2025 HCPCS Code Q4004

Cast supplies, shoulder cast, adult (11 years +), fiberglass

Short Description	Cast sup shoulder cast fbrgl
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	October 01, 2014
HCPCS Code Added Date	July 01, 2001
HCPCS Pricing Indicator Code	55 - Splints and Casts (effec 10/1/2014)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	S - Surgical dressings or other medical supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity	0