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HCPCS Q4200: SkinTEMedicare rate & RVUs

Q4200 reports SkinTE by square centimeter when the product is used during a wound or skin-defect treatment procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4200 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4200

SkinTE

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4200 →Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What Q4200 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What Q4200 covers

SkinTE is a named skin-tissue product reported when it is applied during treatment of a wound or skin defect. It is encountered in wound-care settings, including outpatient clinics and hospital-based services, where a treating clinician applies the product as part of a separately coded wound procedure. Q4200 identifies the product quantity rather than the wound assessment or application work itself.

Report units by the square centimeters represented by the quantity used, and document the product, treated site, amount applied, and associated procedure. CMS classifies Q4200 as an add-on code: bill it only with a primary procedure, and payment falls within that procedure’s global period. Q4200 is technical-component-only; a separate code covers interpretation.

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 Q4200 pays more and less

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

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

Q4200 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska*$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta$129.29Unavailable
Austin$134.64Unavailable
Bakersfield$139.47Unavailable
Baltimore/Surr. Cntys$136.55Unavailable
Beaumont$115.80Unavailable
Brazoria$126.11Unavailable

Q4200 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
Q4200 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

How the Q4200 rate is calculated

Each of Q4200’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 · Q4200

RVUs × geographic indexes × conversion factor

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 Q4200

The CMS indicators that decide how Q4200 is paid alongside other services.

CMS payment indicators · Q4200

SkinTE

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4200 compared with similar codes

Compare codes · National

5 codes, side by side

  • Q4200

    SkinTE0 wRVU

    $127.26

  • Q4201

    Matrion0 wRVU

    $127.26+$0.00

  • Q4203

    Skin substitute0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft1.46 wRVU

    $157.99+$30.73

  • 15275

    Skin substitute1.78 wRVU

    $160.32+$33.06

How to choose

Q4201Matrion
Q4201 identifies Matrion, while Q4200 identifies SkinTE. Choose the code that matches the product used, not simply the wound type.
Q4203Skin substitute
Q4203 identifies Derma-gide rather than SkinTE. Both use square-centimeter units, but the product determines the HCPCS code.
15271Skin substitute graft
15271 reports a qualifying skin-substitute application service for specified body sites; Q4200 reports the SkinTE product quantity billed with a primary procedure.
15275Skin substitute
15275 reports a qualifying application service for specified sites such as the face or scalp. Q4200 identifies the SkinTE product, not the application service.

Codes related to Q4200

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

Codes related to Q4200
CodeHow it relatesNational office range
Primary code
15271Skin substitute graftPrimary skin-substitute application procedure for qualifying wounds on the trunk, arms, or legs.$140.17–$205.27
15275Skin substitutePrimary skin-substitute application procedure for qualifying wounds on the face, scalp, or other specified sites.$143.80–$205.40
Used instead
Q4201MatrionMatrion is a separately identified wound product; report the product actually used.$109.31–$183.51
Q4203Skin substituteDerma-gide is another separately identified wound product measured by square centimeter.$109.31–$183.51
Q4204XwrapXwrap is a distinct wound product with its own HCPCS code and square-centimeter unit.$109.31–$183.51

Q4200 billing questions

Does Q4200 report the product or the application procedure?

It reports the SkinTE product quantity per square centimeter. The wound-treatment or product-application service is reported with the appropriate primary procedure.

What primary procedure is reported with Q4200?

Pair it with the primary procedure for the wound treatment. Skin substitute application codes such as 15271 or 15275 may be relevant, depending on the treated site and area.

How are Q4200 units determined?

The code is measured by square centimeter. The record should support the SkinTE quantity used and connect it to the treated wound and procedure.

How does the global-period rule affect Q4200?

CMS identifies Q4200 as an add-on code that must be billed with a primary procedure and paid within that procedure’s global period.

Does Q4200 include interpretation?

No. CMS identifies Q4200 as technical-component-only, with interpretation covered by a separate code.

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 Q4200PPRRVU2026_Oct_nonQPP.csv, line 18,292 (RVU26D)

Open CMS sourceHow we calculate rates

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