$169.04
Q4127 identifies the Talymed product used; 15271 reports application work for a qualifying wound site and area.
On this page
CMS RVU26D · Effective 2026-10-01
Q4127 Wound matrix Medicare reimbursement rates in Guam
Report Q4127 for Talymed wound matrix supplied for wound treatment, measured by the area used and billed with the related primary procedure. Compare Q4127 office and facility rates across CMS payment localities in Guam.
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 Q4127 in Guam?
Guam has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$144.69
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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.
Wound care products
About Q4127: Talymed wound matrix supply
Report Q4127 for Talymed wound matrix supplied for wound treatment, measured by the area used and billed with the related primary procedure.
Q4127 identifies Talymed, a wound matrix product used in wound care. It represents the product supplied for application to a wound, rather than the clinician’s work to prepare or apply the material. Wound-care clinicians and surgeons may use it during treatment of a wound when the product is selected for the patient’s wound and the applicable procedure is performed.
Report the product in square-centimeter units, supported by the product used and the documented area treated. Q4127 is an add-on code: bill it only with a primary procedure, and CMS pays it within that procedure’s global period. CMS classifies it as technical-component-only; a separate code covers interpretation. The record should identify Talymed, the treated wound, the amount used, and the associated primary procedure.
CMS billing rules for Q4127
- 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.
Q4127 compared with similar codes
Office rates for Guam, from the same CMS release.
$144.69
Q4126 identifies Memoderm, Derma, Tranz, or Integup. Report Q4127 when Talymed is the product supplied.
$144.69
Q4128 identifies FlexHD or AlloPatchHD. Product identity, not a general wound-matrix description, determines which supply code applies.
Compare Q4127 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$144.69
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4127 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
18,223
- Code
- Q4127
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.137 | 4.3320 |
| Malpractice | 0.00 | × 0.579 | 0.0000 |
| Total RVUs | 4.3320 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$144.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.137 |
| Malpractice | 0 | 0.579 |
(0 × 1 + 3.81 × 1.137 + 0 × 0.579) × $33.4009 = $144.69
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4127 billing questions
How is Q4127 different from the wound application code?
Q4127 reports the Talymed product. The application code reports the clinician’s service applying a skin substitute or similar material to the wound.
How should units be reported?
Report the amount used in square centimeters. Document the treated area and the quantity of Talymed applied.
Can Q4127 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What does the technical-component designation mean?
CMS classifies Q4127 as technical-component-only, with interpretation covered by a separate code. Do not treat this product code as the interpretation service.
Does Q4127 have its own global period?
It is paid within the global period of the primary procedure with which it is billed.
What documentation supports reporting Q4127?
Document the wound treated, the use of Talymed, the quantity applied in square centimeters, and the associated primary 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 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.
18,220Q4124,,Oasis tri-layer wound matrix,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
18,221Q4125,,Arthroflex,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
18,222Q4126,,Memoderm/derma/tranz/integup,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
18,223Q4127,,Talymed,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
18,224Q4128,,Flexhd/allopatchhd/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
18,225Q4130,,Strattice tm,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
18,226Q4132,,"Grafix core, grafixpl core",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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014