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CMS RVU26D · Effective 2026-10-01

Q4151 in Beaumont

Office / nonfacility

$115.80

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Wound care supply

About Q4151: Amniotic membrane wound product

Reports the Amnioband/Guardian amniotic membrane wound product by square centimeter when supplied for graft coverage of a wound.

Q4151 identifies Amnioband or Guardian, an amniotic membrane-based wound product supplied for coverage of a prepared wound bed. It represents the product rather than the clinician’s application service. Wound-care clinicians, podiatrists, and surgeons may use the material in office wound clinics or hospital outpatient settings as part of wound treatment.

Report the code only with a primary procedure; CMS treats it as an add-on and pays it within that procedure’s global period. Select Q4151 based on the specific product furnished, and report units according to the product’s one-square-centimeter billing unit. Documentation should identify the product, wound site, treated area, amount used, and associated primary procedure. CMS classifies Q4151 as technical-component-only; a separate code represents interpretation.

CMS billing rules for Q4151

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%

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.

Q4151 compared with similar codes

Office rates for Beaumont, from the same CMS release.

Q4150

Wound matrix

Allowrap DS or Dry, per cm²

$115.80

Q4150 identifies Allowrap DS or Dry; Q4151 identifies Amnioband or Guardian. Select the code for the product actually furnished.

Q4152

Skin substitute

Dermapure per square centimeter

$115.80

Q4152 identifies Dermapure, not Amnioband or Guardian. The shared square-centimeter unit does not make the product codes interchangeable.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$148.29

15271 reports the primary application procedure for qualifying trunk, arm, or leg wounds; Q4151 reports the Amnioband/Guardian product supplied with a primary procedure.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for Q4151 is $134.64—$18.84 higher than the $115.80 rate in Beaumont. Both use the same code, release and participation basis.

Q4151 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $115.80

  2. Austin

    $134.64

    $18.84 higher than Beaumont

  3. Brazoria

    $126.11

    $10.31 higher than Beaumont

  4. Dallas

    $126.75

    $10.95 higher than Beaumont

  5. Fort Worth

    $125.48

    $9.68 higher than Beaumont

  6. Galveston

    $126.37

    $10.57 higher than Beaumont

  7. Houston

    $126.37

    $10.57 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, Q4151 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · Q4151

    Office

    $120.77

    Facility

    Unavailable

    $4.97 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · Q4151

    Office

    $150.55

    Facility

    Unavailable

    $34.75 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · Q4151

    Office

    $149.91

    Facility

    Unavailable

    $34.11 higher than Beaumont for the office setting.

  • Miami

    Florida · Q4151

    Office

    $132.47

    Facility

    Unavailable

    $16.67 higher than Beaumont for the office setting.

  • Chicago

    Illinois · Q4151

    Office

    $127.89

    Facility

    Unavailable

    $12.09 higher than Beaumont for the office setting.

  • Manhattan

    New York · Q4151

    Office

    $147.87

    Facility

    Unavailable

    $32.07 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · Q4151

    Office

    $135.53

    Facility

    Unavailable

    $19.73 higher than Beaumont for the office setting.

  • Alabama

    Alabama · Q4151

    Office

    $111.35

    Facility

    Unavailable

    $4.45 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · Q4151

    Office

    $109.31

    Facility

    Unavailable

    $6.49 lower than Beaumont for the office setting.

  • Arizona

    Arizona · Q4151

    Office

    $123.31

    Facility

    Unavailable

    $7.51 higher than Beaumont for the office setting.

  • Bakersfield

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Chico

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • El Centro

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Fresno

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Madera

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Merced

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Modesto

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Napa

    California · Q4151

    Office

    $167.73

    Facility

    Unavailable

    $51.93 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · Q4151

    Office

    $150.42

    Facility

    Unavailable

    $34.62 higher than Beaumont for the office setting.

  • Redding

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Rest Of California

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · Q4151

    Office

    $148.00

    Facility

    Unavailable

    $32.20 higher than Beaumont for the office setting.

  • Salinas

    California · Q4151

    Office

    $147.49

    Facility

    Unavailable

    $31.69 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · Q4151

    Office

    $152.20

    Facility

    Unavailable

    $36.40 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · Q4151

    Office

    $179.43

    Facility

    Unavailable

    $63.63 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · Q4151

    Office

    $179.43

    Facility

    Unavailable

    $63.63 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · Q4151

    Office

    $183.51

    Facility

    Unavailable

    $67.71 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · Q4151

    Office

    $183.51

    Facility

    Unavailable

    $67.71 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · Q4151

    Office

    $144.95

    Facility

    Unavailable

    $29.15 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · Q4151

    Office

    $154.62

    Facility

    Unavailable

    $38.82 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · Q4151

    Office

    $148.38

    Facility

    Unavailable

    $32.58 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · Q4151

    Office

    $156.27

    Facility

    Unavailable

    $40.47 higher than Beaumont for the office setting.

  • Stockton

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Vallejo

    California · Q4151

    Office

    $167.73

    Facility

    Unavailable

    $51.93 higher than Beaumont for the office setting.

  • Visalia

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Yuba City

    California · Q4151

    Office

    $139.47

    Facility

    Unavailable

    $23.67 higher than Beaumont for the office setting.

  • Colorado

    Colorado · Q4151

    Office

    $135.40

    Facility

    Unavailable

    $19.60 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · Q4151

    Office

    $137.06

    Facility

    Unavailable

    $21.26 higher than Beaumont for the office setting.

  • Delaware

    Delaware · Q4151

    Office

    $125.73

    Facility

    Unavailable

    $9.93 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · Q4151

    Office

    $128.91

    Facility

    Unavailable

    $13.11 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · Q4151

    Office

    $121.66

    Facility

    Unavailable

    $5.86 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · Q4151

    Office

    $129.29

    Facility

    Unavailable

    $13.49 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · Q4151

    Office

    $113.51

    Facility

    Unavailable

    $2.29 lower than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · Q4151

    Office

    $144.69

    Facility

    Unavailable

    $28.89 higher than Beaumont for the office setting.

  • Iowa

    Iowa · Q4151

    Office

    $116.44

    Facility

    Unavailable

    $0.64 higher than Beaumont for the office setting.

  • Idaho

    Idaho · Q4151

    Office

    $117.08

    Facility

    Unavailable

    $1.28 higher than Beaumont for the office setting.

  • East St. Louis

    Illinois · Q4151

    Office

    $117.08

    Facility

    Unavailable

    $1.28 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · Q4151

    Office

    $116.19

    Facility

    Unavailable

    $0.39 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · Q4151

    Office

    $130.69

    Facility

    Unavailable

    $14.89 higher than Beaumont for the office setting.

  • Indiana

    Indiana · Q4151

    Office

    $117.97

    Facility

    Unavailable

    $2.17 higher than Beaumont for the office setting.

  • Kansas

    Kansas · Q4151

    Office

    $115.04

    Facility

    Unavailable

    $0.76 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · Q4151

    Office

    $113.13

    Facility

    Unavailable

    $2.67 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · Q4151

    Office

    $119.75

    Facility

    Unavailable

    $3.95 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · Q4151

    Office

    $112.62

    Facility

    Unavailable

    $3.18 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · Q4151

    Office

    $151.95

    Facility

    Unavailable

    $36.15 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · Q4151

    Office

    $134.00

    Facility

    Unavailable

    $18.20 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · Q4151

    Office

    $136.55

    Facility

    Unavailable

    $20.75 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · Q4151

    Office

    $128.78

    Facility

    Unavailable

    $12.98 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · Q4151

    Office

    $117.08

    Facility

    Unavailable

    $1.28 higher than Beaumont for the office setting.

  • Southern Maine

    Maine · Q4151

    Office

    $126.11

    Facility

    Unavailable

    $10.31 higher than Beaumont for the office setting.

  • Detroit

    Michigan · Q4151

    Office

    $122.80

    Facility

    Unavailable

    $7.00 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · Q4151

    Office

    $116.19

    Facility

    Unavailable

    $0.39 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · Q4151

    Office

    $130.95

    Facility

    Unavailable

    $15.15 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · Q4151

    Office

    $119.49

    Facility

    Unavailable

    $3.69 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · Q4151

    Office

    $121.15

    Facility

    Unavailable

    $5.35 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · Q4151

    Office

    $109.70

    Facility

    Unavailable

    $6.10 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · Q4151

    Office

    $109.57

    Facility

    Unavailable

    $6.23 lower than Beaumont for the office setting.

  • Montana**

    Montana · Q4151

    Office

    $127.26

    Facility

    Unavailable

    $11.46 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · Q4151

    Office

    $118.73

    Facility

    Unavailable

    $2.93 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · Q4151

    Office

    $127.26

    Facility

    Unavailable

    $11.46 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · Q4151

    Office

    $117.46

    Facility

    Unavailable

    $1.66 higher than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · Q4151

    Office

    $132.47

    Facility

    Unavailable

    $16.67 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · Q4151

    Office

    $147.62

    Facility

    Unavailable

    $31.82 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · Q4151

    Office

    $138.97

    Facility

    Unavailable

    $23.17 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · Q4151

    Office

    $116.70

    Facility

    Unavailable

    $0.90 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · Q4151

    Office

    $127.38

    Facility

    Unavailable

    $11.58 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · Q4151

    Office

    $151.31

    Facility

    Unavailable

    $35.51 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · Q4151

    Office

    $139.35

    Facility

    Unavailable

    $23.55 higher than Beaumont for the office setting.

  • Queens

    New York · Q4151

    Office

    $150.42

    Facility

    Unavailable

    $34.62 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · Q4151

    Office

    $120.89

    Facility

    Unavailable

    $5.09 higher than Beaumont for the office setting.

  • Ohio

    Ohio · Q4151

    Office

    $116.19

    Facility

    Unavailable

    $0.39 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · Q4151

    Office

    $113.64

    Facility

    Unavailable

    $2.16 lower than Beaumont for the office setting.

  • Portland

    Oregon · Q4151

    Office

    $141.38

    Facility

    Unavailable

    $25.58 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · Q4151

    Office

    $126.75

    Facility

    Unavailable

    $10.95 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · Q4151

    Office

    $132.47

    Facility

    Unavailable

    $16.67 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · Q4151

    Office

    $116.82

    Facility

    Unavailable

    $1.02 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · Q4151

    Office

    $128.66

    Facility

    Unavailable

    $12.86 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · Q4151

    Office

    $131.46

    Facility

    Unavailable

    $15.66 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · Q4151

    Office

    $117.59

    Facility

    Unavailable

    $1.79 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · Q4151

    Office

    $127.26

    Facility

    Unavailable

    $11.46 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · Q4151

    Office

    $115.68

    Facility

    Unavailable

    $0.12 lower than Beaumont for the office setting.

  • Utah

    Utah · Q4151

    Office

    $119.62

    Facility

    Unavailable

    $3.82 higher than Beaumont for the office setting.

  • Virginia

    Virginia · Q4151

    Office

    $125.09

    Facility

    Unavailable

    $9.29 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · Q4151

    Office

    $128.66

    Facility

    Unavailable

    $12.86 higher than Beaumont for the office setting.

  • Vermont

    Vermont · Q4151

    Office

    $125.98

    Facility

    Unavailable

    $10.18 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · Q4151

    Office

    $134.00

    Facility

    Unavailable

    $18.20 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · Q4151

    Office

    $156.14

    Facility

    Unavailable

    $40.34 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · Q4151

    Office

    $121.91

    Facility

    Unavailable

    $6.11 higher than Beaumont for the office setting.

  • West Virginia

    West Virginia · Q4151

    Office

    $110.59

    Facility

    Unavailable

    $5.21 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · Q4151

    Office

    $127.26

    Facility

    Unavailable

    $11.46 higher than Beaumont for the office setting.

See how rates vary across the country

Q4151 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore Q4151 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for Q4151 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$127.38

$115.80 × 110% = $127.38

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4151 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

18,244

Code
Q4151
Physician work
0.00
Practice expense
3.81
Malpractice
0.00

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for Q4151 in Beaumont
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense3.81× 0.9103.4671
Malpractice0.00× 0.9290.0000
Total RVUs3.4671
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$115.80

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open Q4151 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01
Practice expense3.810.91
Malpractice00.929

(0 × 1 + 3.81 × 0.91 + 0 × 0.929) × $33.4009 = $115.80

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

Q4151 · Office / nonfacility

$115.80

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    No ratechanged to$115.80

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$115.80Not available in this settingRVU26D
2026-07-01$115.80Not available in this settingRVU26C
2026-04-01$115.80Not available in this settingRVU26B
2026-01-01$115.80Not available in this settingRVU26A
2025-10-01Separate payment rules applySeparate payment rules applyRVU25D
2025-07-01Separate payment rules applySeparate payment rules applyRVU25C
2025-04-01Separate payment rules applySeparate payment rules applyRVU25B
2025-01-01Separate payment rules applySeparate payment rules applyRVU25A

Q4151 billing questions

When should Q4151 be selected instead of another skin substitute product code?

Use Q4151 when the product furnished is Amnioband or Guardian. Other wound products have their own HCPCS codes, even when they are also supplied by area.

Can Q4151 be billed by itself?

No. CMS identifies it as an add-on code that must be reported with a primary procedure and paid within that procedure’s global period.

How is the quantity reported?

The code’s billing unit is one square centimeter. Document the treated area and the amount of Amnioband or Guardian used.

Does Q4151 include the wound application service?

No. Q4151 identifies the product; report the applicable primary wound procedure separately for the clinician’s application service.

Does Q4151 include interpretation?

No. CMS classifies Q4151 as technical-component-only and indicates that a separate code covers 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 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.

RVUs for Q4151PPRRVU2026_Oct_nonQPP.csv, line 18,244 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet