$135.40
Q4280 identifies Xcell amnio matrix, not Cygnus Dual. Choose the product-specific code for the product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4282 Wound product Medicare reimbursement rates in Colorado
Report Q4282 for each square centimeter of Cygnus Dual furnished for wound treatment, alongside the primary procedure to which the product is applied. Compare Q4282 office and facility rates across CMS payment localities in Colorado.
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 Q4282 in Colorado?
Colorado 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
$135.40
1 of 1 localities have a supported rate.
Payment area: Colorado
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 Q4282: Cygnus Dual wound product
Report Q4282 for each square centimeter of Cygnus Dual furnished for wound treatment, alongside the primary procedure to which the product is applied.
Q4282 identifies Cygnus Dual, a wound-care product supplied and measured by square centimeter. It may be used in treatment of a wound, such as a chronic ulcer, when the clinician selects this specific product. The code represents the product, not the clinician’s assessment or the work of applying it. Wound-care clinicians and other qualified providers may use it in office or facility settings as part of a wound-treatment encounter.
Report units based on the documented square centimeters of Cygnus Dual furnished, and identify the product and treated wound in the record. Q4282 is an add-on code: submit it only with a primary procedure, and payment falls within that procedure’s global period. CMS classifies the code as technical-component-only; a separate code covers interpretation. Keep the product line distinct from the primary procedure and from documentation of the application service.
CMS billing rules for Q4282
- 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.
Q4282 compared with similar codes
Office rates for Colorado, from the same CMS release.
$135.40
Q4283 identifies Biovance Tri or 3L. Q4282 is specific to Cygnus Dual; the products are not distinguished by wound area or service level.
$135.40
Q4278 identifies EpiEffect. Use Q4282 only when Cygnus Dual is the product furnished.
Compare Q4282 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
Colorado →
Office / nonfacility
$135.40
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 Q4282 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
18,369
- Code
- Q4282
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.012 | 0.0000 |
| Practice expense | 3.81 | × 1.064 | 4.0538 |
| Malpractice | 0.00 | × 0.781 | 0.0000 |
| Total RVUs | 4.0538 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$135.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.012 |
| Practice expense | 3.81 | 1.064 |
| Malpractice | 0 | 0.781 |
(0 × 1.012 + 3.81 × 1.064 + 0 × 0.781) × $33.4009 = $135.40
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.
Q4282 billing questions
Can Q4282 be billed by itself?
No. CMS identifies Q4282 as an add-on code that must be billed with a primary procedure. Payment is within that procedure’s global period.
How should units be determined?
Use the documented square centimeters of Cygnus Dual furnished. Record the product and the amount used for the treated wound.
Does Q4282 include the application service?
Q4282 identifies the product, not the application work. Report it with the required primary procedure rather than treating the product line as a standalone service.
Does this code include interpretation?
No. CMS classifies Q4282 as technical-component-only; a separate code covers interpretation.
Can another wound product code be used for Cygnus Dual?
No. Select Q4282 when Cygnus Dual is the product furnished. Other product codes identify different products and are not substitutes for the product actually used.
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.
18,366Q4279,,"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
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899