Q4433 HCPCS code: 361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
Q4433 is the HCPCS Level II code for 361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure). 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 | 13 |
| BETOS category | O1E — Other drugs |
| Added | 2026-01-01 |
| Last action effective | 2026-01-01 |
Medicare policy articles for this code
- 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 Q4433
- January 2026: Code appears in this HCPCS release
- 2026-01-01: Q4433 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 Q4433?
Q4433 is the HCPCS Level II code for 361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure). Short descriptor: "361 hct/p skin subs, nos".
Does Medicare cover Q4433?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related Q44 codes
- Q4400 — Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4401 — Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4402 — Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4403 — Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4404 — Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4405 — Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4406 — Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4407 — Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4408 — Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4409 — Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4410 — Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4411 — Amniomatrixf4x, 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 Q4433
- Watch Q4433 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4433
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.