HCPCS Q4169: Wound productMedicare rate & RVUs

Medicare pays $127.26 for Q4169 nationally in the office. Local office rates run $109.31–$183.51.

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

What Q4169 covers

Q4169 represents Artacent wound product measured by the square centimeter, rather than the clinician’s work to prepare or cover a wound. It may be used in wound-care settings by clinicians such as wound-care specialists, podiatrists, and surgeons treating wounds such as diabetic foot or venous leg ulcers. The related application procedure describes the work performed on the wound; Q4169 identifies the product quantity.

Report units based on the square centimeters of Artacent product furnished, and document the wound, product used, and quantity. Q4169 is an add-on code and must be billed with a primary procedure; payment is within that procedure’s global period. CMS classifies it as technical-component-only, with interpretation covered by a separate code. The primary application code depends on the wound site and applicable procedure criteria.

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 Q4169 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

Q4169 rates by state

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

How the Q4169 rate is calculated

Each of Q4169’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 Q4169

The CMS indicators that decide how Q4169 is paid alongside other services.

Q4169 compared with similar codes

How to choose

15271Skin substitute graft

This is a primary wound application procedure code, not the Artacent product supply code. The applicable primary code depends on site and procedure criteria.

15275Skin substitute

This is also a primary application procedure code, used for qualifying head, neck, hand, foot, or genital sites; Q4169 reports the Artacent product quantity.

Q4168Amnioband, 1 mg

Q4168 identifies a different wound product with a milligram billing unit. Q4169 identifies Artacent by square centimeter.

Q4170Wound product

Q4170 identifies Cygnus per square centimeter, while Q4169 identifies Artacent per square centimeter. Select the code for the product actually furnished.

Codes related to Q4169

Related codes aren’t interchangeable: bill the code that matches the service performed.

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