Q4358 HCPCS code: Xwrap dual, per square centimeter
Q4358 is the HCPCS Level II code for xwrap dual, per square centimeter. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case.
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 | 2025-04-01 |
| Last action effective | 2025-04-01 |
What changed for Q4358
- April 2025: Code appears in this HCPCS release
- 2025-04-01: Q4358 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 Q4358?
Q4358 is the HCPCS Level II code for xwrap dual, per square centimeter. Short descriptor: "Xwrap dual, per sq cm".
Does Medicare cover Q4358?
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
- Q4310 — Procenta, per 100 mg
- Q4311 — Acesso, 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 Q4358
- Watch Q4358 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4358
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.