Question 1

What is HCPCS code Q4240?

Accepted Answer

HCPCS code Q4240 is "Corecyte topical only 0.5 cc". Corecyte, for topical use only, per 0.5 cc

Question 2

What category is Q4240 in?

Accepted Answer

Q4240 belongs to HCPCS Category Q (Temporary Codes).

Question 3

When should I use HCPCS code Q4240?

Accepted Answer

Use Q4240 when billing for corecyte topical only 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 Q4240 covered by Medicare?

Accepted Answer

Coverage for Q4240 (Corecyte topical only 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 Q4240?

Accepted Answer

Documentation for Q4240 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).