$125.73
Q4176 identifies Neopatch or Therion, while Q4175 identifies MiroDerm. Select according to the specific product used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4175 MiroDerm Medicare reimbursement rates in Delaware
Q4175 reports MiroDerm wound product by square centimeter when it is used with a primary wound procedure to cover a prepared wound. Compare Q4175 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 Q4175 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 supply
About Q4175: MiroDerm wound product
Q4175 reports MiroDerm wound product by square centimeter when it is used with a primary wound procedure to cover a prepared wound.
Q4175 identifies MiroDerm, a wound-care product reported by square centimeter. It may be used by clinicians treating wounds such as diabetic foot ulcers or venous leg ulcers. Physicians, podiatrists, and other wound-care providers may apply the product in an outpatient wound clinic or other setting where a primary wound procedure is performed.
Report Q4175 only with a primary procedure; CMS treats it as an add-on and pays it within that procedure’s global period. Use the product’s square-centimeter unit and document the wound site, product used, amount applied, and associated procedure. CMS classifies the code as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4175
- 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.
Q4175 compared with similar codes
Office rates for Delaware, from the same CMS release.
$125.73
Q4186 identifies EpiFix, not MiroDerm. Both are product-specific wound-care codes, so the product documented determines which code applies.
Compare Q4175 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 Q4175 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
18,267
- Code
- Q4175
- 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.
Q4175 billing questions
Which procedure is reported with Q4175?
Report it with the primary procedure used to apply the wound product. Application procedures such as 15271 or 15275 may be relevant, depending on the wound site and treated area.
How is Q4175 distinguished from Q4176?
Q4175 identifies MiroDerm; Q4176 identifies Neopatch or Therion. Report the code for the product actually used rather than choosing between them based only on wound size.
How should the units be determined?
The code is measured per square centimeter. Document the product amount used in that unit so the reported quantity can be supported.
Does Q4175 include interpretation?
No. CMS classifies Q4175 as technical-component-only and indicates that a separate code covers interpretation.
What documentation supports reporting Q4175?
Record the product name, wound site, amount used in square centimeters, and the primary procedure performed with it.
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.
18,264Q4171,,"Interfyl, 1 mg",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
18,265Q4173,,Palingen or palingen xplus,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
18,266Q4174,,Palingen or promatrx,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
18,267Q4175,,Miroderm,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
18,268Q4176,,"Neopatch or therion, 1 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
18,269Q4177,,"Floweramnioflo, 0.1 cc",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
18,270Q4178,,"Floweramniopatch, 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
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