Q4271 HCPCS code: Complete ft, per square centimeter
Q4271 is the HCPCS Level II code for complete ft, per square centimeter. In 2024 Medicare paid an average of $1,304.01 per service for Q4271 across 713,832 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 18621% from 2023 to 2024 (3,813 to 713,832 services). In 2024, about 1,089 clinicians billed Medicare for Q4271 for 5,128 beneficiaries; California, Texas, Illinois accounted for 49% of services.
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 | 2023-04-01 |
| Last action effective | 2023-04-01 |
Who bills Q4271 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 1,089 |
| Medicare beneficiaries | 5,128 |
| States with claims | 38 |
| Share of services in top 3 states (California, Texas, Illinois) | 49% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4271, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 3,813 | 17 | $1,623.79 | $1,293.75 |
| 2024 | 713,832 | 5,128 | $1,636.66 | $1,304.01 |
States with the most Q4271 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 211,837 | $1,297.01 |
| Texas | 76,477 | $1,315.98 |
| Illinois | 58,992 | $1,294.64 |
| Florida | 50,404 | $1,282.17 |
| Arizona | 49,659 | $1,305.88 |
What changed for Q4271
- 2023-04-01: Q4271 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 Q4271?
Q4271 is the HCPCS Level II code for complete ft, per square centimeter. Short descriptor: "Complete ft per sq cm".
How much does Medicare pay for Q4271?
In 2024, the average Medicare payment was $1,304.01 per service (average allowed $1,636.66).
Does Medicare cover Q4271?
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
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Next steps
- Run a reimbursement report for a device billed under Q4271
- Watch Q4271 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4271
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.