Q4313 HCPCS code: Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4313 is the HCPCS Level II code for dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $2,512.86 per service for Q4313 across 11,090 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, about 40 clinicians billed Medicare for Q4313 for 92 beneficiaries.
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 | 2024-07-01 |
| Last action effective | 2026-01-01 |
Who bills Q4313 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 40 |
| Medicare beneficiaries | 92 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4313, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 11,090 | 92 | $3,153.90 | $2,512.86 |
States with the most Q4313 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 8,111 | $2,419.17 |
What changed for Q4313
- January 2026: Descriptor revised (Was: Dermabind fm, per square centimeter)
- 2024-07-01: Q4313 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 Q4313?
Q4313 is the HCPCS Level II code for dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Dermabind fm, per sq cm".
How much does Medicare pay for Q4313?
In 2024, the average Medicare payment was $2,512.86 per service (average allowed $3,153.90).
Does Medicare cover Q4313?
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 (add-on, list separately in addition to primary procedure)
- Q4301 — Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4302 — Complete aca, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4303 — Complete aa, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4304 — Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4305 — American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4306 — American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4307 — American amnion, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4308 — Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4309 — Via matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4310 — Procenta, per 100 mg
- Q4311 — Acesso, 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 Q4313
- Watch Q4313 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4313
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.