Question 1

What is HCPCS code Q4230?

Accepted Answer

HCPCS code Q4230 is "Cogenex flow amnion 0.5 cc". Cogenex flowable amnion, per 0.5 cc

Question 2

What category is Q4230 in?

Accepted Answer

Q4230 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q4230?

Accepted Answer

Use Q4230 when billing for cogenex flow amnion 0.5 cc. 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 Q4230 covered by Medicare?

Accepted Answer

Coverage for Q4230 (Cogenex flow amnion 0.5 cc) 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 Q4230?

Accepted Answer

Documentation for Q4230 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).