HCPCS Q4207: Wound productMedicare rate & RVUs in Delaware
Q4207 reports Carbon Life wound product by square centimeter when it is supplied for application during a separately reported wound procedure.
Medicare pays $125.73 for Q4207 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 Q4207 covers
Q4207 identifies Carbon Life, a wound-care product reported by the area supplied for application. It represents the product rather than the clinician’s work applying it. Wound-care clinicians may use the product during treatment of a wound in an office or facility setting; the applicable procedure code reports the wound application service.
Report Q4207 only with a primary procedure, using the product’s square-centimeter quantity and documentation identifying Carbon Life and the amount used. The code is an add-on, and CMS pays it within the primary procedure’s global period. CMS classifies Q4207 as technical-component-only, with interpretation represented by a separate code. Keep the product quantity distinct from the wound-application service when documenting and reporting the encounter.
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.
Q4207 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4207 rate is calculated
Each of Q4207’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 · Q4207
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 Q4207
The CMS indicators that decide how Q4207 is paid alongside other services.
CMS payment indicators · Q4207
Wound product
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
Q4207 compared with similar codes
Compare codes
Q4207 vs Q4208 vs Q4205 vs Q4206: national Medicare rates
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How to choose
- Q4208Wound product
- Q4208 identifies Novafix, while Q4207 identifies Carbon Life. Select the code that matches the product supplied; the shared square-centimeter unit does not make the products interchangeable.
- Q4205Membrane graft
- Q4205 identifies a membrane graft or wrap by area. Q4207 is specifically for Carbon Life, so use the product-specific code matching the material furnished.
- Q4206Fluid flow or fluid gf 1 cc
- Q4206 reports a fluid product by cubic centimeter. Q4207 reports Carbon Life by square centimeter, reflecting different products and units.
Q4207 billing questions
How is Q4207 different from Q4208?
Q4207 identifies Carbon Life; Q4208 identifies Novafix. Report the code for the product actually supplied, even though both use square-centimeter units.
Can Q4207 be reported by itself?
No. CMS identifies Q4207 as an add-on code that must be billed with a primary procedure.
What unit should be reported?
Report the square-centimeter quantity of Carbon Life supplied. Documentation should identify the product and support the quantity reported.
Does Q4207 include the wound application service?
No. Q4207 identifies the product; report the applicable primary procedure for the wound application.
How does the global-period rule affect payment?
CMS pays Q4207 within the primary procedure’s global period, so it is not treated as an independent service outside that procedure.
What does the technical-component designation mean?
CMS classifies Q4207 as technical-component-only; interpretation is represented by a separate code.
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
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