$111.35
Q4234 identifies Xcellerate; Q4235 identifies Amniorepair or Altiply. Select by the product supplied, not by the wound site.
On this page
CMS RVU26D · Effective 2026-10-01
Q4235 Wound tissue product Medicare reimbursement rates in Alabama
Reports Amniorepair or Altiply wound-coverage product by square centimeter when supplied with a primary wound application procedure. Compare Q4235 office and facility rates across CMS payment localities in Alabama.
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 Q4235 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$111.35
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Skin substitute product
About Q4235: Amniorepair or Altiply wound product
Reports Amniorepair or Altiply wound-coverage product by square centimeter when supplied with a primary wound application procedure.
Q4235 identifies Amniorepair or Altiply wound-coverage product supplied by square centimeter; it represents the product, not the work of placing it. These products may be used as biologic coverings during treatment of open wounds, including chronic ulcers. A wound-care physician, surgeon, or other qualified practitioner may apply the product to a prepared wound bed in an office or hospital outpatient setting as part of a wound procedure. The associated application service is reported separately.
Report Q4235 only with a qualifying primary application procedure. CMS classifies it as an add-on code and pays it within that procedure’s global period, so it is not a stand-alone service. Select the code based on the product supplied and report units on a per-square-centimeter basis. Documentation should identify the product, wound site, amount used, and primary procedure. CMS classifies Q4235 as technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4235
- 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.
Q4235 compared with similar codes
Office rates for Alabama, from the same CMS release.
$111.35
Q4236 identifies Carepatch, while Q4235 identifies Amniorepair or Altiply. Both use a per-square-centimeter unit, but the product determines the code.
Q4230
No office rateCogenex flow amnion 0.5 cc
Q4230 identifies Cogenex Flow amnion and is measured per 0.5 cc; Q4235 identifies Amniorepair or Altiply and is measured per square centimeter.
Compare Q4235 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
$111.35
Facility
Unavailable
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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 Q4235 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
18,324
- Code
- Q4235
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.875 | 3.3338 |
| Malpractice | 0.00 | × 0.566 | 0.0000 |
| Total RVUs | 3.3338 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$111.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.875 |
| Malpractice | 0 | 0.566 |
(0 × 1 + 3.81 × 0.875 + 0 × 0.566) × $33.4009 = $111.35
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.
Q4235 billing questions
Does Q4235 describe applying the product?
No. It identifies the Amniorepair or Altiply product; report the wound application service separately as the primary procedure.
What determines whether Q4235 is the right product code?
Use Q4235 when the product supplied is Amniorepair or Altiply. Do not select it solely from wound location or type.
How are units reported?
The code is measured per square centimeter. Document the product amount used and the wound site.
Can Q4235 be billed without a primary procedure?
No. CMS identifies it as an add-on code that is billed with a primary procedure and paid within that procedure’s global period.
Does Q4235 include interpretation?
No. CMS classifies Q4235 as technical-component-only; 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.
18,321Q4232,,"Corplex, 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
18,322Q4233,,Surfactor /nudyn per 0.5 cc,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
18,323Q4234,,"Xcellerate, 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
18,324Q4235,,Amniorepair or altiply 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
18,325Q4236,,Carepatch 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
18,326Q4237,,"Cryo-cord, 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
18,327Q4238,,"Derm-maxx, 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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515