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See a sample rate comparisonHCPCS Q4016 Fee Schedule
Last Verified: October 2026
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.
Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Cast and Splint Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4016 |
National average reimbursement for HCPCS Q4016 by major payers:
$14.08
$8.87
$12.61
$13.17
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HCPCS Q4016
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$30.34Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$18.20Published rateMarvin Fojtasek
Attigo Infusion Inc
$8.19Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$7.18Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$4.69Published rate
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See a sample payer proposalHCPCS Q4016 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4016 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 Q4016 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 |
|---|---|---|
| Q4015-HCPCS | Low | Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster |
| Q4016-HCPCS | Low | Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass |
| Q4017-HCPCS | Low | Cast supplies, long arm splint, adult (11 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 Q4016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4016 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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