Q4417 — Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)
Q4417 is a HCPCS Level II code for alexiguard dl-t, 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 Q4417
- Long descriptor
- Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Alexiguard dl-t per sq cm
- Added
- January 1, 2026
- 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 Q4417
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4417 is not quite right, the correct code is very often within a few positions of it.
- Q4409Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4410Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4411Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4412Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4413Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4414Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4415Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4416Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4418Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4419Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4420Nuform, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4421Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4422A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4423Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4424Revive ft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4425Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4417
What is HCPCS code Q4417?
Q4417 is a HCPCS Level II code for alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4417?
The CMS HCPCS file marks Q4417 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 Q4417 paid under the physician fee schedule?
Q4417 carries PFS status code A. Active code. Paid separately under the physician fee schedule.