HCPCS Q4288: Skin substituteMedicare rate & RVUs in Florida
Reports Dermabind CH by square centimeter as a wound-covering product supplied with a primary wound application procedure.
Medicare pays $121.66–$132.47 for Q4288 in the office in Florida, from Rest Of Florida to Miami. 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 Q4288 covers
Q4288 identifies Dermabind CH supplied by surface area for use as a wound-covering tissue product. In outpatient wound clinics, hospital departments, and surgical settings, a clinician may apply the material over a prepared wound bed, including in wound care for diabetic foot or venous leg ulcers. The code represents the product quantity, not the clinician’s wound evaluation or application work. The treating surgeon, podiatrist, or other wound-care clinician documents the wound site and treatment performed.
Report Q4288 only with a qualifying primary application procedure; CMS treats it as an add-on and pays it within that procedure’s global period. Select the primary application code based on the anatomic site and treated area, and report Q4288 units according to the documented square centimeters of Dermabind CH. Records should identify the product, wound site, amount applied, and related application service. Q4288 is technical-component-only; 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.
Where Q4288 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$121.66 to $132.47
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $128.91 | Unavailable |
| Miami | $132.47 | Unavailable |
| Rest Of Florida | $121.66 | Unavailable |
How the Q4288 rate is calculated
Each of Q4288’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 · Q4288
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 Q4288
The CMS indicators that decide how Q4288 is paid alongside other services.
CMS payment indicators · Q4288
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. |
Q4288 compared with similar codes
Compare codes
Q4288 vs Q4287 vs Q4284 vs 15271: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4287Wound product
- Q4287 identifies the Dermabind DL variant; Q4288 identifies the CH variant. Match the reported code to the specific product supplied.
- Q4284Wound product
- Q4284 identifies Dermabind SL, while Q4288 identifies Dermabind CH. These are product-specific supply codes, not interchangeable descriptions of the same variant.
- 15271Skin substitute graft
- 15271 reports the primary wound application service when its site and area criteria fit; Q4288 reports the Dermabind CH product quantity used with that service.
Q4288 billing questions
Can Q4288 be billed by itself?
No. CMS classifies it as an add-on, so it is reported with a qualifying primary wound application procedure and paid within that procedure’s global period.
Does Q4288 include the wound application service?
No. Q4288 reports the Dermabind CH product by square centimeter; report the applicable primary procedure for the wound application.
How should the quantity be reported?
Report the quantity in square centimeters and keep documentation showing the amount of Dermabind CH used for the treated wound.
How does Q4288 differ from Q4287?
Both identify Dermabind products per square centimeter, but Q4288 is the CH variant and Q4287 is the DL variant. Use the code matching the product supplied.
What documentation supports Q4288?
Document the product identity, wound site, square centimeters applied, and the primary application procedure reported with it.
Does Q4288 include an interpretation service?
No. CMS identifies Q4288 as technical-component-only and indicates that a separate code covers 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
Show the CMS file lines behind this rate
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