HCPCS Q4176: Wound productMedicare rate & RVUs in Delaware
Report Q4176 for the Neopatch or Therion wound product supplied by square centimeter with a qualifying primary wound procedure.
Medicare pays $125.73 for Q4176 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4176 covers
Q4176 identifies Neopatch or Therion wound product supplied for wound coverage, measured by the square centimeter. It may be used in wound care settings for wounds such as diabetic foot ulcers or venous leg ulcers. The treating clinician applies the product as part of wound management; the code identifies the product, not the wound assessment or application service itself.
Report units based on the documented amount of product supplied, using the code’s one-square-centimeter unit. The record should identify Neopatch or Therion and support the quantity reported, along with the wound and associated primary procedure. CMS classifies Q4176 as an add-on: bill it only with a primary procedure, and payment falls within that procedure’s global period. CMS also designates it as technical-component-only; a separate code represents interpretation.
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.
Q4176 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4176 rate is calculated
Each of Q4176’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · Q4176
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4176
The CMS indicators that decide how Q4176 is paid alongside other services.
CMS payment indicators · Q4176
Wound product
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4176 compared with similar codes
Compare codes
Q4176 vs Q4175 vs Q4177 vs Q4186: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4175MiroDerm
- Q4175 identifies Miroderm; Q4176 identifies Neopatch or Therion. Select the code matching the product supplied.
- Q4177Floweramnioflo, 0.1 cc
- Q4177 identifies Floweramnioflo and is measured in 0.1 cc units. Q4176 identifies Neopatch or Therion and uses a square-centimeter unit.
- Q4186EpiFix material
- Q4186 identifies EpiFix, while Q4176 identifies Neopatch or Therion. Both use square-centimeter units, so the product used distinguishes the codes.
Q4176 billing questions
What does one unit represent?
One unit represents one square centimeter of Neopatch or Therion product. Report the number of units supported by the documented quantity supplied.
Can Q4176 be billed by itself?
No. CMS classifies it as an add-on code, so it must be reported with a primary procedure.
What should the record document?
Document which product was used, the wound treated, and the quantity supplied in square centimeters, along with the associated primary procedure.
Does Q4176 include interpretation?
No. CMS designates Q4176 as technical-component-only; a separate code covers interpretation.
How is payment handled during the procedure's global period?
CMS states that payment for Q4176 is within the global period of the primary procedure with which it is billed.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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