Q4310 HCPCS code: Procenta, per 100 mg
Q4310 is the HCPCS Level II code for procenta, per 100 mg. In 2024 Medicare paid an average of $2,037.96 per service for Q4310 across 4,207 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, about 31 clinicians billed Medicare for Q4310 for 136 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 | 2024-04-01 |
| Last action effective | 2024-04-01 |
Who bills Q4310 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 31 |
| Medicare beneficiaries | 136 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4310, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 4,207 | 136 | $2,557.85 | $2,037.96 |
States with the most Q4310 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 3,865 | $1,989.68 |
| Illinois | 109 | $2,673.08 |
Medicare policy articles for this code
- A58865: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B))
- A58883: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (Palmetto GBA (MAC - Part A, MAC - Part B))
- A58893: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A59374: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A59434: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (WPS Insurance Corporation (MAC - Part A, MAC - Part B))
- A59434: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (WPS Insurance Corporation (MAC - Part A, MAC - Part B))
- A59764: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B))
- A59766: Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B))
What changed for Q4310
- 2024-04-01: Q4310 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 Q4310?
Q4310 is the HCPCS Level II code for procenta, per 100 mg. Short descriptor: "Procenta, per 100 mg".
How much does Medicare pay for Q4310?
In 2024, the average Medicare payment was $2,037.96 per service (average allowed $2,557.85).
Does Medicare cover Q4310?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related Q43 codes
- Q4300 — Acesso tl, per square centimeter
- Q4301 — Activate matrix, per square centimeter
- Q4302 — Complete aca, per square centimeter
- Q4303 — Complete aa, per square centimeter
- Q4304 — Grafix plus, per square centimeter
- Q4305 — American amnion ac tri-layer, per square centimeter
- Q4306 — American amnion ac, per square centimeter
- Q4307 — American amnion, per square centimeter
- Q4308 — Sanopellis, per square centimeter
- Q4309 — Via matrix, per square centimeter
- Q4311 — Acesso, per square centimeter
- Q4312 — Acesso ac, per square centimeter
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 Q4310
- Watch Q4310 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4310
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.