HCPCS Q4022 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 Q4022 by major payers:
$13.14
$8.15
$15.65
$12.38
| 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 Q4022 | ||||||
United | Q4022 | $15.65 | 1528324621 - BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC, INDUSTRIAL HEALTH | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Single Specialty Group (193400000X) |
United | Q4022 | $15.65 | 1356801161 - VIVIAN STANGE | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Occupational Therapist (225X00000X) |
United | Q4022 | $15.65 | 1538130257 - BAHER BASTA | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Nephrology Physician (207RN0300X) |
United | Q4022 | $15.65 | 1639232234 - BLUE RIDGE ORTHOPAEDICS PHYSICAL THERAPY | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | Q4022 | $16.18 | 1356344253 - NIVEDITA CHANDER | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Nephrology Physician (207RN0300X) |
United | Q4022 | $16.18 | 1639232234 - BLUE RIDGE ORTHOPAEDICS PHYSICAL THERAPY | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | Q4022 | $16.18 | 1528324621 - BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC, INDUSTRIAL HEALTH | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | Q4022 | $16.18 | 1235558958 - MIGUEL PELTON | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | Q4022 | $15.65 | 1245410166 - RYAN HOTT | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | Q4022 | $16.18 | 1851472328 - FAUQUIER EAR NOSE AND THROAT CONSULTANTS, PLC, FAUQUIER ENT CONSULTANTS, PLC | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Otolaryngology Physician (207Y00000X) |
United | Q4022 | $16.18 | 1235558958 - MIGUEL PELTON | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopaedic Surgery Physician (207X00000X) |
United | Q4022 | $15.65 | 1982954244 - MEGHANN DEIS | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | OH | Physical Therapist (225100000X) |
United | Q4022 | $16.18 | 1053391250 - MICHAEL POSS | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Interventional Pain Medicine Physician (208VP0014X) |
United | Q4022 | $15.65 | 1124108600 - DAVID PFEFFER | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Urology Physician (208800000X) |
United | Q4022 | $16.18 | 1245410166 - RYAN HOTT | 541048105 - (VA) BLUE RIDGE ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
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 Q4022 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4022 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 Q4022 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 |
|---|---|---|
| Q4021-HCPCS | Low | Cast supplies, short arm splint, adult (11 years +), plaster |
| Q4022-HCPCS | Low | Cast supplies, short arm splint, adult (11 years +), fiberglass |
| Q4023-HCPCS | Low | Cast supplies, short arm splint, 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 Q4022. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4022 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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