HCPCS Q4157: Wound productMedicare rate & RVUs in Guam
Report Q4157 for each square centimeter of Revitalon supplied for wound coverage, alongside the primary procedure associated with its application.
Medicare pays $144.69 for Q4157 in the office in Guam (Hawaii, Guam). 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 Q4157 covers
Q4157 identifies Revitalon by the square centimeter for wound-care use. It represents the product rather than the work of preparing or treating the wound. A wound-care clinician may use it when Revitalon is supplied as part of a wound-coverage service; the application procedure and the product are distinct reporting elements. The record should identify Revitalon and document the wound and the area for which the product was supplied.
Report the quantity in square-centimeter units and bill Q4157 only with a primary procedure. The CMS payment rule places payment for this add-on within the primary procedure’s global period, rather than treating the product code as a standalone service. Q4157 is a technical-component-only code; a separate code covers interpretation. Documentation should support the product billed, the measured area, and the associated primary procedure.
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.
Q4157 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $144.69 | Unavailable |
How the Q4157 rate is calculated
Each of Q4157’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 · Q4157
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 Q4157
The CMS indicators that decide how Q4157 is paid alongside other services.
CMS payment indicators · Q4157
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. |
Q4157 compared with similar codes
Compare codes
Q4157 vs Q4158 vs Q4159 vs Q4152: national Medicare rates
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How to choose
- Q4158Wound matrix
- Q4158 identifies Kerecis omega-3 per square centimeter; Q4157 identifies Revitalon per square centimeter. Choose according to the product supplied.
- Q4159Wound product
- Q4159 identifies Affinity, while Q4157 identifies Revitalon. Both are measured by area, but the product determines the code.
- Q4152Skin substitute
- Q4152 identifies Dermapure per square centimeter. Use Q4157 only when the product supplied is Revitalon.
Q4157 billing questions
Can Q4157 be billed by itself?
No. CMS identifies it as an add-on code, so it is billed only with a primary procedure.
How should units be reported?
The descriptor is per square centimeter. Document the area represented by the Revitalon product and report the corresponding square-centimeter quantity.
Does Q4157 include the wound application procedure?
No. Q4157 identifies the Revitalon product; report the associated primary procedure separately when supported by the service.
How does the global-period rule affect payment?
The add-on is paid within the global period of its primary procedure. It is not a standalone payment separate from that procedure’s global period.
Does Q4157 include interpretation?
No. CMS classifies Q4157 as technical-component-only; a separate code covers interpretation.
How is Q4157 different from Q4158?
Q4157 identifies Revitalon per square centimeter, while Q4158 identifies Kerecis omega-3 per square centimeter. Select the code for the product actually supplied.
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
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