HCPCS Q4010 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary Codes • Cast and Splint Supplies |
| Complexity Level | Low |
National average reimbursement for HCPCS Q4010 by major payers:
$20.64
$13.03
$22.90
$19.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS Q4010 | ||||||
United | Q4010 | $10.86 | 1831345958 - MAURA M GONZALEZ DPM PA | 262710200 - (FL) MAURA M GONZALEZ DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $10.53 | 1063435758 - TIMOTHY WHYATT | 593388033 - (FL) SUNCOAST PODIATRY ASSOC | FL | Foot Surgery Podiatrist (213ES0131X) |
United | Q4010 | $12.13 | 1538455225 - JUAN CORONA RUIZ | 320294565 - (FL) WEST FLORIDA SPECIALTY PHYSICIANS LLC | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $10.53 | 1356630628 - PHYSICIAN PRACTICES OF MSMC, LLC | 451154796 | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $12.13 | 1083290662 - ANITA MISRA GOULART | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $13.52 | 1639582869 - TIMOTHY O'CONNOR | 264190328 - (FL) BOCACARE, INC. | NY | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $10.31 | 1336708650 - TORI BREITENBACH | 264262681 - (TN) GATEWAY FOOT AND ANKLE CENTER | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $12.13 | 1932227428 - NANNETTE DIAZ DPM PA | 208586177 - (FL) NANNETTE DIAZ DPM PA | FL | Podiatrist (213E00000X) |
United | Q4010 | $10.31 | 1578664074 - PODIATRY ASSOCIATES OF FLORIDA INC, PODIATRY ASSOCIATES OF NORTHEAST FLORIDA INC | 593502544 - (FL) PODIATRY ASSOCIATES OF FLORIDA INC | FL | Podiatrist (213E00000X) |
United | Q4010 | $11.55 | 1720037138 - PREFERRED PODIATRY GROUP PC | 363885637 - PREFERRED PODIATRY GROUP, P.C. | OH | Podiatrist (213E00000X) |
United | Q4010 | $12.13 | 1356690135 - ADAM SIEGEL | 593509645 - (FL) ALL PODIATRY GROUP, INC. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $12.13 | 1851754824 - RONALD TROXELL | 474754011 - (FL) DAVID BRAUN MD PLLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $12.13 | 1932445566 - PAUL THURSTON | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $14.14 | 1033159009 - DAVID THOMPSON | 593598056 - TALLAHASSEE ORTHOPEDIC CLINIC III | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | Q4010 | $12.13 | 1508988015 - DPM HAIRSTON 01 FL LLC | 201739960 - (FL) DPM HAIRSTON 01 FL LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS Q4010 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4010 code is part of the Temporary Codes services used for Cast and Splint Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4010 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4009-HCPCS | Low | Cast supplies, short arm cast, adult (11 years +), plaster |
| Q4010-HCPCS | Low | Cast supplies, short arm cast, adult (11 years +), fiberglass |
| Q4011-HCPCS | Low | Cast supplies, short arm cast, pediatric (0-10 years), plaster |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4010 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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