Q4197 — Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
Q4197 is a HCPCS Level II code for puraply xt, 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
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for Q4197
- Long descriptor
- Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Puraply xt 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 Q4197
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4197 is not quite right, the correct code is very often within a few positions of it.
- Q4189Artacent ac, 1 mg
- Q4190Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4191Restorigin, 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)
- 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)
- Q4200Skin te, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4201Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4202Keroxx (2.5g/cc), 1cc
- Q4203Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4204Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4197
What is HCPCS code Q4197?
Q4197 is a HCPCS Level II code for puraply xt, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4197?
The CMS HCPCS file marks Q4197 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 Q4197 paid under the physician fee schedule?
Q4197 carries PFS status code A. Active code. Paid separately under the physician fee schedule.