HCPCS Q4287: Wound productMedicare rate & RVUs in Delaware
Reports Dermabind DL by square centimeter when supplied with a primary wound procedure for application to a prepared wound bed.
Medicare pays $125.73 for Q4287 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 Q4287 covers
Q4287 identifies Dermabind DL, a wound-care product reported by the square centimeter. Wound-care clinicians, surgeons, and podiatrists may use it when applying the product to a prepared wound bed. The product code identifies the material supplied; the primary procedure code describes the wound application service. Record the wound location and treated area, along with the product and quantity used, so the reported units can be tied to the clinical service.
This is an add-on code and must be billed with a primary procedure; it is paid within that procedure’s global period. Report units based on the square centimeters represented by the Dermabind DL supplied for the service. CMS classifies Q4287 as technical-component-only, with interpretation covered by a separate code. Keep the product documentation distinct from the record supporting the primary wound application procedure.
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.
Q4287 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4287 rate is calculated
Each of Q4287’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 · Q4287
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 Q4287
The CMS indicators that decide how Q4287 is paid alongside other services.
CMS payment indicators · Q4287
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. |
Q4287 compared with similar codes
Compare codes
Q4287 vs Q4284 vs Q4288 vs 15271: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4284Wound product
- Q4284 identifies Dermabind SL, while Q4287 identifies Dermabind DL. Report the product code corresponding to the formulation supplied.
- Q4288Skin substitute
- Q4288 identifies Dermabind CH rather than Dermabind DL. These product-specific codes are not interchangeable.
- 15271Skin substitute graft
- 15271 reports the wound application procedure for specified anatomical sites; Q4287 reports the Dermabind DL product by square centimeter and is an add-on.
Q4287 billing questions
Can Q4287 be billed by itself?
No. CMS identifies Q4287 as an add-on code that must be billed with a primary procedure.
How are Q4287 units determined?
The code is reported per square centimeter. Document the treated wound area and the quantity of Dermabind DL used.
Which code describes the wound application?
Q4287 identifies the Dermabind DL product. Report the appropriate primary procedure code for the wound application, selected for the service performed and wound location.
Is there a separate interpretation component?
CMS classifies Q4287 as technical-component-only and indicates that a separate code covers interpretation.
How does Q4287 differ from Q4284?
Both identify Dermabind products, but Q4287 is for DL and Q4284 is for SL. Select the code matching the product used.
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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