Q4291 identifies Lamellas XT, whereas Q4292 identifies Lamellas. Select the product code from the material actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4292 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 Q4292: Lamellas wound matrix, per square centimeter
Report Q4292 for each square centimeter of Lamellas wound matrix supplied with a qualifying wound-treatment procedure and applied to the treated area.
Q4292 represents Lamellas wound matrix by the square centimeter. It is used in wound care when this specific product is supplied for application to a wound. Wound-care clinicians and surgeons may use it in settings where wound treatment and product application are performed; the product code identifies the material, not the application service itself.
Report the number of square centimeters of Lamellas represented by the documented amount used, and pair the code with the appropriate primary procedure. The record should identify the product, treated wound, quantity used, and related procedure. CMS classifies Q4292 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. It is technical-component-only; a separate code covers interpretation. The procedure code describes the application, while Q4292 identifies the product.
CMS billing rules for Q4292
- 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.
Q4292 compared with similar codes
Office rates for Beaumont, from the same CMS release.
15271 reports the wound-application service for qualifying sites and area; Q4292 reports the Lamellas product by square centimeter.
15275 is an application service for qualifying hand or foot wounds. Q4292 identifies the Lamellas product and does not replace the application code.
The same code, a different location
How does Beaumont compare?
In Austin, the office rate for Q4292 is $134.64—$18.84 higher than the $115.80 rate in Beaumont. Both use the same code, release and participation basis.
Q4292 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
$115.80
$134.64
$18.84 higher than Beaumont
$126.11
$10.31 higher than Beaumont
$126.75
$10.95 higher than Beaumont
$125.48
$9.68 higher than Beaumont
$126.37
$10.57 higher than Beaumont
$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, Q4292 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 · Q4292
Office
$120.77
Facility
Unavailable
$4.97 higher than Beaumont for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · Q4292
Office
$150.55
Facility
Unavailable
$34.75 higher than Beaumont for the office setting.
Dc + Md/Va Suburbs
District of Columbia · Q4292
Office
$149.91
Facility
Unavailable
$34.11 higher than Beaumont for the office setting.
Miami
Florida · Q4292
Office
$132.47
Facility
Unavailable
$16.67 higher than Beaumont for the office setting.
Chicago
Illinois · Q4292
Office
$127.89
Facility
Unavailable
$12.09 higher than Beaumont for the office setting.
Manhattan
New York · Q4292
Office
$147.87
Facility
Unavailable
$32.07 higher than Beaumont for the office setting.
Alaska*
Alaska · Q4292
Office
$135.53
Facility
Unavailable
$19.73 higher than Beaumont for the office setting.
Alabama
Alabama · Q4292
Office
$111.35
Facility
Unavailable
$4.45 lower than Beaumont for the office setting.
Arkansas
Arkansas · Q4292
Office
$109.31
Facility
Unavailable
$6.49 lower than Beaumont for the office setting.
Arizona
Arizona · Q4292
Office
$123.31
Facility
Unavailable
$7.51 higher than Beaumont for the office setting.
Bakersfield
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Chico
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
El Centro
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Fresno
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Hanford-Corcoran
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Madera
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Merced
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Modesto
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Napa
California · Q4292
Office
$167.73
Facility
Unavailable
$51.93 higher than Beaumont for the office setting.
Oxnard-Thousand Oaks-Ventura
California · Q4292
Office
$150.42
Facility
Unavailable
$34.62 higher than Beaumont for the office setting.
Redding
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Rest Of California
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Riverside-San Bernardino-Ontario
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Sacramento-Roseville-Folsom
California · Q4292
Office
$148.00
Facility
Unavailable
$32.20 higher than Beaumont for the office setting.
Salinas
California · Q4292
Office
$147.49
Facility
Unavailable
$31.69 higher than Beaumont for the office setting.
San Diego-Chula Vista-Carlsbad
California · Q4292
Office
$152.20
Facility
Unavailable
$36.40 higher than Beaumont for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · Q4292
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 · Q4292
Office
$179.43
Facility
Unavailable
$63.63 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · Q4292
Office
$183.51
Facility
Unavailable
$67.71 higher than Beaumont for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · Q4292
Office
$183.51
Facility
Unavailable
$67.71 higher than Beaumont for the office setting.
San Luis Obispo-Paso Robles
California · Q4292
Office
$144.95
Facility
Unavailable
$29.15 higher than Beaumont for the office setting.
Santa Cruz-Watsonville
California · Q4292
Office
$154.62
Facility
Unavailable
$38.82 higher than Beaumont for the office setting.
Santa Maria-Santa Barbara
California · Q4292
Office
$148.38
Facility
Unavailable
$32.58 higher than Beaumont for the office setting.
Santa Rosa-Petaluma
California · Q4292
Office
$156.27
Facility
Unavailable
$40.47 higher than Beaumont for the office setting.
Stockton
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Vallejo
California · Q4292
Office
$167.73
Facility
Unavailable
$51.93 higher than Beaumont for the office setting.
Visalia
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Yuba City
California · Q4292
Office
$139.47
Facility
Unavailable
$23.67 higher than Beaumont for the office setting.
Colorado
Colorado · Q4292
Office
$135.40
Facility
Unavailable
$19.60 higher than Beaumont for the office setting.
Connecticut
Connecticut · Q4292
Office
$137.06
Facility
Unavailable
$21.26 higher than Beaumont for the office setting.
Delaware
Delaware · Q4292
Office
$125.73
Facility
Unavailable
$9.93 higher than Beaumont for the office setting.
Fort Lauderdale
Florida · Q4292
Office
$128.91
Facility
Unavailable
$13.11 higher than Beaumont for the office setting.
Rest Of Florida
Florida · Q4292
Office
$121.66
Facility
Unavailable
$5.86 higher than Beaumont for the office setting.
Atlanta
Georgia · Q4292
Office
$129.29
Facility
Unavailable
$13.49 higher than Beaumont for the office setting.
Rest Of Georgia
Georgia · Q4292
Office
$113.51
Facility
Unavailable
$2.29 lower than Beaumont for the office setting.
Hawaii, Guam
Hawaii · Q4292
Office
$144.69
Facility
Unavailable
$28.89 higher than Beaumont for the office setting.
Iowa
Iowa · Q4292
Office
$116.44
Facility
Unavailable
$0.64 higher than Beaumont for the office setting.
Idaho
Idaho · Q4292
Office
$117.08
Facility
Unavailable
$1.28 higher than Beaumont for the office setting.
East St. Louis
Illinois · Q4292
Office
$117.08
Facility
Unavailable
$1.28 higher than Beaumont for the office setting.
Rest Of Illinois
Illinois · Q4292
Office
$116.19
Facility
Unavailable
$0.39 higher than Beaumont for the office setting.
Suburban Chicago
Illinois · Q4292
Office
$130.69
Facility
Unavailable
$14.89 higher than Beaumont for the office setting.
Indiana
Indiana · Q4292
Office
$117.97
Facility
Unavailable
$2.17 higher than Beaumont for the office setting.
Kansas
Kansas · Q4292
Office
$115.04
Facility
Unavailable
$0.76 lower than Beaumont for the office setting.
Kentucky
Kentucky · Q4292
Office
$113.13
Facility
Unavailable
$2.67 lower than Beaumont for the office setting.
New Orleans
Louisiana · Q4292
Office
$119.75
Facility
Unavailable
$3.95 higher than Beaumont for the office setting.
Rest Of Louisiana
Louisiana · Q4292
Office
$112.62
Facility
Unavailable
$3.18 lower than Beaumont for the office setting.
Metropolitan Boston
Massachusetts · Q4292
Office
$151.95
Facility
Unavailable
$36.15 higher than Beaumont for the office setting.
Rest Of Massachusetts
Massachusetts · Q4292
Office
$134.00
Facility
Unavailable
$18.20 higher than Beaumont for the office setting.
Baltimore/Surr. Cntys
Maryland · Q4292
Office
$136.55
Facility
Unavailable
$20.75 higher than Beaumont for the office setting.
Rest Of Maryland
Maryland · Q4292
Office
$128.78
Facility
Unavailable
$12.98 higher than Beaumont for the office setting.
Rest Of Maine
Maine · Q4292
Office
$117.08
Facility
Unavailable
$1.28 higher than Beaumont for the office setting.
Southern Maine
Maine · Q4292
Office
$126.11
Facility
Unavailable
$10.31 higher than Beaumont for the office setting.
Detroit
Michigan · Q4292
Office
$122.80
Facility
Unavailable
$7.00 higher than Beaumont for the office setting.
Rest Of Michigan
Michigan · Q4292
Office
$116.19
Facility
Unavailable
$0.39 higher than Beaumont for the office setting.
Minnesota
Minnesota · Q4292
Office
$130.95
Facility
Unavailable
$15.15 higher than Beaumont for the office setting.
Metropolitan Kansas City
Missouri · Q4292
Office
$119.49
Facility
Unavailable
$3.69 higher than Beaumont for the office setting.
Metropolitan St. Louis
Missouri · Q4292
Office
$121.15
Facility
Unavailable
$5.35 higher than Beaumont for the office setting.
Rest Of Missouri
Missouri · Q4292
Office
$109.70
Facility
Unavailable
$6.10 lower than Beaumont for the office setting.
Mississippi
Mississippi · Q4292
Office
$109.57
Facility
Unavailable
$6.23 lower than Beaumont for the office setting.
Montana**
Montana · Q4292
Office
$127.26
Facility
Unavailable
$11.46 higher than Beaumont for the office setting.
North Carolina
North Carolina · Q4292
Office
$118.73
Facility
Unavailable
$2.93 higher than Beaumont for the office setting.
North Dakota**
North Dakota · Q4292
Office
$127.26
Facility
Unavailable
$11.46 higher than Beaumont for the office setting.
Nebraska
Nebraska · Q4292
Office
$117.46
Facility
Unavailable
$1.66 higher than Beaumont for the office setting.
New Hampshire
New Hampshire · Q4292
Office
$132.47
Facility
Unavailable
$16.67 higher than Beaumont for the office setting.
Northern Nj
New Jersey · Q4292
Office
$147.62
Facility
Unavailable
$31.82 higher than Beaumont for the office setting.
Rest Of New Jersey
New Jersey · Q4292
Office
$138.97
Facility
Unavailable
$23.17 higher than Beaumont for the office setting.
New Mexico
New Mexico · Q4292
Office
$116.70
Facility
Unavailable
$0.90 higher than Beaumont for the office setting.
Nevada**
Nevada · Q4292
Office
$127.38
Facility
Unavailable
$11.58 higher than Beaumont for the office setting.
Nyc Suburbs/Long Island
New York · Q4292
Office
$151.31
Facility
Unavailable
$35.51 higher than Beaumont for the office setting.
Poughkpsie/N Nyc Suburbs
New York · Q4292
Office
$139.35
Facility
Unavailable
$23.55 higher than Beaumont for the office setting.
Queens
New York · Q4292
Office
$150.42
Facility
Unavailable
$34.62 higher than Beaumont for the office setting.
Rest Of New York
New York · Q4292
Office
$120.89
Facility
Unavailable
$5.09 higher than Beaumont for the office setting.
Ohio
Ohio · Q4292
Office
$116.19
Facility
Unavailable
$0.39 higher than Beaumont for the office setting.
Oklahoma
Oklahoma · Q4292
Office
$113.64
Facility
Unavailable
$2.16 lower than Beaumont for the office setting.
Portland
Oregon · Q4292
Office
$141.38
Facility
Unavailable
$25.58 higher than Beaumont for the office setting.
Rest Of Oregon
Oregon · Q4292
Office
$126.75
Facility
Unavailable
$10.95 higher than Beaumont for the office setting.
Metropolitan Philadelphia
Pennsylvania · Q4292
Office
$132.47
Facility
Unavailable
$16.67 higher than Beaumont for the office setting.
Rest Of Pennsylvania
Pennsylvania · Q4292
Office
$116.82
Facility
Unavailable
$1.02 higher than Beaumont for the office setting.
Puerto Rico
Puerto Rico · Q4292
Office
$128.66
Facility
Unavailable
$12.86 higher than Beaumont for the office setting.
Rhode Island
Rhode Island · Q4292
Office
$131.46
Facility
Unavailable
$15.66 higher than Beaumont for the office setting.
South Carolina
South Carolina · Q4292
Office
$117.59
Facility
Unavailable
$1.79 higher than Beaumont for the office setting.
South Dakota**
South Dakota · Q4292
Office
$127.26
Facility
Unavailable
$11.46 higher than Beaumont for the office setting.
Tennessee
Tennessee · Q4292
Office
$115.68
Facility
Unavailable
$0.12 lower than Beaumont for the office setting.
Utah
Utah · Q4292
Office
$119.62
Facility
Unavailable
$3.82 higher than Beaumont for the office setting.
Virginia
Virginia · Q4292
Office
$125.09
Facility
Unavailable
$9.29 higher than Beaumont for the office setting.
Virgin Islands
United States Virgin Islands · Q4292
Office
$128.66
Facility
Unavailable
$12.86 higher than Beaumont for the office setting.
Vermont
Vermont · Q4292
Office
$125.98
Facility
Unavailable
$10.18 higher than Beaumont for the office setting.
Rest Of Washington
Washington · Q4292
Office
$134.00
Facility
Unavailable
$18.20 higher than Beaumont for the office setting.
Seattle (King Cnty)
Washington · Q4292
Office
$156.14
Facility
Unavailable
$40.34 higher than Beaumont for the office setting.
Wisconsin
Wisconsin · Q4292
Office
$121.91
Facility
Unavailable
$6.11 higher than Beaumont for the office setting.
West Virginia
West Virginia · Q4292
Office
$110.59
Facility
Unavailable
$5.21 lower than Beaumont for the office setting.
Wyoming**
Wyoming · Q4292
Office
$127.26
Facility
Unavailable
$11.46 higher than Beaumont for the office setting.
See how rates vary across the country
Q4292 · 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 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for Q4292 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.
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 Q4292 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
18,379
- Code
- Q4292
- 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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.910 | 3.4671 |
| Malpractice | 0.00 | × 0.929 | 0.0000 |
| Total RVUs | 3.4671 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Beaumont$115.80
Open Q4292 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.91 |
| Malpractice | 0 | 0.929 |
(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
Q4292 · 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.
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
January 1, 2026
RVU26A
No ratechanged to$115.80
Held through RVU26B, RVU26C, RVU26D.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $115.80 | Not available in this setting | RVU26D |
| 2026-07-01 | $115.80 | Not available in this setting | RVU26C |
| 2026-04-01 | $115.80 | Not available in this setting | RVU26B |
| 2026-01-01 | $115.80 | Not available in this setting | RVU26A |
| 2025-10-01 | Separate payment rules apply | Separate payment rules apply | RVU25D |
| 2025-07-01 | Separate payment rules apply | Separate payment rules apply | RVU25C |
| 2025-04-01 | Separate payment rules apply | Separate payment rules apply | RVU25B |
| 2025-01-01 | Separate payment rules apply | Separate payment rules apply | RVU25A |
Q4292 billing questions
How is Q4292 different from the Lamellas XT code?
Q4292 identifies Lamellas; Q4291 identifies Lamellas XT. Report the code matching the product used, rather than choosing by wound size or location.
Can Q4292 be billed without a wound application procedure?
No. CMS identifies Q4292 as an add-on code, so it must be reported with a primary procedure.
How are units calculated?
The descriptor is per square centimeter. Document the amount of Lamellas used and report the corresponding square-centimeter quantity.
Does Q4292 include the application service?
No. Q4292 identifies the Lamellas product; report the appropriate primary procedure for the wound application.
Does Q4292 include professional interpretation?
No. CMS classifies it as technical-component-only, with a separate code covering interpretation.
What documentation supports reporting Q4292?
Document the Lamellas product, the wound treated, the quantity used in square centimeters, and the primary procedure 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 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.
