HCPCS code Q4282: Wound product2026 Medicare rate & RVUs in Georgia
Report Q4282 for each square centimeter of Cygnus Dual furnished for wound treatment, alongside the primary procedure to which the product is applied.
Medicare pays $113.51–$129.29 for Q4282 in the office in Georgia, from Rest Of Georgia to Atlanta. 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 Q4282 covers
Q4282 identifies Cygnus Dual, a wound-care product supplied and measured by square centimeter. It may be used in treatment of a wound, such as a chronic ulcer, when the clinician selects this specific product. The code represents the product, not the clinician’s assessment or the work of applying it. Wound-care clinicians and other qualified providers may use it in office or facility settings as part of a wound-treatment encounter.
Report units based on the documented square centimeters of Cygnus Dual furnished, and identify the product and treated wound in the record. Q4282 is an add-on code: submit it only with a primary procedure, and payment falls within that procedure’s global period. CMS classifies the code as technical-component-only; a separate code covers interpretation. Keep the product line distinct from the primary procedure and from documentation of the application service.
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 Q4282 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | $129.29 | Unavailable |
| Rest Of Georgia | $113.51 | Unavailable |
How the Q4282 rate is calculated
Each of Q4282’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 · Q4282
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 Q4282
The CMS indicators that decide how Q4282 is paid alongside other services.
CMS payment indicators · Q4282
Wound product
| 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. |
Q4282 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4280Amniotic matrix
- Q4280 identifies Xcell amnio matrix, not Cygnus Dual. Choose the product-specific code for the product furnished.
- Q4283Wound product
- Q4283 identifies Biovance Tri or 3L. Q4282 is specific to Cygnus Dual; the products are not distinguished by wound area or service level.
- Q4278EpiEffect
- Q4278 identifies EpiEffect. Use Q4282 only when Cygnus Dual is the product furnished.
Q4282 billing questions
Can Q4282 be billed by itself?
No. CMS identifies Q4282 as an add-on code that must be billed with a primary procedure. Payment is within that procedure’s global period.
How should units be determined?
Use the documented square centimeters of Cygnus Dual furnished. Record the product and the amount used for the treated wound.
Does Q4282 include the application service?
Q4282 identifies the product, not the application work. Report it with the required primary procedure rather than treating the product line as a standalone service.
Does this code include interpretation?
No. CMS classifies Q4282 as technical-component-only; a separate code covers interpretation.
Can another wound product code be used for Cygnus Dual?
No. Select Q4282 when Cygnus Dual is the product furnished. Other product codes identify different products and are not substitutes for the product actually used.
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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