Q4191 — Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)
Q4191 is a HCPCS Level II code for restorigin, per square centimeter (add-on, list separately in addition to primary procedure). 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 statusA
Active code. Paid separately under the physician fee schedule.
- Work RVU
- 0.00
- PE (non-facility)
- 3.81
- PE (facility)
- 3.81
- Malpractice RVU
- 0.00
Global period: ZZZ
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The CMS record for Q4191
- Long descriptor
- Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Restorigin 1 sq cm
- Added
- January 1, 2019
- BETOS
- O1E
- Pricing indicator
- 11 — 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 using national RVUs.
Codes adjacent to Q4191
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4191 is not quite right, the correct code is very often within a few positions of it.
- Q4183Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4184Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4185Cellesta flowable amnion (25 mg per cc); per 0.5 cc
- Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4187Epicord, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4188Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4189Artacent ac, 1 mg
- Q4190Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4192Restorigin, 1 cc
- Q4193Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4194Novachor, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4195Puraply, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4196Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4197Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4198Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4199Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4191
What is HCPCS code Q4191?
Q4191 is a HCPCS Level II code for restorigin, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4191?
The CMS HCPCS file marks Q4191 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 Q4191 paid under the physician fee schedule?
Q4191 carries PFS status code A. Active code. Paid separately under the physician fee schedule.