$144.69
Q4267 identifies Neostim DL, while Q4262 identifies dual-layer Impax. Select the product code that matches the product actually used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4262 Wound product Medicare reimbursement rates in Hawaii
Report Q4262 for each square centimeter of dual-layer Impax wound product supplied with a qualifying primary wound-treatment procedure. Compare Q4262 office and facility rates across CMS payment localities in Hawaii.
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 Q4262 in Hawaii?
Hawaii 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
About Q4262: Dual-layer Impax wound product
Report Q4262 for each square centimeter of dual-layer Impax wound product supplied with a qualifying primary wound-treatment procedure.
Q4262 identifies the dual-layer Impax product used as a wound covering in treatment of wounds such as chronic ulcers. Wound-care clinicians, including physicians and other practitioners who manage nonhealing wounds, may use the product in an office or facility setting. The code represents the product quantity, not the clinical work of applying it to the wound.
Report units based on the square centimeters of product used, and document the wound site, product, quantity, and associated primary procedure. CMS classifies Q4262 as an add-on code: it must be billed with a primary procedure and is paid within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation covered by a separate code. The primary wound application service is reported separately when appropriate.
CMS billing rules for Q4262
- 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.
Q4262 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$144.69
Q4263 identifies Surgraft TL rather than Impax. The per-square-centimeter unit does not make the product codes interchangeable.
$144.69
Q4264 identifies Cocoon membrane. Use Q4262 only when the documented product is dual-layer Impax.
Compare Q4262 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 Q4262 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
18,350
- Code
- Q4262
- 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.
Q4262 billing questions
How do I choose Q4262 instead of another wound-product code?
Use Q4262 when the product used is dual-layer Impax. Other HCPCS product codes identify different products, even when they are also reported by square centimeter.
What does one unit represent?
One unit represents one square centimeter of product. Support the billed quantity with documentation of the area used.
Is the application included in Q4262?
Q4262 identifies the product quantity, not the application work. Report the applicable primary wound-treatment procedure separately when supported.
Can Q4262 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, and payment is within that procedure’s global period.
Does Q4262 include an interpretation?
No. CMS classifies Q4262 as technical-component-only and identifies a separate code for interpretation.
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.
18,347Q4259,,Celera 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
18,348Q4260,,"Signature apatch, 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
18,349Q4261,,"Tag, 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
18,350Q4262,,"Dual layer impax, 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
18,351Q4263,,"Surgraft tl, 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
18,352Q4264,,"Cocoon membrane, 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
18,353Q4265,,Neostim tl 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
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