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 | $12.13 | 1700811262 - JOSHUA ZAGER | 451587399 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $24.57 | 1952620742 - ANDREA SCHERER | 590634433 - THE NEMOURS FOUNDATION | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $12.02 | 1013972413 - DAWN MILES | 593675191 - (FL) D S MILES D P M P A | FL | Podiatrist (213E00000X) |
United | Q4010 | $12.13 | 1821319682 - AVERY BUCHHOLZ | 540945335 - (VA) NEUROSURGICAL ASSOCIATES, P. C. 401K PROFIT SHARING PLAN | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $12.13 | 1033524459 - JOEL MARTIN | 592579938 - UNIVERSITY OF MIAMI | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $10.31 | 1528257730 - JOHNNY GIBBS | 364907908 - (AL) AFFINITY ORTHOPEDIC SPECIALISTS LLC | AL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | Q4010 | $15.43 | 1427286723 - LAUREN CROCCO | 131740114 - MONTEFIORE MEDICAL CENTER | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | Q4010 | $12.13 | 1316354426 - HANA FINN | 273509264 - (FL) MIAMI PODIATRY PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $12.13 | 1508988015 - DPM HAIRSTON 01 FL LLC | 201739960 - (FL) DPM HAIRSTON 01 FL LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
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 | $11.63 | 1154663235 - RADU PURTUC | 852818339 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $11.60 | 1205122736 - PAMELA WARNER | 473808924 | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | Q4010 | $10.31 | 1336708650 - TORI BREITENBACH | 264262681 - (TN) GATEWAY FOOT AND ANKLE CENTER | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4010 | $11.40 | 1760443766 - AIZIK WOLF | 270166424 | FL | Neurological Surgery Physician (207T00000X) |
United | Q4010 | $11.02 | 1285653592 - JOHN SCHILERO | 650327403 - (FL) PALM BEACH ORTHOPAEDIC INSTITUTE, P.A. | 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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