$168.30
Q4338 identifies the Artacent Velos product by square centimeter. Code 15271 reports the application service for its specified body regions and wound-area range.
On this page
CMS RVU26D · Effective 2026-10-01
Q4338 Wound product Medicare reimbursement rates in Connecticut
Q4338 reports Artacent Velos wound-covering product by square centimeter when supplied for placement during a skin-substitute application procedure. Compare Q4338 office and facility rates across CMS payment localities in Connecticut.
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 Q4338 in Connecticut?
Connecticut 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
$137.06
1 of 1 localities have a supported rate.
Payment area: Connecticut
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
About Q4338: Artacent Velos wound product
Q4338 reports Artacent Velos wound-covering product by square centimeter when supplied for placement during a skin-substitute application procedure.
Q4338 identifies the Artacent Velos product used as a wound covering; it is a supply code, not the clinician’s application service. Wound-care clinicians, surgeons, and podiatrists may use the product in outpatient wound-care settings. The related application procedure is selected separately according to the treated site and wound area.
Report units by the square centimeters of product used, and document the product, wound site, and quantity. Q4338 is an add-on code: submit it with a primary procedure, not by itself, and its payment falls within that procedure’s global period. CMS classifies it as technical-component-only, with interpretation covered by a separate code. The code represents the product rather than physician work.
CMS billing rules for Q4338
- 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.
Q4338 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$170.17
Use 15275 for the application service on its specified body regions; Q4338 identifies the product used, not the site or application work.
$137.06
Q4337 identifies Artacent Trident, while Q4338 identifies Artacent Velos. Select the product code that matches the material supplied.
$137.06
Q4339 identifies Artacent Vericlen, while Q4338 identifies Artacent Velos. Both are product-specific codes reported by square centimeter.
Compare Q4338 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
Connecticut →
Office / nonfacility
$137.06
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 Q4338 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
18,425
- Code
- Q4338
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.020 | 0.0000 |
| Practice expense | 3.81 | × 1.077 | 4.1034 |
| Malpractice | 0.00 | × 1.210 | 0.0000 |
| Total RVUs | 4.1034 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$137.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.02 |
| Practice expense | 3.81 | 1.077 |
| Malpractice | 0 | 1.21 |
(0 × 1.02 + 3.81 × 1.077 + 0 × 1.21) × $33.4009 = $137.06
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.
Q4338 billing questions
Can Q4338 be billed by itself?
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 Q4338 include the wound application?
No. Q4338 identifies the Artacent Velos product. Report the appropriate application procedure separately for the service performed.
How are units determined?
The code is reported per square centimeter. Document the quantity of Artacent Velos used for the wound.
How do I distinguish Q4338 from Q4337 or Q4339?
Each code identifies a different named product. Report Q4338 when the product used is Artacent Velos, rather than Artacent Trident or Artacent Vericlen.
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.
18,422Q4335,,"Amnioplast 2, 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
18,423Q4336,,"Artecent c, 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
18,424Q4337,,"Artecent trident, 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
18,425Q4338,,"Artacent velos, 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
18,426Q4339,,"Artacent vericlen, 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
18,427Q4340,,"Simpligraft, 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
18,428Q4341,,"Simplimax, 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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808