Q4268 HCPCS code: Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4268 is the HCPCS Level II code for surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $904.48 per service for Q4268 across 40,465 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 2352% from 2023 to 2024 (1,650 to 40,465 services). In 2024, about 87 clinicians billed Medicare for Q4268 for 291 beneficiaries; Oklahoma, California, Illinois accounted for 70% 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 | 2023-04-01 |
| Last action effective | 2026-01-01 |
Who bills Q4268 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 87 |
| Medicare beneficiaries | 291 |
| States with claims | 7 |
| Share of services in top 3 states (Oklahoma, California, Illinois) | 70% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4268, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 1,650 | 15 | $1,039.65 | $828.34 |
| 2024 | 40,465 | 291 | $1,135.21 | $904.48 |
States with the most Q4268 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Oklahoma | 16,147 | $842.88 |
| California | 5,340 | $1,041.60 |
| Illinois | 3,908 | $1,044.42 |
| New Jersey | 3,380 | $922.62 |
| New York | 2,824 | $988.21 |
What changed for Q4268
- January 2026: Descriptor revised (Was: Surgraft ft, per square centimeter)
- 2023-04-01: Q4268 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 Q4268?
Q4268 is the HCPCS Level II code for surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Surgraft ft per sq cm".
How much does Medicare pay for Q4268?
In 2024, the average Medicare payment was $904.48 per service (average allowed $1,135.21).
Does Medicare cover Q4268?
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 Q4268
- Watch Q4268 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4268
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.