HCPCS Q4021 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 Q4021 by major payers:
$7.24
$4.51
$7.70
$6.86
| 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 Q4021 | ||||||
United | Q4021 | $4.00 | 1598257271 - NICOLE ZAHN | 621545731 - BAPTIST MEMORIAL MEDICAL GROUP INC | TN | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $4.15 | 1073976429 - YOUSTINA BOLOS | 592929608 - (FL) MUSCULOSKELETAL INSTITUTE INC. FLORIDA ORTHOPAEDIC INSTITUTE | FL | Podiatrist (213E00000X) |
United | Q4021 | $4.19 | 1023058153 - BARRY SCHAPIRO | 872344409 - (FL) ACME SPINE ORTHOPEDICS LLC | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | Q4021 | $8.64 | 1992190524 - RICHARD HARRIS | 630649108 - (AL) UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION PC | FL | Foot Surgery Podiatrist (213ES0131X) |
United | Q4021 | $4.19 | 1629445275 - CERTIFIED FOOT & ANKLE SPECIALISTS | 270492585 - (FL) CERTIFIED FOOT ANKLE SPECIALISTS | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $4.34 | 1124240445 - FOOT & ANKLE GROUP P A | 650423698 - (FL) THE FOOT & ANKLE GROUP, P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $3.75 | 1609981885 - LAWRENCE COHN | 562298955 - (FL) KENDALL PODIATRY & SPORTS MEDICINE, INC. | FL | Podiatrist (213E00000X) |
United | Q4021 | $4.19 | 1477896215 - MATTHEW MARTINCEVIC | 822410133 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $4.19 | 1225006794 - JOHN BAKER | 650633127 - (FL) JOHN E BAKER DPM PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $3.47 | 1740251750 - JEROLD GOLDSTEIN | 650476788 - (FL) FOOT & ANKLE GROUP OF SOUTHWEST FLORIDA, P.A. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $4.00 | 1922482322 - PATRICK KIM | 237313346 - (FL) UNIVERSITY MEDICAL SERVICE ASSOCIATION INC | WA | Neurological Surgery Physician (207T00000X) |
United | Q4021 | $4.19 | 1780773317 - LAKE FOOT AND ANKLE PA, LAKESIDE FOOT AND ANKLE CENTER | 205086594 - (FL) LAKE FOOT & ANKLE PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $3.95 | 1013904531 - RONALD OBERMAN | 650638734 | FL | Podiatrist (213E00000X) |
United | Q4021 | $3.95 | 1760489702 - EUGENE MACDONALD | 814382350 - (IN) ND CONSULTING MANAGEMENT LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4021 | $3.68 | 1073629234 - THOMAS WINTERS | 592856213 - (FL) THOMAS F. WINTERS, JR, MD, PA | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
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 Q4021 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4021 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 Q4021 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 |
|---|---|---|
| Q4020-HCPCS | Low | Cast supplies, long arm splint, pediatric (0-10 years), fiberglass |
| Q4021-HCPCS | Low | Cast supplies, short arm splint, adult (11 years +), plaster |
| Q4022-HCPCS | Low | Cast supplies, short arm splint, adult (11 years +), fiberglass |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4021 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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