$137.06
Q4435 identifies Renati membrane, while Q4436 identifies Renati AC membrane. Choose according to the specific product used, not the wound location.
On this page
CMS RVU26D · Effective 2026-10-01
Q4436 Skin substitute Medicare reimbursement rates in Connecticut
Reports Renati AC membrane supplied by area for wound coverage, alongside the applicable skin-substitute application procedure. Compare Q4436 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 Q4436 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.
Wound care products
About Q4436: Renati AC membrane wound product
Reports Renati AC membrane supplied by area for wound coverage, alongside the applicable skin-substitute application procedure.
Q4436 identifies Renati AC membrane supplied for wound coverage, with the product quantity reported by square centimeter. A physician or other qualified practitioner may apply the membrane to a prepared wound during outpatient wound care or a surgical procedure. The product code identifies the material supplied; it does not identify the wound site or the application technique.
Report Q4436 only with the primary procedure for applying the skin substitute, and base the units on the area of membrane applied. The record should identify the product and document the treated wound and amount used. CMS treats this as an add-on code paid within the primary procedure's global period, so it is not a standalone service. CMS also classifies it as technical-component-only; a separate code represents interpretation.
CMS billing rules for Q4436
- 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.
Q4436 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$137.06
Q4437 identifies Revival AC rather than Renati AC membrane. The product code follows the material supplied.
$168.30
15271 reports the application procedure for qualifying trunk, arm, or leg wounds; Q4436 reports the Renati AC membrane product by area.
Compare Q4436 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 Q4436 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
18,519
- Code
- Q4436
- 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.
Q4436 billing questions
Can Q4436 be billed by itself?
No. CMS identifies Q4436 as an add-on that must be reported with a primary procedure and is paid within that procedure's global period.
How should the units be determined?
Report the square centimeters of Renati AC membrane applied. Document the treated wound and the amount of product used.
Does Q4436 identify the wound application procedure?
No. Q4436 identifies the Renati AC membrane product. Select the application procedure separately according to the wound site and applicable procedure criteria.
Is interpretation included in Q4436?
No. CMS classifies Q4436 as technical-component-only, with interpretation represented by a separate code.
Can Q4436 be used for another Renati membrane product?
Use Q4436 when the supplied product is Renati AC membrane. A different Renati product may have its own HCPCS code, such as Q4435.
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.
18,516Q4432,,"510(k) skin subs, nos",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,517Q4433,,"361 hct/p skin subs, nos",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,518Q4435,,Renati membrane 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
18,519Q4436,,Renati ac membrane 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
18,520Q4437,,Revival 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
18,521Q4438,,Pretect 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
18,522Q4439,,Instagraft 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