Q4242 HCPCS Level II code: Amniocyte plus, per 0.5 cc
Q4242 is the HCPCS code for “Amniocyte plus, per 0.5 cc” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
Q4242Amniocyte plus, per 0.5 cc
HCPCS · United States
Medicare details
The indicators CMS publishes with Q4242 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)
- Type of service
- Medical care
- BETOS category
- Other drugs
- Added
- Jul 1, 2020
Where Q4242 sits
- 1Q codesTemporary codes
- 2Active code Q4242Amniocyte plus, per 0.5 cc
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code Q4242 mean?
Q4242 is the HCPCS code for “Amniocyte plus, per 0.5 cc” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover Q4242?
CMS lists Q4242’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established by carriers (e.g., not otherwise classified, individual determination, carrier discretion)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Q4242
All Q codesQ4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)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 ccQ4241Polycyte, for topical use only, per 0.5 ccQ4243Amchomatrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4244Procenta, per 200 mgQ4245Amniotext, per ccQ4246Coretext or protext, per ccQ4247Amniotext 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)