Question 1

What is HCPCS code Q4217?

Accepted Answer

HCPCS code Q4217 is "Woundfix biowound plus xplus". Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)

Question 2

What category is Q4217 in?

Accepted Answer

Q4217 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q4217?

Accepted Answer

Use Q4217 when billing for woundfix biowound plus xplus. 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 Q4217 covered by Medicare?

Accepted Answer

Coverage for Q4217 (Woundfix biowound plus xplus) 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 Q4217?

Accepted Answer

Documentation for Q4217 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).