HCPCS Q4045 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 Q4045 by major payers:
$12.24
$7.75
$10.98
$11.52
| 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 Q4045 | ||||||
United | Q4045 | $7.23 | 1730549395 - SCOTT COHEN | 931624225 - (FL) SEACOAST FOOT AND ANKLE LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4045 | $9.96 | 1427251230 - ADAM POLIFKA | 30571183 - (FL) LYERLY BAPTIST INC | FL | Neurological Surgery Physician (207T00000X) |
United | Q4045 | $6.80 | 1548502867 - BAMIDELE OLUPONA | 650429853 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4045 | $6.80 | 1306844303 - MAURICIO HERRERA | 650667458 - (FL) MIAMI INSTITUTE FOR JOINT RECONSTRUCTION | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | Q4045 | $6.80 | 1720079163 - JAMES COTTOM | 650429853 | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4045 | $6.92 | 1790854594 - CARLOS MOREYRA | 350895832 - (IN) NORTON - KINGS DAUGHTERS HEALTH INC | CO | Orthopaedic Trauma Physician (207XX0801X) |
United | Q4045 | $6.88 | 1790072106 - DUSTIN HATEFI | 821647544 - (FL) NEUSPINE INSTITUTE, LLC | CA | Neurological Surgery Physician (207T00000X) |
United | Q4045 | $5.65 | 1265512685 - ROBERT KNEGO | 50531835 - (FL) NEUROSURGERY SPINE SPECIALISTS | FL | Neurological Surgery Physician (207T00000X) |
United | Q4045 | $7.23 | 1114207974 - STEPHANIE FREY | 471721154 - (FL) PATRIOT PODIATRY | FL | Podiatrist (213E00000X) |
United | Q4045 | $6.92 | 1487654166 - DEAN SORRENTO | 593509645 - (FL) ALL PODIATRY GROUP, INC. | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4045 | $6.46 | 1841255700 - MARIA SURPRENANT | 650809693 - (FL) THE FOOT ANKLE INSTITUTE OF SOUTH FLORIDA INC | FL | Foot Surgery Podiatrist (213ES0131X) |
United | Q4045 | $6.80 | 1619148293 - JOSE VALERIO | 452065887 - (FL) MIAMI NEUROSCIENCE CENTER LLC | FL | Neurological Surgery Physician (207T00000X) |
United | Q4045 | $5.98 | 1528118908 - FEITZ FOOT CLINIC P A | 912128328 | FL | Podiatrist (213E00000X) |
United | Q4045 | $6.46 | 1235153321 - DAVID FEDER | 650437060 - (FL) SCHORR AND FEDER, DPM, PA | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4045 | $7.23 | 1881627909 - JAMES GUEST | 592579938 - UNIVERSITY OF MIAMI | FL | Neurological Surgery Physician (207T00000X) |
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 Q4045 vs. Other Cast and Splint Supplies Codes
The HCPCS Q4045 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 Q4045 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 |
|---|---|---|
| Q4044-HCPCS | Low | Cast supplies, long leg splint, pediatric (0-10 years), fiberglass |
| Q4045-HCPCS | Low | Cast supplies, short leg splint, adult (11 years +), plaster |
| Q4046-HCPCS | Low | Cast supplies, short leg 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 Q4045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4045 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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