$111.35
Q4258 identifies Enverse, while Q4259 identifies Celera. Both use a per-square-centimeter unit, but the code follows the product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4259 Wound product Medicare reimbursement rates in Alabama
Q4259 reports Celera wound product by square centimeter when furnished with a qualifying primary wound procedure and documented by product quantity. Compare Q4259 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 Q4259 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.
Wound care supplies
About Q4259: Celera wound product, per square centimeter
Q4259 reports Celera wound product by square centimeter when furnished with a qualifying primary wound procedure and documented by product quantity.
Q4259 identifies Celera, a wound product reported by square centimeter. It represents the product rather than the clinician’s wound assessment or application work. In practice, wound-care clinicians may furnish it during treatment of a wound when a primary procedure is performed. The product record and wound documentation should identify Celera and support the quantity reported, such as the treated area and the amount used.
Report Q4259 only with a primary procedure; CMS classifies it as an add-on and pays it within that procedure’s global period. Select the quantity in square centimeters and retain documentation linking the product to the treated wound and the primary procedure. CMS identifies this as a technical-component-only code, with interpretation represented by a separate code. The code’s reported quantity and product identity distinguish it from other product-specific wound supply codes.
CMS billing rules for Q4259
- 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.
Q4259 compared with similar codes
Office rates for Alabama, from the same CMS release.
$111.35
Q4260 identifies Signature Apatch rather than Celera. Report the identifier for the actual wound product supplied.
$142.17
15271 reports the primary application procedure for qualifying wounds on the trunk or extremities; Q4259 identifies the Celera product used with a primary procedure.
Compare Q4259 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 Q4259 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
18,347
- Code
- Q4259
- 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.
Q4259 billing questions
Can Q4259 be billed by itself?
No. CMS identifies Q4259 as an add-on code that must be billed with a primary procedure.
How is the quantity reported?
The code is per square centimeter. Documentation should support the Celera quantity reported and connect it to the treated wound.
Is interpretation included in Q4259?
No. CMS classifies Q4259 as technical-component-only and indicates that a separate code covers interpretation.
How does the global-period rule affect payment?
Q4259 is paid within the global period of the primary procedure. It is not reported as a stand-alone service.
How do I distinguish Q4259 from Q4258 or Q4260?
Q4259 identifies Celera; Q4258 and Q4260 identify different products. Use the code matching the product furnished, not just the shared per-square-centimeter unit.
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.
18,344Q4256,,"Mlg complet, 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
18,345Q4257,,"Relese, 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
18,346Q4258,,"Enverse, 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
18,347Q4259,,Celera 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
18,348Q4260,,"Signature apatch, 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
18,349Q4261,,"Tag, per square centimeter",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
18,350Q4262,,"Dual layer impax, 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