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HCPCS Q4197 · per 1 SQ CM

Puraply xt 1 sq cm

This code is not in the latest file (4Q26). It was last listed in 4Q25.

Payment limit per 1 SQ CM, by effective quarter, 1Q23 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.

Products billed under Q4197

No NDCs mapped to this code in the 4Q26 crosswalk.

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q25 $70.696 −$0.34 1 SQ CM Puraply xt 1 sq cm v1, posted September 8, 2026
3Q25 $71.036 −$2.499 1 SQ CM Puraply xt 1 sq cm v1, posted March 10, 2026
2Q25 $73.535 +$0.891 1 SQ CM Puraply xt 1 sq cm v1, posted March 10, 2026
1Q25 $72.644 −$22.78 1 SQ CM Puraply xt 1 sq cm v1, posted December 19, 2025
4Q24 $95.424 +$0.983 1 SQ CM Puraply xt 1 sq cm v1, posted June 11, 2025
3Q24 $94.441 −$27.185 1 SQ CM Puraply xt 1 sq cm v1, posted June 11, 2025
2Q24 $121.626 −$1.356 1 SQ CM Puraply xt 1 sq cm v1, posted March 11, 2025
1Q24 $122.982 −$25.09 1 SQ CM Puraply xt 1 sq cm v1, posted December 19, 2024
4Q23 $148.072 +$0.909 1 SQ CM Puraply xt 1 sq cm v1, posted October 10, 2024
3Q23 $147.163 −$32.351 1 SQ CM Puraply xt 1 sq cm v1, posted June 5, 2024
2Q23 $179.514 +$1.171 1 SQ CM Puraply xt 1 sq cm v1, posted February 23, 2024
1Q23 $178.343 – 1 SQ CM Puraply xt 1 sq cm v1, posted December 6, 2023

“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.

CMS source files