HCPCS code Q4223: Ocular membrane product, dermabind SL Optic, per cm²2026 Medicare rate & RVUs in Bartlett, Illinois

HCPCS Q4223: $127.89–$130.69 office across 2 localities in Bartlett, IL in 2026 Medicare. Compare each area.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $127.89–$130.69 for Q4223 in the office in Bartlett, Illinois, from Chicago, IL to Suburban Chicago, IL. Which amount applies depends on the service address.

$127.89–$130.69Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open Q4223 for the payment locality that covers the ZIP.

On this page 6 sections
  1. Rate in Bartlett, Illinois
  2. By payment locality
  3. City and payment areas
  4. How it’s calculated
  5. Payment rules
  6. Sources

Where Q4223 pays more and less in Bartlett, Illinois

Bartlett, Illinois maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.

Q4223 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$127.89Unavailable
Suburban Chicago, IL$130.69Unavailable

How payment areas work in Bartlett

City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.

  • Chicago · Cook County
  • Suburban Chicago · DuPage County, Kane County

City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions

How the Q4223 rate is calculated

Each of Q4223’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · Q4223

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense3.81

3.81 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

3.8100

Conversion factor

$33.4009

Medicare rate

$127.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4223

The CMS indicators that decide how Q4223 is paid alongside other services.

CMS payment indicators · Q4223

Ocular membrane product, dermabind SL Optic, per cm²

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical3Technical component only.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for Q4223PPRRVU2026_Oct_nonQPP.csv, line 18,314 (RVU26D)

Open CMS sourceHow we calculate rates

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