Conic section is one of the geometric elements most commonly used for shape expression and mechanical accessory cartography. A rational quadratic Bézier curve is just a conic section. It cannot represent an elliptic segment whose center angle is not less than π. However, conics represented in rational quartic format when compared to rational quadratic format, enjoy better properties such as being able to represent conics up to 2π (but not including 2π) without resorting to negative weights and possessing better parameterization. Therefore, it is actually worth studying the necessary and sufficient conditions for the rational quartic Bézier representation of conics. This paper attributes the rational quartic conic sections to two special kinds, that is, degree-reducible and improperly parameterized; on this basis, the necessary and sufficient conditions for the rational quartic Bézier representation of conics are derived. They are divided into two parts: Bézier control points and weights. These conditions can be used to judge whether a rational quartic Bézier curve is a conic section; or for a given conic section, present positions of the control points and values of the weights of the conic section in form of a rational quartic Bézier curve. Many examples are given to show the use of our results.