Q4139 — Amniomatrix or biodmatrix, injectable, 1 cc
Q4139 is a HCPCS Level II code for amniomatrix or biodmatrix, injectable, 1 cc. It belongs to the Temporary Codes section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusC
Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for Q4139
- Long descriptor
- Amniomatrix or biodmatrix, injectable, 1 cc
- Short descriptor
- Amnio or biodmatrix, inj 1cc
- Added
- January 1, 2014
- BETOS
- O1E
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to Q4139
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4139 is not quite right, the correct code is very often within a few positions of it.
- Q4131Epifix or epicord, per square centimeterterminated
- Q4132Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4133Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4134Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4135Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4136Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4137Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4138Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4140Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4141Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4142Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4143Repriza, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4145Epifix, injectable, 1 mg
- Q4146Tensix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4147Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4148Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4139
What is HCPCS code Q4139?
Q4139 is a HCPCS Level II code for amniomatrix or biodmatrix, injectable, 1 cc. It sits in the Temporary Codes section.
Does Medicare cover Q4139?
The CMS HCPCS file marks Q4139 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is Q4139 paid under the physician fee schedule?
Q4139 carries PFS status code C. Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.