HCPCS Q4256: MLG CompleteMedicare rate & RVUs in Alaska
Q4256 reports MLG Complete by square centimeter as an add-on product code with a primary procedure for wound treatment.
Medicare pays $135.53 for Q4256 in the office in Alaska (Alaska*). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4256 covers
Q4256 identifies MLG Complete by the square centimeter for wound-care use. It is a product code, not the application procedure itself. Wound-care clinicians, podiatrists, and surgeons may report it when furnishing the product during a wound treatment encounter. The record should identify the treated wound and site, the product used, and the area represented by the billed units.
CMS classifies Q4256 as an add-on code, so report it only with a primary procedure; its payment falls within that procedure’s global period. Select units using the product area in square centimeters, and retain documentation that supports the quantity reported. CMS identifies this as a technical-component-only code, with a separate code covering interpretation. Do not report Q4256 by itself as the primary service.
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.
Q4256 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | $135.53 | Unavailable |
How the Q4256 rate is calculated
Each of Q4256’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · Q4256
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4256
The CMS indicators that decide how Q4256 is paid alongside other services.
CMS payment indicators · Q4256
MLG Complete
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4256 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports the primary application procedure for qualifying trunk, arm, or leg sites; Q4256 identifies MLG Complete by area and is reported as an add-on.
- 15275Skin substitute
- 15275 is the primary application procedure for qualifying face, scalp, neck, hand, foot, or genital sites. Q4256 identifies the product rather than the application service.
- Q4255Wound product
- Q4255 identifies Reguard, while Q4256 identifies MLG Complete. Use the code matching the product furnished, not the wound area alone.
- Q4257Wound product
- Q4257 identifies Relese, while Q4256 identifies MLG Complete. These are distinct product codes, not different area increments for one product.
Q4256 billing questions
Can Q4256 be reported by itself?
No. CMS classifies it as an add-on code, so it must be reported with a primary procedure.
How should units be determined?
Q4256 is reported per square centimeter. Document the wound area and the quantity of MLG Complete represented by the units billed.
Does Q4256 describe the wound application procedure?
No. It identifies the product by area; report the primary procedure separately.
How does the global period affect Q4256?
Its payment falls within the global period of the primary procedure with which it is reported.
Does Q4256 include interpretation?
No. CMS identifies Q4256 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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