Q4246 — Coretext or protext, per cc
Q4246 is a HCPCS Level II code for coretext or protext, per 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 Q4246
- Long descriptor
- Coretext or protext, per cc
- Short descriptor
- Coretext or protext, per cc
- Added
- July 1, 2020
- 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 Q4246
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4246 is not quite right, the correct code is very often within a few positions of it.
- Q4237Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4238Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4239Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4240Corecyte, for topical use only, per 0.5 cc
- Q4241Polycyte, for topical use only, per 0.5 cc
- Q4242Amniocyte plus, per 0.5 cc
- Q4244Procenta, per 200 mgterminated
- Q4245Amniotext, per cc
- Q4247Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4248Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4249Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4250Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4251Vim, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4252Vendaje, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4254Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4246
What is HCPCS code Q4246?
Q4246 is a HCPCS Level II code for coretext or protext, per cc. It sits in the Temporary Codes section.
Does Medicare cover Q4246?
The CMS HCPCS file marks Q4246 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 Q4246 paid under the physician fee schedule?
Q4246 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.