$111.35
Q4265 identifies Neostim TL, while Q4267 identifies Neostim DL. Match the code to the product name and configuration documented.
On this page
CMS RVU26D · Effective 2026-10-01
Q4267 Wound product Medicare reimbursement rates in Alabama
Reports the Neostim DL wound product by square centimeter when it is supplied for application to a wound during a primary procedure. Compare Q4267 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 Q4267 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
About Q4267: Neostim DL wound product
Reports the Neostim DL wound product by square centimeter when it is supplied for application to a wound during a primary procedure.
Q4267 represents the Neostim DL wound product, counted by the square centimeter, for use over a wound. It may be supplied during treatment of chronic wounds such as diabetic foot ulcers or venous leg ulcers. Wound-care clinicians, including physicians, podiatrists, and surgeons, may use the product as part of a wound treatment procedure. The code identifies the product, not the clinician’s work of applying it.
Report Q4267 only with a primary procedure, using the area of product supported by the record. Documentation should identify Neostim DL, the wound site, the measured area treated, and the primary application procedure. CMS classifies Q4267 as an add-on code paid within the primary procedure’s global period. It is also technical-component-only; CMS indicates that a separate code covers interpretation.
CMS billing rules for Q4267
- 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.
Q4267 compared with similar codes
Office rates for Alabama, from the same CMS release.
$111.35
Q4266 is another Neostim product code, not a substitute for Q4267 based only on the wound or application area. Use the code matching the product supplied.
$142.17
Q4267 reports the Neostim DL product by area; 15271 reports the primary application service for qualifying wound sites and areas.
$145.65
Q4267 identifies the product supplied, whereas 15275 reports the primary application service for qualifying sites such as the face, hands, or feet.
Compare Q4267 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 Q4267 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
18,355
- Code
- Q4267
- 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.
Q4267 billing questions
How is Q4267 different from Q4265 and Q4266?
These are separate Neostim product codes. Use Q4267 for Neostim DL, and select the code that matches the specific product documented as supplied.
What primary service must accompany Q4267?
Q4267 is reported only with a primary procedure. For wound-product application, the primary service is generally selected from the application-code family based on the wound site and treated area.
What area should be documented?
Document the wound location and the measured area treated with Neostim DL. The code is reported per square centimeter.
Can Q4267 be reported as a standalone service?
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 Q4267 include interpretation?
CMS classifies Q4267 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.
18,352Q4264,,"Cocoon membrane, 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
18,353Q4265,,Neostim tl 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
18,354Q4266,,Neostim 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
18,355Q4267,,Neostim dl 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
18,356Q4268,,Surgraft ft 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
18,357Q4269,,Surgraft xt 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
18,358Q4270,,Complete sl 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