Summary & Overview
HCPCS Q4218: Surgicord, Surgical Supply per Square Centimeter
HCPCS Level II code Q4218 designates billing for Surgicord on a per-square-centimeter basis as an add-on surgical supply billed in addition to the primary procedure. This code matters nationally because it standardizes reporting for a consumable device used during surgical procedures, enabling clearer claims processing and supply utilization capture across payers. Accurate use of this code affects payment flows for hospitals and ambulatory surgical centers and supports tracking of device usage during operative care. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise explanation of what the code represents, the clinical context for its use, and what to expect in claims submission. The publication covers payer coverage considerations and common modifiers used with add-on supply codes, provides benchmark-oriented guidance on where the code is used in the service line, and outlines administrative and billing considerations relevant to national stakeholders. Where specific data fields were not provided in the input, the report notes those gaps as not available.
Billing Code Overview
HCPCS Level II code Q4218 represents Surgicord billed per square centimeter as an add-on supply that is listed separately in addition to the primary surgical procedure. The service type is surgical supply intended for intraoperative or perioperative use. The typical site of service is an operating room or other procedural/surgical setting where the primary procedure involving the Surgicord product is performed.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 58-year-old male undergoes open ventral hernia repair with placement of a biologic or synthetic surgical mesh requiring fixation with surgical cord material billed per square centimeter. The procedure is performed in an accredited outpatient surgical center under general anesthesia with monitored recovery. The surgical team measures the amount of Surgicord used, documents the square centimeters applied, and appends Q4218 as an add-on supply item to the primary hernia repair procedure. Common intraoperative events include hemostasis, fascial closure, and reinforcement of the repair with the cord material; postoperative monitoring focuses on wound integrity, pain control, and prevention of infection. Typical payors for claims include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier | Use when no other modifier applies and standard reporting is appropriate |
22 | Increased procedural services |