HCPCS Q4302 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 |
National average reimbursement for HCPCS Q4302 by major payers:
$706.67
$2,109.13
$N/A
$2,569.39
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | Q4302 | $2008.69 | 1811259419 - SHANA MILES | 813419791 - (NV) UNLV MEDICINE | NV | Gynecology Physician (207VG0400X) |
United | Q4302 | $1506.53 | 1881768760 - HANGER PROSTHETICS & ORTHOTICS INC, HANGER CLINIC | 1881768760 - (NV) HANGER PROSTHETICS & ORTHOTICS INC | NV | Prosthetic/Orthotic Supplier (335E00000X) |
United | Q4302 | $3628.08 | 1619003928 - KIM MOFFATT-BAZILE | 943281666 | NV | Nurse Practitioner (363L00000X) |
United | Q4302 | $3838.72 | 1548263205 - BRUCE TOPOROFF | 232919472 - UPMC | NV | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X) |
United | Q4302 | $2008.69 | 1518371400 - JULIANNE WILKE | 880367250 - (NV) POKROY MEDICAL GROUP OF NEVADA LTD | NV | Pediatric Critical Care Medicine Physician (2080P0203X) |
United | Q4302 | $2008.69 | 1760770788 - SAMI AMJAD | 262554165 - (AZ) APOGEE MEDICAL GROUP WASHINGTON PC | NV | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | Q4302 | $2812.17 | 1073053286 - JANET L ALBRIGHT MD PLLC, NEVADA VEIN AND VASCULAR | 1073053286 - (NV) JANET L ALBRIGHT MD PLLC | NV | Vascular Surgery Physician (2086S0129X) |
United | Q4302 | $2008.69 | 1427203199 - DAWN BAKER | 300852838 - (NV) METCALF TILLER CHEN INC | NV | Anesthesiology Physician (207L00000X) |
United | Q4302 | $2008.69 | 1639329139 - EYDE BAER | 411986991 - (MN) SOUTHDALE ANESTHESIOLOGISTS, LLC | NV | Certified Registered Nurse Anesthetist (367500000X) |
United | Q4302 | $2008.69 | 1851338917 - PETER DUX | 880356466 | NV | General Practice Physician (208D00000X) |
United | Q4302 | $2008.69 | 1285112615 - KIMBRELLE PASCUA | 452587043 - (NV) KHAVKIN CLINIC, PLLC | NV | Nurse Practitioner (363L00000X) |
United | Q4302 | $2008.69 | 1609093616 - DAVID STEINHISER | 460766041 | NV | Anesthesiology Physician (207L00000X) |
United | Q4302 | $2008.69 | 1427265826 - JASON COLLINS | 921245185 - (NV) COLLINS CARSON CITY GASTROENTEROLOGY LTD | NV | Gastroenterology Physician (207RG0100X) |
United | Q4302 | $2008.69 | 1790458552 - LEE PHAN | 880394939 - (NV) ACADEMIC DERMATOLOGY OF NEVADA | NV | Surgical Physician Assistant (363AS0400X) |
United | Q4302 | $2008.69 | 1932225646 - FRANCISCO PERAZA | 260625345 - (NV) FRANCISCO PERAZA MD PC | NV | Pediatrics Physician (208000000X) |
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 Q4302 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4302 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 Q4302 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 |
|---|---|---|
| Q4302-HCPCS | Moderate | Complete aca, 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 Q4302. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4302 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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