Q4175 — Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)
Q4175 is a HCPCS Level II code for miroderm, per square centimeter (add-on, list separately in addition to primary procedure). 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 statusA
Active code. Paid separately under the physician fee schedule.
- Work RVU
- 0.00
- PE (non-facility)
- 3.81
- PE (facility)
- 3.81
- Malpractice RVU
- 0.00
Global period: ZZZ
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The CMS record for Q4175
- Long descriptor
- Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Miroderm
- Added
- January 1, 2017
- BETOS
- O1E
- Pricing indicator
- 11 — 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 using national RVUs.
Codes adjacent to Q4175
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4175 is not quite right, the correct code is very often within a few positions of it.
- Q4167Truskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4168Amnioband, 1 mg
- Q4169Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4170Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4171Interfyl, 1 mg
- Q4172Puraply or puraply am, per square centimeterterminated
- Q4173Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4174Palingen or promatrx, 0.36 mg per 0.25 cc
- Q4176Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4177Floweramnioflo, 0.1 cc
- Q4178Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4179Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4180Revita, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4181Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4182Transcyte, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4183Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4175
What is HCPCS code Q4175?
Q4175 is a HCPCS Level II code for miroderm, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4175?
The CMS HCPCS file marks Q4175 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 Q4175 paid under the physician fee schedule?
Q4175 carries PFS status code A. Active code. Paid separately under the physician fee schedule.