Question 1

What is HCPCS code Q4001?

Accepted Answer

HCPCS code Q4001 is "Cast sup body cast plaster". Casting supplies, body cast adult, with or without head, plaster

Question 2

What category is Q4001 in?

Accepted Answer

Q4001 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q4001?

Accepted Answer

Use Q4001 when billing for cast sup body cast plaster. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is Q4001 covered by Medicare?

Accepted Answer

Coverage for Q4001 (Cast sup body cast plaster) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for Q4001?

Accepted Answer

Documentation for Q4001 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).