Question 1

What is HCPCS code Q4004?

Accepted Answer

HCPCS code Q4004 is "Cast sup shoulder cast fbrgl". Cast supplies, shoulder cast, adult (11 years +), fiberglass

Question 2

What category is Q4004 in?

Accepted Answer

Q4004 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q4004?

Accepted Answer

Use Q4004 when billing for cast sup shoulder cast fbrgl. 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 Q4004 covered by Medicare?

Accepted Answer

Coverage for Q4004 (Cast sup shoulder cast fbrgl) 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 Q4004?

Accepted Answer

Documentation for Q4004 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).