Q4119 – Matristem wound matrix, per square centimeter
HCPCS Level II code · Q codes: Temporary Codes
HCPCS codeQ4119
- Long description
- Matristem wound matrix, per square centimeter
- Short description
- Matristem wound matrix
- Pricing indicator
51Drugs- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- Added
- January 1, 2011
- Last change
- January 1, 2017 – No change
- Termination date
- December 31, 2016
Frequently asked questions
What is HCPCS code Q4119?
Q4119 is a HCPCS Level II code for matristem wound matrix, per square centimeter. It was discontinued on December 31, 2016.
Does Medicare cover Q4119?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby Q codes
- Q4111 – Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4112 – Cymetra, injectable, 1 cc
- Q4113 – Graftjacket xpress, injectable, 1 cc
- Q4114 – Integra flowable wound matrix, injectable, 1 cc
- Q4115 – Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4116 – Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4117 – Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4118 – Matristem micromatrix, 1 mg
- Q4120 – Matristem burn matrix, per square centimeter
- Q4121 – Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4122 – Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4123 – Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4124 – Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4125 – Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4126 – Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4127 – Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.