$111.35
Q4285 identifies Nudyn DL or DL mesh, while Q4286 identifies Nudyn SL or SLW. The product used determines which supply code applies.
On this page
CMS RVU26D · Effective 2026-10-01
Q4286 Wound product Medicare reimbursement rates in Alabama
Reports Nudyn SL or SLW wound product by square centimeter when supplied for use with a qualifying primary wound procedure. Compare Q4286 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 Q4286 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 product
About Q4286: Nudyn SL or SLW wound product
Reports Nudyn SL or SLW wound product by square centimeter when supplied for use with a qualifying primary wound procedure.
Q4286 identifies Nudyn SL or SLW by the square centimeter for wound-care use. The product is typically applied by a clinician treating a wound, such as a chronic ulcer, in a wound clinic, office, or hospital setting. This code represents the product quantity, not the clinician’s wound application service; the applicable primary procedure is reported separately.
Select Q4286 when the product used is specifically Nudyn SL or SLW, and document the product and square-centimeter quantity. CMS classifies it as an add-on code: bill it only with a primary procedure, and its payment falls within that procedure’s global period. It is technical-component-only; interpretation is covered by a separate code. The record should support the wound treated, product identity, amount used, and related primary procedure.
CMS billing rules for Q4286
- 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.
Q4286 compared with similar codes
Office rates for Alabama, from the same CMS release.
$142.17
Q4286 reports the Nudyn product quantity; 15271 reports a primary wound-application procedure when its site and area criteria are met.
$111.35
Q4284 identifies Dermabind SL, not Nudyn SL or SLW. Use the code for the product actually supplied.
Compare Q4286 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 Q4286 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
18,373
- Code
- Q4286
- 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.
Q4286 billing questions
When should Q4286 be selected instead of Q4285?
Use Q4286 for Nudyn SL or SLW. Q4285 identifies Nudyn DL or DL mesh, so select the code matching the product actually used.
Is Q4286 reported by wound or by square centimeter?
The descriptor is per square centimeter. Document the product quantity in square centimeters and ensure the reported units reflect that quantity.
Can Q4286 be billed without a primary procedure?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
Does Q4286 include interpretation?
No. CMS classifies Q4286 as technical-component-only and indicates that a separate code covers interpretation.
What documentation supports Q4286?
Record the wound treated, the Nudyn SL or SLW product used, its square-centimeter quantity, and the associated primary procedure.
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.
18,370Q4283,,"Biovance tri or 3l, 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
18,371Q4284,,"Dermabind 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
18,372Q4285,,Nudyn dl or dl mesh pr 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
18,373Q4286,,"Nudyn sl or slw, 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
18,374Q4287,,"Dermabind 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
18,375Q4288,,"Dermabind ch, 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
18,376Q4289,,"Revoshield+ amnio, 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