HCPCS Q4214: Wound graftMedicare rate & RVUs in Delaware
Reports Cellesta Cord, an umbilical-cord-derived tissue product supplied for wound treatment, measured by the square centimeter and paired with a primary procedure.
Medicare pays $125.73 for Q4214 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 Q4214 covers
Q4214 identifies the Cellesta Cord tissue product supplied for wound treatment, rather than the clinician’s work to prepare or treat the wound. Wound-care physicians, podiatrists, and surgeons may use this type of graft in outpatient wound clinics or other settings where wounds are treated. Examples of wounds commonly managed with tissue products include diabetic foot ulcers and venous leg ulcers; the product selection and clinical use should be supported by the record.
Report the quantity in square-centimeter units based on the product supplied for the treatment. Documentation should identify Cellesta Cord, the treated wound and site, the amount used, and the primary procedure performed. CMS classifies Q4214 as an add-on code: report it only with a primary procedure, and payment falls within that procedure’s global period. It is a technical-component-only code; a separate code covers 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.
Q4214 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4214 rate is calculated
Each of Q4214’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 · Q4214
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4214
The CMS indicators that decide how Q4214 is paid alongside other services.
CMS payment indicators · Q4214
Wound graft
| 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. |
Q4214 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- Q4216Wound product
- Q4216 identifies Artacent Cord; Q4214 identifies Cellesta Cord. Select the code matching the product supplied.
- Q4218Wound graft
- Q4218 identifies Surgicord, while Q4214 identifies Cellesta Cord. The similar cord-product descriptions do not make the codes interchangeable.
- Q4211Wound product
- Q4211 identifies an amnion product. Q4214 is the product-specific code for Cellesta Cord.
- Q4205Membrane graft
- Q4205 identifies a membrane graft or wrap by square centimeter; Q4214 identifies Cellesta Cord by square centimeter.
Q4214 billing questions
How is Q4214 distinguished from other wound-graft product codes?
Q4214 identifies Cellesta Cord specifically. Use the code for the product supplied, not another tissue product with a similar wound-care purpose.
Can Q4214 be billed by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
How should the units be counted?
The descriptor is per square centimeter. Document the amount of Cellesta Cord supplied and report the corresponding square-centimeter units.
What documentation supports Q4214?
Record the product name, wound site, amount supplied, and primary procedure. The record should support the product and quantity reported.
Does Q4214 include interpretation?
No. CMS classifies Q4214 as technical-component-only and indicates that a separate code covers interpretation.
How does the global-period rule affect payment?
Q4214 is paid within the global period of the primary procedure with which it is reported.
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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