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HCPCS Q4250 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.

Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
Key FactDetail
Service Type

Temporary Codes

Skin Substitutes and Biologicals

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for Q4250

National average reimbursement for HCPCS Q4250 by major payers:

bcbs

$413.37

uhc

$2,972.69

aetna

$2,393.12

cigna

$2,433.88

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS Q4250.

HCPCS Q4250
5 of 25 sample ratesHigher to lower in this preview
  1. Stephen An

    CAFoot & Ankle Surgery PodiatristNPI 1467835991Tax ID 36-4600607

    $3,522.60Published rate
  2. Sameena Syed

    Hoag Clinic Inc

    CAInternal Medicine PhysicianNPI 1538659677Tax ID 33-0676831

    $3,275.13Published rate
  3. Robina Ahmad

    Providence Medical Foundation

    CAFamily Medicine PhysicianNPI 1003265745Tax ID 33-0185031

    $3,204.31Published rate
  4. Melissa Lipari

    CAFoot & Ankle Surgery PodiatristNPI 1518523489Tax ID 36-4600607

    $2,935.50Published rate
  5. Amy Alias

    Providence Medical Foundation

    CAInternal Medicine PhysicianNPI 1306015607Tax ID 33-0185031

    $2,455.62Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS Q4250 vs. Other Skin Substitutes and Biologicals Codes

The HCPCS Q4250 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 Q4250 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.

CodeComplexityDescription
Q4249-HCPCSModerateAmniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
Q4250-HCPCSModerateAmnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
Q4251-HCPCSLowVim, per square centimeter (add-on, list separately in addition to primary procedure)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the Q4250 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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