On average, the 2019 rates for the Q codes went up by 2.25% from the 2018 rates. Back in 2014, the splinting and casting codes were folded into the DMEPOS reimbursement and are covered by HCPCS codes commencing with Q4001 through Q4049. With flat reimbursement rates statewide, Q codes are calculated at a straight 120% of Medicare’s allotment from CMS’ Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) table. Like California’s state-specific codes, the splinting and casting codes group (commonly referred to as “Q codes”) is not subject to the Geographic Practice Cost Index (GPCI) adjustment and is only adjusted quarterly with the DWC adoption of the Medicare rates. When navigating the seas of change, it’s refreshing to find an island of relative stability.
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