HCPCS Q4187 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 • Skin Substitutes and Biologicals |
| Complexity Level | Moderate |
| CMS | $242.73 Drug ASP |
National average reimbursement for HCPCS Q4187 by major payers:
$214.00
$258.65
$261.78
$263.06
| 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 Q4187 | ||||||
United | Q4187 | $242.72 | 1437167327 - KIEU DANG | 270750186 - (WA) CLIVE M LIU MD PLLC | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $244.49 | 1306067814 - DANIEL LEVY | 263374369 - (WA) NEWVUE PLASTIC SURGERY, PC | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $244.49 | 1033447081 - PETER JENKIN MD PLLC, DERMATOLOGY ASSOCIATES | 271296353 - (WA) PETER JENKIN, MD, PLLC DBA DERMATOLOGY ASSOCIATE | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $242.72 | 1417930454 - KYUNG NOH | 911939739 - FRANCISCAN MEDICAL GROUP | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $242.72 | 1093704959 - JAIME ARANDA-MICHEL | 260656038 - SOUTHWEST WASHINGTON MEDICAL GROUP, P.S. | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $291.27 | 1356457063 - MARK DERLETH | 912047402 | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $242.72 | 1033447081 - PETER JENKIN MD PLLC, DERMATOLOGY ASSOCIATES | 271296353 - (WA) PETER JENKIN, MD, PLLC DBA DERMATOLOGY ASSOCIATE | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $242.72 | 1720366883 - NAZANIN KAATZ | 910928081 | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $244.49 | 1760423388 - FRIEDRICH LOURA | 911602128 - (WA) WESTERN WASHINGTON MEDICAL GROUP, INC., P.S. | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $242.72 | 1003235706 - LAUREN BOUDREAUX | 262636087 - SILVER FALLS DERMATOLOGY, LLC | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $242.72 | 1841446655 - MAIYEN HAWKINS | 911602128 - (WA) WESTERN WASHINGTON MEDICAL GROUP, INC., P.S. | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $242.72 | 1578769303 - KALYAN KANNEGANTI | 911939739 - FRANCISCAN MEDICAL GROUP | WA | Gastroenterology Physician (207RG0100X) |
United | Q4187 | $242.72 | 1700809829 - LEGACY SALMON CREEK HOSPITAL | 331065485 - LEGACY SALMON CREEK HOSPITAL | WA | General Acute Care Hospital (282N00000X) |
United | Q4187 | $244.49 | 1124037817 - BRENDA NEWMAN | 611688913 - (WA) DERMATOLOGY CLINIC PLLC | WA | Dermatology Physician (207N00000X) |
United | Q4187 | $242.72 | 1609300649 - MERRICK BRODSKY | 320057116 - (OH) DAYTON SKIN SURGERY CENTER INC | WA | Dermatology Physician (207N00000X) |
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 Q4187 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4187 code is part of the Temporary Codes services used for Skin Substitutes and Biologicals. 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 Q4187 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 |
|---|---|---|
| Q4186-HCPCS | Low | Epifix, per square centimeter |
| Q4187-HCPCS | Moderate | Epicord, per square centimeter |
| Q4188-HCPCS | Moderate | Amnioarmor, per square centimeter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4187. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4187 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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