HCPCS Q4422: AC WrapMedicare rate & RVUs in Florida
Report AC Wrap by square centimeter when this wound-covering product is furnished with a primary wound application procedure.
Medicare pays $121.66–$132.47 for Q4422 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 Q4422 covers
Q4422 identifies AC Wrap as a wound-covering product counted by area, rather than the clinician’s work of preparing or treating the wound. It is used as a covering material on a prepared wound bed. Clinicians performing advanced wound care may apply it in outpatient or facility settings. The code represents the product quantity, not the application service itself.
Report Q4422 only with a qualifying primary procedure; it is not a stand-alone line. Support the units with the documented square-centimeter amount furnished or applied, and link the product to the treated wound and application. CMS classifies Q4422 as an add-on and pays it within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation. Keep the product supply distinct from the application procedure in the claim documentation.
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 Q4422 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 Q4422 rate is calculated
Each of Q4422’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 · Q4422
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4422
The CMS indicators that decide how Q4422 is paid alongside other services.
CMS payment indicators · Q4422
AC Wrap
| 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. |
Q4422 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graft
- Q4422 reports the AC Wrap product quantity; 15271 reports the wound application service for eligible trunk, arm, or leg sites.
- 15273Skin substitute graft
- Q4422 reports the product quantity; 15273 reports the application service for eligible head, neck, hand, foot, or genital sites.
- Q4421Skin substitute
- Q4421 identifies Biolab Wrap Solo, not AC Wrap. Select the product-specific supply code that matches the material furnished.
Q4422 billing questions
Can Q4422 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure.
How are the units determined?
Report the documented square-centimeter quantity of AC Wrap furnished or applied to the wound.
Does Q4422 include the wound application service?
No. Q4422 represents the product; the clinician’s wound application is reported with the applicable primary procedure.
Is interpretation included in Q4422?
No. CMS classifies Q4422 as technical-component-only, with interpretation covered by a separate code.
How does the global-period rule affect payment?
Q4422 is paid within the global period of the primary procedure and should be linked to that 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 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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