Q4213 — Ascent, 0.5 mg
Q4213 is a HCPCS Level II code for ascent, 0.5 mg. 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 Q4213
- Long descriptor
- Ascent, 0.5 mg
- Short descriptor
- Ascent, 0.5 mg
- Added
- October 1, 2019
- 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 Q4213
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4213 is not quite right, the correct code is very often within a few positions of it.
- 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
- 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)
- Q4210Axolotl graft or axolotl dualgraft, per square centimeterterminated
- Q4211Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4212Allogen, per cc
- 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)
- Q4219Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4220Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4221Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4213
What is HCPCS code Q4213?
Q4213 is a HCPCS Level II code for ascent, 0.5 mg. It sits in the Temporary Codes section.
Does Medicare cover Q4213?
The CMS HCPCS file marks Q4213 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 Q4213 paid under the physician fee schedule?
Q4213 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.