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HCPCS Level II · Miscellaneous services (temporary codes)

Q4105Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About Q4105

Q4105 is an HCPCS Level II code in the Q series (miscellaneous services (temporary codes)), describing integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure).

It was added to HCPCS effective 01/01/2009, and its current record took effect 01/01/2026.

Its Medicare coverage code is "C", meaning coverage is left to the Medicare contractor's judgment.

Details

Short description
Integra drt or omnigraft
Date added
01/01/2009
Action effective
01/01/2026
BETOS
O1E

Related Q41xx codes

Common questions about Q4105

Is HCPCS Q4105 still valid?

Yes. Q4105 is active in the CMS October 2026 HCPCS file.

Does Medicare cover Q4105?

Its coverage code is "C": coverage is left to the Medicare contractor's judgment. Check the local coverage determination for your region.