HCPCS Service Codes - Medical care

HCPCS Service Code 1 for Medical care.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Medical care

  • 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)

  • 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)

  • Q4129

    Unite biomatrix, per square centimeter

  • Q4130

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

  • Q4131

    Epifix or epicord, per square centimeter

  • Q4132

    Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4133

    Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4134

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

  • Q4135

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

  • Q4136

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

  • Q4137

    Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4138

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

  • Q4139

    Amniomatrix or biodmatrix, injectable, 1 cc

  • Q4140

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

  • Q4141

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

  • Q4142

    Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4143

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

  • Q4145

    Epifix, injectable, 1 mg

  • Q4146

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

  • Q4147

    Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4148

    Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4149

    Excellagen, 0.1 cc

  • Q4150

    Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)

  • Q4151

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