HCPCS Q4425: Revive TLMedicare rate & RVUs in Delaware
Report Q4425 for each documented square centimeter of Revive TL used during a skin-substitute graft application, alongside the appropriate primary procedure.
Medicare pays $125.73 for Q4425 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 Q4425 covers
Q4425 identifies the Revive TL skin-substitute product used when a clinician applies a graft to a wound. A physician or other qualified practitioner may use it during treatment of a chronic lower-extremity wound in an outpatient wound clinic. The code identifies the product and its quantity, while the accompanying procedure describes the work of applying it. The wound’s location and treated area guide selection of that procedure.
Report units according to the documented square centimeters of Revive TL used. The treatment note and product record should establish the wound site, product identity, quantity, and application procedure; check the product label to distinguish Revive TL from Revive FT. Q4425 is an add-on code, so report it with an appropriate primary procedure rather than alone. CMS pays it within that procedure’s global period. CMS also classifies Q4425 as technical-component-only: it does not represent interpretation, which is covered by a separate code.
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.
Q4425 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4425 rate is calculated
Each of Q4425’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 · Q4425
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 Q4425
The CMS indicators that decide how Q4425 is paid alongside other services.
CMS payment indicators · Q4425
Revive TL
| 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. |
Q4425 compared with similar codes
Compare codes
Q4425 vs Q4424 vs 15271 vs Q4412: national Medicare rates
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How to choose
- Q4424Skin substitute
- Both identify Revive products by square centimeter. Select Q4425 for TL and Q4424 for FT, based on the product record.
- 15271Skin substitute graft
- 15271 describes application of a skin-substitute graft to a qualifying trunk, arm, or leg wound. Q4425 identifies the Revive TL product used with an appropriate primary application procedure.
- Q4412Wound product
- Q4412 identifies Choriofix, not Revive TL. Select the product code from the documented product actually used.
Q4425 billing questions
Which procedure is reported with Q4425?
Report the appropriate primary skin-substitute graft application procedure for the wound site and treated area. For a qualifying leg wound, that may be 15271.
How are Q4425 units determined?
Use the documented square centimeters of Revive TL used, supported by the product record and treatment note.
When is Q4424 used instead?
Q4424 identifies Revive FT. Use Q4425 when the documented product is Revive TL.
Does Q4425 describe the work of applying the graft?
No. Q4425 identifies the Revive TL product; the primary application procedure describes the clinician’s work.
Does Q4425 include interpretation?
No. CMS classifies Q4425 as technical-component-only and identifies a separate code for interpretation.
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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