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CMS RVU26D · Effective 2026-10-01

Q4251 Wound product Medicare reimbursement rates in Illinois

Reports Vim wound-covering product by square centimeter when supplied for application during a qualifying wound-treatment procedure. Compare Q4251 office and facility rates across CMS payment localities in Illinois.

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 Q4251 in Illinois?

Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.

Office / nonfacility

$116.19–$130.69

4 of 4 localities have a supported rate.

Lowest: Rest Of Illinois

Highest: Suburban Chicago

A spread of $14.50 per service.

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.

Find Q4251 in your payment locality →

Where Q4251 pays more and less in Illinois

4 payment localities

$116.19 to $130.69

$116.19$123.44$130.69
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Wound care product

About Q4251: Vim wound-covering product

Reports Vim wound-covering product by square centimeter when supplied for application during a qualifying wound-treatment procedure.

Q4251 identifies Vim supplied for wound coverage, measured in square centimeters. It represents the product, not the clinician’s wound preparation or placement. Wound-care practitioners, surgeons, or podiatrists may use it when treating open wounds in outpatient or facility settings. The application procedure is selected separately according to wound location and treated area; for example, CPT 15271 and 15275 cover different anatomic site groups.

Report Q4251 only with a primary procedure; CMS treats it as an add-on paid within that procedure’s global period. Documentation should identify Vim, the amount supplied, and the wound treated so the reported units are supported. CMS classifies this as a technical-component-only code, with interpretation covered by a separate code. The product charge does not represent the professional work of preparing or applying the product.

CMS billing rules for Q4251

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.

Q4251 compared with similar codes

Office rates for Illinois, from the same CMS release.

Q4250

Wound allograft

AmnioAMP-MP, per square centimeter

$116.19–$130.69

Q4250 identifies Amnioamp-MP, not Vim. Select the product code that matches the product supplied; the shared square-centimeter unit does not make the codes interchangeable.

Q4252

Wound graft

Per square centimeter

$116.19–$130.69

Q4252 identifies Vendaje rather than Vim. The product furnished determines which supply code to report.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$153.04–$167.92

CPT 15271 reports the wound-application service for its applicable site and area group; Q4251 reports the Vim product supplied with a primary procedure.

Compare Q4251 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.

4 of 4 payment localities

Office and facility base rates · shared scale starting at $0

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Q4251 billing questions

Can Q4251 be reported by itself?

No. CMS identifies Q4251 as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.

Is the wound application included in Q4251?

No. Q4251 identifies the Vim product; report the applicable wound-application procedure separately, based on the wound’s location and treated area.

How should units be determined?

The descriptor measures Vim by square centimeter. Document the amount supplied and use the applicable billing instructions to support the units reported.

What documentation supports Q4251?

Record that Vim was supplied, the quantity used or furnished, and the wound treated. The record should also support the separately reported primary application procedure.

Does Q4251 include a professional interpretation?

No. CMS classifies Q4251 as technical-component-only; a separate code covers 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.

RVUs for Q4251PPRRVU2026_Oct_nonQPP.csv, line 18,339 (RVU26D)