Does anyone have any knowledge for Q4206 code. This is injectable amniotic fluid that my provider is using. According to the supplier all we had to do is submit with the CMS ruling and medical record and they should be paid. Not the case. We have used Osteophyte codes as we were assured those would pay, but again denial reverts to medical necessity. We only bill to Medicare, NGS, and according to a rep, they said there is no LCD or NDC for this code so if we follow the same guidelines as we would with 20550, 20551, 20553 and 20611 and duplicate it, it will work. I just need someone who has some personal knowledge of this code and any insights would greatly help.