Q4349 — Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4349 is a HCPCS Level II code for mantle dl matrix, 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 Q4349
- Long descriptor
- Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Short descriptor
- Mantle dl matrix per sq cm
- Added
- January 1, 2025
- 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 Q4349
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q4349 is not quite right, the correct code is very often within a few positions of it.
- Q4341Simplimax, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4342Theramend, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4343Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4344Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4345Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4346Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4347Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4348Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4350Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4351Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4352Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4353Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4354Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4355Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4356Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4357Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about Q4349
What is HCPCS code Q4349?
Q4349 is a HCPCS Level II code for mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure). It sits in the Temporary Codes section.
Does Medicare cover Q4349?
The CMS HCPCS file marks Q4349 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 Q4349 paid under the physician fee schedule?
Q4349 carries PFS status code A. Active code. Paid separately under the physician fee schedule.