CMS assigns Q codes to procedures, services, and supplies on a temporary basis. When a permanent code is assigned, the Q code is deleted and cross-referenced.


  • Q4033

    Cast supplies, long leg cylinder cast, adult (11 years +), plaster
  • Q4034

    Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
  • Q4035

    Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
  • Q4036

    Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
  • Q4037

    Cast supplies, short leg cast, adult (11 years +), plaster
  • Q4038

    Cast supplies, short leg cast, adult (11 years +), fiberglass
  • Q4039

    Cast supplies, short leg cast, pediatric (0-10 years), plaster
  • Q4040

    Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
  • Q4041

    Cast supplies, long leg splint, adult (11 years +), plaster
  • Q4042

    Cast supplies, long leg splint, adult (11 years +), fiberglass


  • Continued
  • Q4043

    Cast supplies, long leg splint, pediatric (0-10 years), plaster
  • Q4044

    Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
  • Q4045

    Cast supplies, short leg splint, adult (11 years +), plaster
  • Q4046

    Cast supplies, short leg splint, adult (11 years +), fiberglass
  • Q4047

    Cast supplies, short leg splint, pediatric (0-10 years), plaster
  • Q4048

    Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
  • Q4049

    Finger splint, static
  • Q4050

    Cast supplies, for unlisted types and materials of casts
  • Q4051

    Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
  • Q4074

    Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
  • Q4081

    Injection, epoetin alfa, 100 units (for esrd on dialysis)
  • Q4082

    Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)
  • Q4100

    Skin substitute, not otherwise specified
  • Q4101

    Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4102

    Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4103

    Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4104

    Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4105

    Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4106

    Dermagraft, per square centimeter
  • Q4107

    Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)


  • Continued
  • Q4108

    Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4110

    Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4111

    Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4112

    Cymetra, injectable, 1 cc
  • Q4113

    Graftjacket xpress, injectable, 1 cc
  • Q4114

    Integra flowable wound matrix, injectable, 1 cc
  • Q4115

    Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4116

    Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4117

    Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4118

    Matristem micromatrix, 1 mg
  • Q4119

    Matristem wound matrix, per square centimeter
  • Q4120

    Matristem burn matrix, per square centimeter
  • Q4121

    Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4122

    Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4123

    Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4124

    Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4125

    Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4126

    Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4127

    Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4128

    Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)