$113.51–$129.29
Q4253 identifies Zenith amniotic membrane. Use Q4254 only when NovaFix DL is the product applied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4254 Wound matrix Medicare reimbursement rates in Georgia
Q4254 reports NovaFix DL, an amniotic membrane wound covering, by the square centimeter used with a primary wound-treatment procedure. Compare Q4254 office and facility rates across CMS payment localities in Georgia.
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 Q4254 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$113.51–$129.29
2 of 2 localities have a supported rate.
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.
Skin substitute
About Q4254: NovaFix DL wound matrix
Q4254 reports NovaFix DL, an amniotic membrane wound covering, by the square centimeter used with a primary wound-treatment procedure.
NovaFix DL is a dual-layer amniotic membrane allograft used as a covering for wounds, including chronic or difficult-to-heal wounds. Wound-care clinicians, podiatrists, and surgeons may apply it to a prepared wound bed in outpatient or facility settings. Q4254 identifies the product, not the wound preparation or application service.
Report the documented square centimeters of NovaFix DL used, and pair the code with the primary procedure. The record should identify the product, the treated wound, the amount used, and the application procedure. CMS classifies Q4254 as an add-on code: it is billed only with a primary procedure and paid within that procedure's global period. It is also a technical-component-only code; a separate code covers interpretation. The primary procedure accounts for the application work, while Q4254 identifies the product amount.
CMS billing rules for Q4254
- 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.
Q4254 compared with similar codes
Office rates for Georgia, from the same CMS release.
$113.51–$129.29
Q4255 identifies Reguard for topical use. Q4254 identifies NovaFix DL and is measured per square centimeter.
$148.29–$161.18
15271 reports the primary skin-substitute application service for qualifying wounds; Q4254 identifies the NovaFix DL product amount.
Compare Q4254 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$129.29
Facility
Unavailable
Rest Of Georgia →
Office / nonfacility
$113.51
Facility
Unavailable
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Q4254 billing questions
When should Q4254 be selected instead of another skin-substitute product code?
Use Q4254 when the product applied is NovaFix DL. Other product-specific codes identify different products, even when they are also used as wound coverings.
Can Q4254 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the quantity be reported?
Report the square centimeters of NovaFix DL used, supported by documentation of the treated wound and product amount.
Does Q4254 include the wound application service?
No. Q4254 identifies the product amount; report the applicable primary procedure for the wound treatment.
What does the technical-component-only classification mean?
Q4254 represents the technical component. CMS specifies that a separate code covers interpretation.
What procedure codes may be reported with Q4254?
Skin-substitute application codes such as 15271 and, when additional treated area qualifies, 15272 may be reported for the application service. Q4254 remains the product-specific line for NovaFix DL.
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.
18,339Q4251,,"Vim, per square centimeter",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
18,340Q4252,,"Vendaje, per square centimet",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
18,341Q4253,,Zenith amniotic membrane psc,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
18,342Q4254,,Novafix dl 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
18,343Q4255,,"Reguard, topical use per sq",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
18,344Q4256,,"Mlg complet, 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
18,345Q4257,,"Relese, 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