Q4226 — Myown skin, includes harvesting and preparation procedures, per square centimeter
Q4226 is a HCPCS Level II code for myown skin, includes harvesting and preparation procedures, per square centimeter. 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 statusE
Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).
Global period: XXX
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The CMS record for Q4226
- Long descriptor
- Myown skin, includes harvesting and preparation procedures, per square centimeter
- Short descriptor
- Myown harv prep proc sq cm
- Added
- October 1, 2019
- BETOS
- O1E
- Pricing indicator
- 51 — Other
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.
Drugs.
Codes adjacent to Q4226
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4226 is not quite right, the correct code is very often within a few positions of it.
- Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4218Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4219Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4220Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4221Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4222Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4224Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)
- Q4225Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4227Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4228Bionextpatch, per square centimeterterminated
- Q4229Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4230Cogenex flowable amnion, per 0.5 cc
- Q4231Corplex p, per ccterminated
- Q4232Corplex, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4233Surfactor or nudyn, per 0.5 cc
- Q4234Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4226
What is HCPCS code Q4226?
Q4226 is a HCPCS Level II code for myown skin, includes harvesting and preparation procedures, per square centimeter. It sits in the Temporary Codes section.
Does Medicare cover Q4226?
The CMS HCPCS file marks Q4226 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 Q4226 paid under the physician fee schedule?
Q4226 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).