$135.53
Q4280 identifies Xcell amnio matrix; Q4281 identifies Barrera SL or DL. The product actually supplied determines which product code is reported.
On this page
CMS RVU26D · Effective 2026-10-01
Q4281 Wound product Medicare reimbursement rates in Alaska
Reports Barrera SL or DL wound product by square centimeter when supplied with a qualifying skin-substitute application procedure. Compare Q4281 office and facility rates across CMS payment localities in Alaska.
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 Q4281 in Alaska?
Alaska 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
$135.53
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 Q4281: Barrera SL or DL wound product
Reports Barrera SL or DL wound product by square centimeter when supplied with a qualifying skin-substitute application procedure.
Q4281 identifies Barrera SL or DL, a wound product reported by square centimeter. Wound-care clinicians, surgeons, and other practitioners who treat chronic ulcers or other wounds may use it as part of a skin-substitute application. The code identifies the specific product; it does not describe the wound site, wound severity, or application technique.
Report Q4281 with the primary application procedure, such as the appropriate code for the wound location and treated area. Document the product used and the square centimeters applied; the application code is selected separately based on site and area. CMS treats Q4281 as an add-on paid within the primary procedure's global period. It is technical-component-only, with interpretation accounted for by a separate code.
CMS billing rules for Q4281
- 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.
Q4281 compared with similar codes
Office rates for Alaska, from the same CMS release.
$135.53
Q4282 identifies Cygnus dual, while Q4281 identifies Barrera SL or DL. These product codes are not interchangeable based on wound area alone.
$185.86
15271 is the primary application code for qualifying trunk, arm, or leg sites; Q4281 reports the Barrera product by square centimeter and is billed with a primary procedure.
$193.17
15275 is the primary application code for qualifying head, neck, hand, foot, or genital sites. Choose the application code by site and area, separately from the product code.
Compare Q4281 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
Alaska* →
Office / nonfacility
$135.53
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 Q4281 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
18,368
- Code
- Q4281
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.500 | 0.0000 |
| Practice expense | 3.81 | × 1.065 | 4.0576 |
| Malpractice | 0.00 | × 0.551 | 0.0000 |
| Total RVUs | 4.0576 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$135.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.5 |
| Practice expense | 3.81 | 1.065 |
| Malpractice | 0 | 0.551 |
(0 × 1.5 + 3.81 × 1.065 + 0 × 0.551) × $33.4009 = $135.53
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.
Q4281 billing questions
How is Q4281 different from another wound-product code?
Q4281 identifies Barrera SL or DL. Use the code that matches the product actually supplied rather than choosing among product codes based only on wound size.
Can Q4281 be billed by itself?
No. CMS classifies it as an add-on that is billed with a primary procedure, such as the applicable skin-substitute application code.
How many units should be reported?
Report the square centimeters of Barrera SL or DL used, supported by the product and application documentation.
Which application code is reported with Q4281?
Select the primary application code based on the wound location and treated area. For example, 15271 or 15272 applies to qualifying trunk, arm, or leg sites, while 15275 or 15276 applies to qualifying head, neck, hand, foot, or genital sites.
Does Q4281 include a professional interpretation?
No. CMS classifies Q4281 as technical-component-only and identifies a separate code for 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.
18,365Q4278,,"Epieffect, 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
18,366Q4279,,"Vendaje ac, 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
18,367Q4280,,Xcell amnio matrix 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
18,368Q4281,,Barrera slor 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
18,369Q4282,,Cygnus dual 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
18,370Q4283,,"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
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609