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HCPCS Q4217: Wound productMedicare rate & RVUs

Q4217 identifies WoundFix BioWound Plus XPlus furnished for wound treatment and reported with a primary procedure that applies the product.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4217 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4217

Wound product

Swap in your local Medicare rate.

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4217 → · 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 Q4217 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 Q4217 covers

Q4217 identifies the WoundFix BioWound Plus XPlus product used in wound treatment. Wound-care clinicians, surgeons, and other practitioners who treat wounds may furnish it in an office, hospital outpatient department, or other setting where a wound procedure is performed. The product is reported separately from the service that prepares or treats the wound and applies the material.

CMS classifies Q4217 as an add-on code, so report it only with a primary procedure; its payment is within that procedure’s global period. The claim should identify the product furnished and support the quantity reported, including the treated area when units are based on square centimeters. CMS designates the code as technical-component-only, with interpretation covered by a separate code. This product code does not replace the procedure code for wound treatment or application.

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 Q4217 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

Q4217 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

Q4217 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
Q4217 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 Q4217 rate is calculated

Each of Q4217’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 · Q4217

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4217

The CMS indicators that decide how Q4217 is paid alongside other services.

CMS payment indicators · Q4217

Wound product

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.

Q4217 compared with similar codes

Compare codes

Q4217 vs 15271 vs 15275 vs Q4216: national Medicare rates

Swap in your local Medicare rate.

  • Q4217
    Wound product · 0 wRVU
    $127.26
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73
  • 15275
    Skin substitute · 1.78 wRVU
    $160.32+$33.06
  • Q4216
    Wound product · 0 wRVU
    $127.26+$0.00

How to choose

15271Skin substitute graft
15271 reports application of a skin substitute to qualifying trunk, arm, or leg wounds; Q4217 identifies the WoundFix product furnished with the procedure.
15275Skin substitute
15275 is the application service for specified head, neck, hand, foot, or genital sites; site selection distinguishes it from 15271.
Q4216Wound product
Q4216 identifies Artacent Cord, a different product. Select the code that matches the product actually furnished, not merely the wound site.

Codes related to Q4217

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

Codes related to Q4217
CodeHow it relatesNational office range
Primary code
15271Skin substitute graftPrimary skin-substitute application service for qualifying wounds on the trunk, arms, or legs.$140.17–$205.27
15275Skin substitutePrimary skin-substitute application service for qualifying wounds at specified head, neck, hand, foot, or genital sites.$143.80–$205.40
Often billed with
15272Skin substitute graftAdditional-area application service that may accompany 15271 when its criteria are met.$23.02–$32.02

Q4217 billing questions

Can Q4217 be billed by itself?

No. CMS identifies it as an add-on code, so it must be reported with a primary procedure.

Which application code is commonly paired with Q4217?

For a wound on the trunk, arms, or legs, the skin-substitute application service may be reported with 15271 when its site and area criteria are met. Other wound sites may call for a different application code.

How should the units be supported?

Document the specific WoundFix product furnished and the quantity used. When reporting by square centimeter, support the units with the treated area and product amount.

Is Q4217 subject to a global period?

CMS places payment for this add-on within the primary procedure’s global period. Report it with the primary service rather than as a separate standalone procedure.

What does the technical-component designation mean for this code?

CMS identifies Q4217 as technical-component-only and states that a separate code covers interpretation.

Does the product code include the wound application service?

No. Q4217 identifies the product; report the applicable primary procedure for the wound service and application.

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 Q4217PPRRVU2026_Oct_nonQPP.csv, line 18,308 (RVU26D)

Open CMS sourceHow we calculate rates

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