Q4155 — Neoxflo or clarixflo, 1 mg
Q4155 is a HCPCS Level II code for neoxflo or clarixflo, 1 mg. It belongs to the Temporary Codes section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusC
Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for Q4155
- Long descriptor
- Neoxflo or clarixflo, 1 mg
- Short descriptor
- Neoxflo or clarixflo 1 mg
- Added
- January 1, 2015
- BETOS
- O1E
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to Q4155
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4155 is not quite right, the correct code is very often within a few positions of it.
- Q4147Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4148Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4149Excellagen, 0.1 cc
- Q4150Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4151Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4152Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4153Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4154Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4156Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4157Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4159Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4160Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4161Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4162Woundex flow, bioskin flow, 0.5 cc
- Q4163Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4155
What is HCPCS code Q4155?
Q4155 is a HCPCS Level II code for neoxflo or clarixflo, 1 mg. It sits in the Temporary Codes section.
Does Medicare cover Q4155?
The CMS HCPCS file marks Q4155 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is Q4155 paid under the physician fee schedule?
Q4155 carries PFS status code C. Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.