HCPCS code Q4241: Polycyte, topical, per 0.5 cc2026 Medicare rate & RVUs in Georgia
Identifies Polycyte supplied for topical use, with each billing unit representing 0.5 cc, for Medicare claims priced by the contractor under the physician fee schedule.
CMS doesn’t publish an office rate for Q4241 in Georgia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 8 sections
What Q4241 covers
Q4241 identifies Polycyte when the product is furnished for topical use. The code identifies a specific product and billing increment; it should be selected by product identity and route, rather than by the volume unit alone. Each unit represents 0.5 cc of Polycyte.
Medicare assigns carrier-priced status (status C), so there is no national payment amount; the Medicare Administrative Contractor establishes payment for each claim. HCPCS pricing places the code under contractor pricing through the physician fee schedule, while coverage is left to contractor judgment. Report units according to the volume furnished using the 0.5 cc increment. CMS classifies Q4241 as technical-component-only and identifies a separate code for interpretation; interpretation is not reported with Q4241.
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.
Where Q4241 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | Unavailable | Unavailable |
| Rest of Georgia | Unavailable | Unavailable |
How the Q4241 rate is calculated
Each of Q4241’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 · Q4241
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4241
The CMS indicators that decide how Q4241 is paid alongside other services.
CMS payment indicators · Q4241
Polycyte, topical, per 0.5 cc
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
Q4241 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- Q4240CorecyteTopical, per 0.5 cc
- Q4240 identifies Corecyte, while Q4241 identifies Polycyte. Both specify topical-only use and a 0.5 cc unit.
- Q4230Cogenex flowable amnionPer 0.5 cc
- Q4230 identifies Cogenex Flow Amnion and uses a 0.5 cc unit; Q4241 identifies Polycyte for topical-only use.
- Q4242Amniocyte PlusPer 0.5 cc
- Q4242 identifies Amniocyte Plus and is reported per 0.5 cc. Q4241 identifies Polycyte and specifies topical-only use.
- Q4245AmniotextPer cc
- Q4245 identifies Amniotext and is reported per cc. Q4241 identifies Polycyte and is reported per 0.5 cc.
Q4241 billing questions
How many units should be reported?
Each unit represents 0.5 cc of Polycyte. Base the units on the volume furnished.
How does Q4241 differ from Q4240?
Q4241 identifies Polycyte; Q4240 identifies Corecyte. Both specify topical-only use and a 0.5 cc unit.
Is Q4241 priced nationally by Medicare?
No. It has carrier-priced status, so the Medicare Administrative Contractor sets payment for each claim under the physician fee schedule.
Who decides whether Medicare covers Q4241?
The Medicare contractor makes the coverage determination for this code.
Does this code include interpretation?
No. CMS classifies Q4241 as technical-component-only and identifies a separate code for interpretation.
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
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