Q4435 — Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Q4435 is a HCPCS Level II code for renati membrane, 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 Q4435
- Long descriptor
- Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Renati membrane per sq cm
- Added
- April 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 Q4435
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4435 is not quite right, the correct code is very often within a few positions of it.
- Q4425Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4426Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4427Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4428Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4429Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4431Pma skin substitute product, not otherwise specified (list in addition to primary procedure)
- Q4432510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)
- Q4433361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
- Q4436Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4437Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4438Pretect, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4439Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4440Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q5001Hospice or home health care provided in patient's home/residence
- Q5002Hospice or home health care provided in assisted living facility
- Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Questions about Q4435
What is HCPCS code Q4435?
Q4435 is a HCPCS Level II code for renati membrane, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4435?
The CMS HCPCS file marks Q4435 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 Q4435 paid under the physician fee schedule?
Q4435 carries PFS status code A. Active code. Paid separately under the physician fee schedule.