$109.31–$183.51
Q4312 identifies Acesso AC, not Dermabind FM. Select the product-specific code for the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4313 Wound product Medicare reimbursement rates
Dermabind FM is a wound-covering skin substitute product reported by square centimeter with a qualifying wound application procedure. Compare Q4313 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q4313?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$109.31–$183.51
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
A spread of $74.20 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where Q4313 pays more and less
109 payment localities
$109.31 to $183.51
Skin substitute product
About Q4313: Dermabind FM wound product
Dermabind FM is a wound-covering skin substitute product reported by square centimeter with a qualifying wound application procedure.
Q4313 identifies Dermabind FM supplied for wound coverage, with quantity measured in square centimeters. It represents the product, not wound preparation or the clinician’s application service. Wound-care physicians, surgeons, and other clinicians treating open wounds may use the product in office or hospital outpatient settings. The product code follows the Dermabind FM used, rather than the wound’s location or a particular diagnosis.
Report Q4313 only with a primary wound application procedure, selecting the applicable procedure based on the treated site and wound area. The record should identify Dermabind FM and support the quantity reported in square centimeters. CMS treats Q4313 as an add-on: payment is made with the primary procedure and within that procedure’s global period. CMS classifies the code as technical-component-only, with interpretation represented by a separate code.
CMS billing rules for Q4313
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
11.1K
Medicare services in 2024 · #1424 by national volume
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.
Q4313 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$109.31–$183.51
Q4314 identifies Reeva. Its per-square-centimeter unit does not make it interchangeable with Dermabind FM.
Q4310
No office rateProcenta, per 100 mg
Q4310 identifies Procenta and is reported per 100 mg; Q4313 identifies Dermabind FM and is measured per square centimeter.
See how rates vary across the country
Q4313 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 1 |
Compare Q4313 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $111.35 | Facility Unavailable |
| Alaska* | Office $135.53 | Facility Unavailable |
| Arizona | Office $123.31 | Facility Unavailable |
| Arkansas | Office $109.31 | Facility Unavailable |
| Atlanta | Office $129.29 | Facility Unavailable |
| Austin | Office $134.64 | Facility Unavailable |
| Bakersfield | Office $139.47 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $136.55 | Facility Unavailable |
| Beaumont | Office $115.80 | Facility Unavailable |
| Brazoria | Office $126.11 | Facility Unavailable |
| Chicago | Office $127.89 | Facility Unavailable |
| Chico | Office $139.47 | Facility Unavailable |
| Colorado | Office $135.40 | Facility Unavailable |
| Connecticut | Office $137.06 | Facility Unavailable |
| Dallas | Office $126.75 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $149.91 | Facility Unavailable |
| Delaware | Office $125.73 | Facility Unavailable |
| Detroit | Office $122.80 | Facility Unavailable |
| East St. Louis | Office $117.08 | Facility Unavailable |
| El Centro | Office $139.47 | Facility Unavailable |
| Fort Lauderdale | Office $128.91 | Facility Unavailable |
| Fort Worth | Office $125.48 | Facility Unavailable |
| Fresno | Office $139.47 | Facility Unavailable |
| Galveston | Office $126.37 | Facility Unavailable |
| Hanford-Corcoran | Office $139.47 | Facility Unavailable |
| Hawaii, Guam | Office $144.69 | Facility Unavailable |
| Houston | Office $126.37 | Facility Unavailable |
| Idaho | Office $117.08 | Facility Unavailable |
| Indiana | Office $117.97 | Facility Unavailable |
| Iowa | Office $116.44 | Facility Unavailable |
| Kansas | Office $115.04 | Facility Unavailable |
| Kentucky | Office $113.13 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $150.55 | Facility Unavailable |
| Madera | Office $139.47 | Facility Unavailable |
| Manhattan | Office $147.87 | Facility Unavailable |
| Merced | Office $139.47 | Facility Unavailable |
| Metropolitan Boston | Office $151.95 | Facility Unavailable |
| Metropolitan Kansas City | Office $119.49 | Facility Unavailable |
| Metropolitan Philadelphia | Office $132.47 | Facility Unavailable |
| Metropolitan St. Louis | Office $121.15 | Facility Unavailable |
| Miami | Office $132.47 | Facility Unavailable |
| Minnesota | Office $130.95 | Facility Unavailable |
| Mississippi | Office $109.57 | Facility Unavailable |
| Modesto | Office $139.47 | Facility Unavailable |
| Montana** | Office $127.26 | Facility Unavailable |
| Napa | Office $167.73 | Facility Unavailable |
| Nebraska | Office $117.46 | Facility Unavailable |
| Nevada** | Office $127.38 | Facility Unavailable |
| New Hampshire | Office $132.47 | Facility Unavailable |
| New Mexico | Office $116.70 | Facility Unavailable |
| New Orleans | Office $119.75 | Facility Unavailable |
| North Carolina | Office $118.73 | Facility Unavailable |
| North Dakota** | Office $127.26 | Facility Unavailable |
| Northern Nj | Office $147.62 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $151.31 | Facility Unavailable |
| Ohio | Office $116.19 | Facility Unavailable |
| Oklahoma | Office $113.64 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $150.42 | Facility Unavailable |
| Portland | Office $141.38 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $139.35 | Facility Unavailable |
| Puerto Rico | Office $128.66 | Facility Unavailable |
| Queens | Office $150.42 | Facility Unavailable |
| Redding | Office $139.47 | Facility Unavailable |
| Rest Of California | Office $139.47 | Facility Unavailable |
| Rest Of Florida | Office $121.66 | Facility Unavailable |
| Rest Of Georgia | Office $113.51 | Facility Unavailable |
| Rest Of Illinois | Office $116.19 | Facility Unavailable |
| Rest Of Louisiana | Office $112.62 | Facility Unavailable |
| Rest Of Maine | Office $117.08 | Facility Unavailable |
| Rest Of Maryland | Office $128.78 | Facility Unavailable |
| Rest Of Massachusetts | Office $134.00 | Facility Unavailable |
| Rest Of Michigan | Office $116.19 | Facility Unavailable |
| Rest Of Missouri | Office $109.70 | Facility Unavailable |
| Rest Of New Jersey | Office $138.97 | Facility Unavailable |
| Rest Of New York | Office $120.89 | Facility Unavailable |
| Rest Of Oregon | Office $126.75 | Facility Unavailable |
| Rest Of Pennsylvania | Office $116.82 | Facility Unavailable |
| Rest Of Texas | Office $120.77 | Facility Unavailable |
| Rest Of Washington | Office $134.00 | Facility Unavailable |
| Rhode Island | Office $131.46 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $139.47 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $148.00 | Facility Unavailable |
| Salinas | Office $147.49 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $152.20 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $179.43 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $179.43 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $183.51 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $183.51 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $144.95 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $154.62 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $148.38 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $156.27 | Facility Unavailable |
| Seattle (King Cnty) | Office $156.14 | Facility Unavailable |
| South Carolina | Office $117.59 | Facility Unavailable |
| South Dakota** | Office $127.26 | Facility Unavailable |
| Southern Maine | Office $126.11 | Facility Unavailable |
| Stockton | Office $139.47 | Facility Unavailable |
| Suburban Chicago | Office $130.69 | Facility Unavailable |
| Tennessee | Office $115.68 | Facility Unavailable |
| Utah | Office $119.62 | Facility Unavailable |
| Vallejo | Office $167.73 | Facility Unavailable |
| Vermont | Office $125.98 | Facility Unavailable |
| Virgin Islands | Office $128.66 | Facility Unavailable |
| Virginia | Office $125.09 | Facility Unavailable |
| Visalia | Office $139.47 | Facility Unavailable |
| West Virginia | Office $110.59 | Facility Unavailable |
| Wisconsin | Office $121.91 | Facility Unavailable |
| Wyoming** | Office $127.26 | Facility Unavailable |
| Yuba City | Office $139.47 | Facility Unavailable |
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Q4313 billing questions
Does Q4313 include the wound application service?
No. Q4313 identifies the Dermabind FM product; report it with the appropriate primary wound application procedure, such as a code in the 15271–15278 series.
How do I select the primary application code?
Choose the application procedure based on the wound site and treated area. For example, 15271 and 15275 apply to different anatomic site groupings.
How many units should I report?
Report the Dermabind FM quantity in square centimeters. Documentation should support the product and the amount used.
Is interpretation included in Q4313?
CMS classifies Q4313 as technical-component-only; a separate code covers interpretation.
Can I report Q4313 by itself?
No. CMS identifies it as an add-on code, so it is billed with a primary procedure and paid within that procedure’s global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,397Q4310,,"Procenta, per 100 mg",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,398Q4311,,"Acesso, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,399Q4312,,"Acesso ac, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,400Q4313,,"Dermabind fm, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,401Q4314,,"Reeva, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,402Q4315,,Regenelink amniotic mem allo,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,403Q4316,,"Amchoplast, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00