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See a sample rate comparisonHCPCS Q4038 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, short leg cast, adult (11 years +), fiberglass
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Cast and Splint Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4038 |
National average reimbursement for HCPCS Q4038 by major payers:
$43.51
$27.55
$46.43
$41.29
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HCPCS Q4038
5 of 25 sample ratesHigher to lower in this preview
Gan Golshteyn
$72.98Published rateD.S. Miles Dpm, PA, Dawn S. Miles Dpm PA
D S Miles D P M P A
$25.65Published rateElizabeth Davis
Foot And Ankle Specialists Of The Mid Atlantic, LLC
$24.59Published rateRobert Metnick
Kg Health Partners Inc
$22.53Published rateMichael Goodman
$17.11Published rate
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See a sample payer proposalHCPCS Q4038 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4038 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 Q4038 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 |
|---|---|---|
| Q4037-HCPCS | Low | Cast supplies, short leg cast, adult (11 years +), plaster |
| Q4038-HCPCS | Low | Cast supplies, short leg cast, adult (11 years +), fiberglass |
| Q4039-HCPCS | Low | Cast supplies, short leg 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 Q4038. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4038 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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