HCPCS Q4299 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 |
National average reimbursement for HCPCS Q4299 by major payers:
$2,094.28
$2,685.20
$N/A
$3,853.24
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | Q4299 | $2523.50 | 1962829820 - BONNIE FERRARA | 880236758 | NV | Family Medicine Physician (207Q00000X) |
United | Q4299 | $2491.00 | 1720031982 - THELINH NGUYEN | 203395567 | NV | Vascular Surgery Physician (2086S0129X) |
United | Q4299 | $2523.50 | 1932608999 - YOSLADY MORALES | 202096335 - (NV) NAZ WAHAB M.D., P.C. | NV | Primary Care Nurse Practitioner (363LP2300X) |
United | Q4299 | $2523.50 | 1841954658 - DAVID OLIVARES LUVIN | 921918208 | NV | Family Nurse Practitioner (363LF0000X) |
United | Q4299 | $2565.00 | 1356357065 - STANLEY KAMIMOTO | 910858192 - (NV) DESERT ORTHOPAEDIC CENTER LTD | NV | Physical Therapist (225100000X) |
United | Q4299 | $2491.00 | 1376688481 - RONDA ZULICH | 831974699 - (NV) SOUTHERN NEVADA PEDIATRIC CENTER ZULICH PLLC | NV | Pediatrics Physician (208000000X) |
United | Q4299 | $2491.00 | 1154496214 - JOHNSTON YEE FAMILY MEDICINE PC | 203284958 - (NV) JOHNSTON YEE FAMILY MEDICINE PC | NV | Family Medicine Physician (207Q00000X) |
United | Q4299 | $2523.50 | 1790274298 - KEITH KOTECKI | 880313907 - (NV) NEVADA ORTHOPEDIC & SPINE CENTER | NV | Orthopaedic Surgery Physician (207X00000X) |
United | Q4299 | $2523.50 | 1881988665 - CHRISTOPHER MADSEN | 203395567 | NV | Surgery Physician (208600000X) |
United | Q4299 | $2523.50 | 1164589008 - AARON HEMMER | 205829346 - (NV) HEMMER EYE CARE LLC | NV | Optometrist (152W00000X) |
United | Q4299 | $2491.00 | 1326538398 - CATHERINE NGUYEN-WARD | 850748921 - (NV) MEDINIX MEDICAL SERVICES LLC | NV | Family Medicine Physician (207Q00000X) |
United | Q4299 | $2491.00 | 1508825290 - KRYSTAL VANLOWE | 330837750 | NV | Obstetrics & Gynecology Physician (207V00000X) |
United | Q4299 | $2523.50 | 1619919198 - BARBARA WOTHERSPOON | 472349893 - ELITE PAIN MANAGEMENT | NV | Gynecology Physician (207VG0400X) |
United | Q4299 | $2491.00 | 1023070091 - JOSEPH TEICHGRAEBER | 471497281 - (NV) PRN APRN LTD | NV | Internal Medicine Physician (207R00000X) |
United | Q4299 | $3611.94 | 1992209696 - CATHERINE BLANCHARD | 43369653 - MAINEGENERAL HEALTH | NV | Medical Physician Assistant (363AM0700X) |
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 Q4299 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4299 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 Q4299 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 |
|---|---|---|
| Q4299-HCPCS | High | Amniocore pro+, 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 Q4299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4299 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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