Q4210: Axolotl graft or axolotl dualgraft, per square centimeter
Q4210 is a HCPCS Level II code for axolotl graft or axolotl dualgraft, per square centimeter. It belongs to the Temporary Codes section. It was terminated on June 30, 2024 and is not valid on new claims.
This code has been terminated
CMS terminated Q4210 on June 30, 2024. It stays in the file as history: a claim you are auditing from before that date may legitimately carry it, but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
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 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
The CMS record for Q4210
- Long descriptor
- Axolotl graft or axolotl dualgraft, per square centimeter
- Short descriptor
- Axolotl graf dualgraf sq cm
- Added
- October 1, 2019
- Terminated
- June 30, 2024
- BETOS
- O1E
- Pricing indicator
- 51: Other
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.
When CMS retired it.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Drugs.
Codes adjacent to Q4210
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If Q4210 is not quite right, the correct code is very often within a few positions of it.
- Q4202Keroxx (2.5g/cc), 1cc
- Q4203Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4204Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4206Fluid flow or fluid gf, 1 cc
- Q4207Carbon life, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4208Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)
- Q4209Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4211Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4212Allogen, per cc
- Q4213Ascent, 0.5 mg
- Q4214Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4215Axolotl ambient or axolotl cryo, 0.1 mg
- Q4216Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4218Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)