$125.73
Q4163 identifies Woundex or Bioskin, while Q4164 identifies Helicoll. Select according to the product actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4164 Helicoll Medicare reimbursement rates in Delaware
Report Q4164 for the square-centimeter quantity of Helicoll supplied for wound coverage, alongside the applicable primary wound application procedure. Compare Q4164 office and facility rates across CMS payment localities in Delaware.
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 Q4164 in Delaware?
Delaware 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
$125.73
1 of 1 localities have a supported rate.
Payment area: Delaware
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
About Q4164: Helicoll wound product by area
Report Q4164 for the square-centimeter quantity of Helicoll supplied for wound coverage, alongside the applicable primary wound application procedure.
Q4164 identifies Helicoll supplied for wound treatment, with quantity measured in square centimeters. It represents the product, not the clinician’s work to prepare the wound or apply the material. A wound-care clinician or surgeon may use it when treating a wound selected for this type of coverage, such as a chronic diabetic foot or venous leg ulcer. The clinical record should identify the wound site and size, the product used, and the quantity applied.
CMS classifies Q4164 as an add-on code: report it only with a primary procedure, and payment falls within that procedure’s global period. Report the applicable wound-application service separately; the product quantity should reflect the documented square centimeters. CMS designates Q4164 as technical-component-only, with interpretation covered by a separate code. Its listed relative values are practice expense only: 3.81 in both office and facility settings, with zero work and malpractice RVUs.
CMS billing rules for Q4164
- 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.
Q4164 compared with similar codes
Office rates for Delaware, from the same CMS release.
$125.73
Q4165 identifies Keramatrix or Kerasorb; Q4164 is specific to Helicoll. Both are measured by square centimeter.
$125.73
Q4154 identifies Biovance by square centimeter. Q4164 applies when the supplied product is Helicoll.
Compare Q4164 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
Delaware →
Office / nonfacility
$125.73
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 Q4164 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
18,257
- Code
- Q4164
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 3.81 | × 0.988 | 3.7643 |
| Malpractice | 0.00 | × 0.899 | 0.0000 |
| Total RVUs | 3.7643 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$125.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.005 |
| Practice expense | 3.81 | 0.988 |
| Malpractice | 0 | 0.899 |
(0 × 1.005 + 3.81 × 0.988 + 0 × 0.899) × $33.4009 = $125.73
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.
Q4164 billing questions
Is Q4164 the wound application procedure?
No. Q4164 reports the Helicoll product by square centimeter; report the appropriate primary procedure for the wound application.
Can Q4164 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
How should the quantity be documented?
Document the wound site and measured area, the Helicoll product used, and the square-centimeter quantity applied.
Does Q4164 include interpretation?
CMS designates Q4164 as technical-component-only and indicates that a separate code covers interpretation.
When should Q4164 be used instead of another wound product code?
Use Q4164 when the product supplied is Helicoll. Codes such as Q4163 or Q4165 identify different products, even though their quantities are also expressed by area.
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.
18,254Q4161,,Bio-connekt per square 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
18,255Q4162,,"Wndex flw, bioskn flw, 0.5cc",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
18,256Q4163,,"Woundex, bioskin, 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
18,257Q4164,,"Helicoll, per square 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
18,258Q4165,,"Keramatrix, kerasorb 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
18,259Q4166,,"Cytal, per square centimeter",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
18,260Q4167,,"Truskin, per sq centimeter",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
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503