HCPCS code Q4226: MyOwn skin, per square centimeter2026 Medicare rate & RVUs in Vermont

CMS doesn’t publish a rate for Q4226 in Vermont.

Check a contract rate as a % of Medicare · Q4226 nationwide

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

What Q4226 covers

Q4226 identifies MyOwn skin, a skin item reported with harvesting and preparation included. The code's measurement basis is the square centimeter of MyOwn skin furnished. Select this code for MyOwn rather than another named skin or amniotic product; identical area units do not identify the same product.

CMS assigns Q4226 physician fee schedule status E, excluding it from the physician fee schedule. If Medicare covers the item or service, it pays under another payment method. In the HCPCS pricing file, Q4226 is classified as a Part B drug; when covered, Medicare generally pays from CMS's quarterly ASP drug pricing files. Coverage is left to the Medicare contractor's judgment. Report quantity in square centimeters; one unit represents one square centimeter.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Vermont compares for Q4226

Every other payment area

Q4226 rates by state

Office rate range in each state. Select a state to see its payment localities.

See Q4226 in every payment locality

How the Q4226 rate is calculated

Each of Q4226’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.

Payment rules and modifiers for Q4226

Q4226 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

How Q4226 has changed in Vermont

Price Q4226 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates