Q4369 – Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)
HCPCS Level II code · Q codes: Temporary Codes
HCPCS codeQ4369
- Long description
- Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)
- Short description
- Amnioplast 3 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
- July 1, 2025
- Last change
- January 1, 2026 – No change
Frequently asked questions
What is HCPCS code Q4369?
Q4369 is a HCPCS Level II code for amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure).
Does Medicare cover Q4369?
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
- 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)
- Q4363 – Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4364 – Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4365 – Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4366 – Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4367 – Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4368 – Amchothick, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4370 – Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4371 – Neoguard, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4372 – Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4373 – Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4375 – Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4376 – Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4377 – Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4378 – Renew ft matrix, 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.