HCPCS Q4271 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary Codes • Skin Substitutes and Biologicals |
| Complexity Level | High |
| CMS | $1,210.48 Drug ASP |
National average reimbursement for HCPCS Q4271 by major payers:
$1,135.41
$1,633.08
$1,639.29
$1,685.13
| 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 Q4271 | ||||||
United | Q4271 | $1541.60 | 1861834178 - IVAN BRANDO AGUILERA | 1861834178 - (CA) IVAN BRANDO AGUILERA | CA | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | Q4271 | $4140.29 | 1104837426 - ALEKSANDRIYA DEMENKO | 870737748 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $1541.60 | 1194751289 - PATRICK GONZALES | 912105475 - (CA) PATRICK EDIVINA GONZALES MEDICAL GROUP INC | CA | Internal Medicine Physician (207R00000X) |
United | Q4271 | $4140.29 | 1831109974 - KATHLEEN TORRES | 870737748 | CA | Internal Medicine Physician (207R00000X) |
United | Q4271 | $4140.29 | 1700441920 - ARAME MOTAZEDI | 870737748 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $1633.96 | 1316996465 - CARMELO ROCO | 943299903 | CA | Internal Medicine Physician (207R00000X) |
United | Q4271 | $1541.60 | 1255383683 - ROBIN WONG | 942740412 - (CA) ROBIN L WONG MD INC | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $4224.77 | 1700441920 - ARAME MOTAZEDI | 870737748 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $1633.96 | 1437240850 - CLAUDELL STEPHENS | 942629358 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $1849.93 | 1437240850 - CLAUDELL STEPHENS | 942629358 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $4140.29 | 1992140396 - STEPHEN LEE | 870737748 | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $1541.60 | 1649901620 - CELINE NIPPER | 464870667 - INFUSION4HEALTH, INC. | CA | Nurse Practitioner (363L00000X) |
United | Q4271 | $4140.29 | 1689683690 - DAVID KO | 870737748 | CA | Internal Medicine Physician (207R00000X) |
United | Q4271 | $1541.60 | 1144956954 - SHANT TOMASSIAN MD INC | 882090172 - (CA) SHANT TOMASSIAN MD INC | CA | Family Medicine Physician (207Q00000X) |
United | Q4271 | $4140.29 | 1518977735 - BINH LIEU | 870737748 | CA | Family Medicine Physician (207Q00000X) |
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 Q4271 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4271 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 Q4271 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 |
|---|---|---|
| Q4270-HCPCS | Low | Complete sl, per square centimeter |
| Q4271-HCPCS | High | Complete ft, per square centimeter |
| Q4272-HCPCS | Low | Esano a, 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 Q4271. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4271 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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