Q4269 – Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure)
HCPCS Level II code · Q codes: Temporary Codes
HCPCS codeQ4269
- Long description
- Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure)
- Short description
- Surgraft xt per sq cm
- Pricing indicator
11Priced using national RVUs (Physician Fee Schedule)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1EOther drugs- ASC
- Approved for ambulatory surgical centers
- Added
- April 1, 2023
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code Q4269?
Q4269 is a HCPCS Level II code for surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure).
Does Medicare cover Q4269?
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
- Q4261 – Tag, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4262 – Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4263 – Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4264 – Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4265 – Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4266 – Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4267 – Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4268 – Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4270 – Complete sl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4271 – Complete ft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4272 – Esano a, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4273 – Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4274 – Esano ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4275 – Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4276 – Orion, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4277 – Woundplus membrane or e-graft, per square centimeter
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.