mp per sq cm".
How much does Medicare pay for Q4250?
In 2024, the average Medicare payment was $1,887.59 per service (average allowed $2,369.20).
Does Medicare cover Q4250?
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 Q4250
- Watch Q4250 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4250
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.