$125.73
Q4412 identifies Choriofix, not Cygnus Solo. Choose the code that matches the product documented as used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4413 Skin substitute Medicare reimbursement rates in Delaware
Reports each square centimeter of Cygnus Solo supplied for wound coverage with the applicable skin-substitute application procedure. Compare Q4413 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 Q4413 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 Q4413: Cygnus Solo skin substitute supply
Reports each square centimeter of Cygnus Solo supplied for wound coverage with the applicable skin-substitute application procedure.
Q4413 represents the Cygnus Solo placental tissue product used to cover a wound as part of skin-substitute treatment. Wound care clinicians and surgeons may apply it in outpatient wound clinics or other settings where wound procedures are performed. The product line is reported separately from the service that prepares and applies the graft; it is not a code for the wound assessment or the application work.
Report the quantity in square centimeters and document the product used, wound location and treated area, and amount applied. Pair Q4413 with the primary application procedure selected for the treated site and wound area. CMS classifies it as an add-on code, paid within that primary procedure’s global period. It is technical-component-only; a separate code covers interpretation. The application procedure and product supply should be supported by the operative or wound-care record.
CMS billing rules for Q4413
- 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.
Q4413 compared with similar codes
Office rates for Delaware, from the same CMS release.
$125.73
Q4414 identifies Simplichor. It is not interchangeable with Q4413 based on wound size or treatment site.
$156.30
15271 reports the application service for qualifying trunk, arm, or leg wounds; Q4413 reports the Cygnus Solo product supplied per square centimeter.
$158.82
15275 reports the application service for qualifying wounds at other specified sites; Q4413 reports the Cygnus Solo product rather than application work.
Compare Q4413 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 Q4413 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
18,498
- Code
- Q4413
- 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.
Q4413 billing questions
What determines whether Q4413 is the right product code?
The product used must be Cygnus Solo. Do not select it based only on wound location or size; other skin-substitute products have their own HCPCS codes.
What should be reported with Q4413?
Report it with the primary skin-substitute application procedure appropriate to the wound site and area. Q4413 is an add-on code and is paid within that procedure’s global period.
How are units counted?
The code is reported per square centimeter. Document the wound area treated and the quantity of Cygnus Solo applied.
Does Q4413 include interpretation?
No. CMS classifies Q4413 as technical-component-only and identifies a separate code for interpretation.
What documentation supports the claim?
Record the product as Cygnus Solo, the wound location and treated area, the amount applied, and the associated application procedure.
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.
18,495Q4410,,Amchomatrixdl 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
18,496Q4411,,Amniomatrixf4x 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
18,497Q4412,,Choriofix 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
18,498Q4413,,Cygnus solo 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
18,499Q4414,,Simplichor 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
18,500Q4415,,Alexiguard st-l 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
18,501Q4416,,Alexiguard tl-t 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