HCPCS Q4424: Skin substituteMedicare rate & RVUs in Delaware
Report Q4424 for the Revive FT skin-substitute product used during a qualifying wound procedure, using the documented product quantity in square centimeters.
Medicare pays $125.73 for Q4424 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 Q4424 covers
Q4424 identifies Revive FT, a named skin-substitute product billed by square centimeter. It represents the product supplied for application to a wound, rather than the clinician’s wound-preparation or application service. Wound-care clinicians and surgeons may use the product as part of a wound treatment performed in an office or facility; the code identifies the product, not a particular wound site or clinical severity.
Report Q4424 with the primary procedure for applying the product, not by itself. The claim should identify the Revive FT product and document the quantity used in square centimeters, along with the wound and application service. Select the primary application code based on the applicable site and area criteria. CMS classifies Q4424 as an add-on code paid within the primary procedure’s global period. It is also 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.
Q4424 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4424 rate is calculated
Each of Q4424’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 · Q4424
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 Q4424
The CMS indicators that decide how Q4424 is paid alongside other services.
CMS payment indicators · Q4424
Skin substitute
| 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. |
Q4424 compared with similar codes
Compare codes
Q4424 vs Q4425 vs Q4431 vs Q4432: national Medicare rates
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How to choose
- Q4425Revive TL
- Q4425 identifies Revive TL, while Q4424 identifies Revive FT. Report the product code matching the variant supplied rather than treating the entries as interchangeable.
- Q4431Pma skin substitute, nos
- Q4431 is a nonspecific skin-substitute entry associated with a PMA category; Q4424 identifies the Revive FT product by name.
- Q4432510(k) skin subs, nos
- Q4432 is a nonspecific skin-substitute entry associated with a 510(k) category; Q4424 identifies the Revive FT product by name.
Q4424 billing questions
Can Q4424 be billed by itself?
No. CMS identifies it as an add-on code, so report it with the primary procedure for applying the product.
How should the units be determined?
Use the documented amount of Revive FT supplied in square centimeters. The record should support the product identity and quantity reported.
Which application code should accompany Q4424?
Choose the primary skin-substitute application procedure according to the treated site and applicable area criteria. Q4424 reports the product, not the application service.
How does the global-period rule affect Q4424?
CMS pays this add-on product code within the primary procedure’s global period. It is not a standalone service outside that pairing.
What does technical-component-only mean for this code?
CMS classifies Q4424 as technical-component-only, with interpretation 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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