Q4354 – Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
HCPCS Level II code · Q codes: Temporary Codes
HCPCS codeQ4354
- Long description
- Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Short description
- Palingen dl-palingen dl-x
- 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, 2025
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code Q4354?
Q4354 is a HCPCS Level II code for palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure).
Does Medicare cover Q4354?
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
- Q4346 – Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4347 – Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4348 – Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4349 – Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4350 – Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4351 – Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4352 – Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4353 – Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4355 – Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4356 – Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4357 – Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4358 – Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4359 – Choriply, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4360 – Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4361 – Epixpress, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4362 – Cygnus disk, 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.