Q4332 HCPCS code: Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure)
Q4332 is the HCPCS Level II code for axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure). In 2024 Medicare paid an average of $1,342.92 per service for Q4332 across 18,683 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, about 200 clinicians billed Medicare for Q4332 for 458 beneficiaries; Florida, California, Illinois accounted for 75% 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 | 2024-07-01 |
| Last action effective | 2026-01-01 |
Who bills Q4332 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 200 |
| Medicare beneficiaries | 458 |
| States with claims | 8 |
| Share of services in top 3 states (Florida, California, Illinois) | 75% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4332, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 18,683 | 458 | $1,685.50 | $1,342.92 |
States with the most Q4332 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 7,319 | $1,340.71 |
| California | 2,309 | $1,347.63 |
| Illinois | 1,803 | $1,344.72 |
| Georgia | 1,606 | $1,327.47 |
| Texas | 838 | $1,345.38 |
What changed for Q4332
- January 2026: Descriptor revised (Was: Axolotl dualgraft, per square centimeter)
- 2024-07-01: Q4332 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 Q4332?
Q4332 is the HCPCS Level II code for axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Axolotl dualgraft, per sq cm".
How much does Medicare pay for Q4332?
In 2024, the average Medicare payment was $1,342.92 per service (average allowed $1,685.50).
Does Medicare cover Q4332?
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 Q4332
- Watch Q4332 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4332
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.