Q4233 – Surfactor or nudyn, per 0.5 cc

HCPCS Level II code · Q codes: Temporary Codes

Active code Carrier judgment

HCPCS codeQ4233
Long description
Surfactor or nudyn, per 0.5 cc
Short description
Surfactor /nudyn per 0.5 cc
Pricing indicator
13 Priced by the Medicare contractor (carrier)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
O1E Other drugs
Added
July 1, 2020
Last change
January 1, 2026 – No change

Frequently asked questions

What is HCPCS code Q4233?

Q4233 is a HCPCS Level II code for surfactor or nudyn, per 0.5 cc.

Does Medicare cover Q4233?

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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.