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ASC Ancillary · CPT/HCPCS

HCPCS Q4438

Pretect per sq cm

HCPCS Q4438 at a glance

Code
Q4438
Code type
CPT/HCPCS
Short descriptor
Pretect per sq cm
Category
ASC Ancillary
ASC payment status
Payable in an ASC (ancillary)
CMS addendum
BB (Ancillary)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is HCPCS code Q4438?

HCPCS Q4438 is a CPT/HCPCS procedure code. Its official CMS short descriptor is "Pretect per sq cm". In the ASC context it is grouped under ASC Ancillary.

Is HCPCS Q4438 payable in an ambulatory surgery center (ASC)?

HCPCS Q4438 is a covered ancillary service (CMS Addendum BB). Medicare reimburses it in the ASC setting when it is integral to a covered ASC surgical procedure.

Where is HCPCS Q4438 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

Reference information compiled from the CMS April 2026 ASC payment addenda (AA, BB, EE). Codes, descriptors, and ASC payment status change with each CMS update. This is a coding reference, not billing, coding, or legal advice. Always verify against the current CMS addenda and individual payer policy before billing. CPT is a registered trademark of the American Medical Association.

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