Q4192
No office rateRestorigin, 1 cc
Both identify Restorigin, but Q4191 is measured per square centimeter and Q4192 per cubic centimeter. Use the code matching the product form and unit supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4191 Wound covering Medicare reimbursement rates in Indiana
Q4191 reports Restorigin by square centimeter when the product is supplied for wound coverage and billed with the applicable primary application procedure. Compare Q4191 office and facility rates across CMS payment localities in Indiana.
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 Q4191 in Indiana?
Indiana 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
$117.97
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Skin substitute product
About Q4191: Restorigin wound covering, per square centimeter
Q4191 reports Restorigin by square centimeter when the product is supplied for wound coverage and billed with the applicable primary application procedure.
Q4191 identifies Restorigin wound-covering material in one-square-centimeter units. Wound care clinicians, surgeons, and podiatrists may use it when treating wounds that require coverage with a skin substitute product, including in outpatient wound clinics and hospital outpatient departments. The product supply is distinct from the procedure used to prepare the wound and apply the covering.
Report Q4191 with the primary application procedure; it is not billed alone. Select the application procedure according to the wound location and treated area, and document the product, wound site, measured area, quantity used, and application. CMS classifies Q4191 as an add-on code paid within the primary procedure’s global period. It is also technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4191
- 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.
Q4191 compared with similar codes
Office rates for Indiana, from the same CMS release.
$117.97
Q4190 identifies Artacent AC per square centimeter, not Restorigin. The product supplied determines which product code applies.
$117.97
Q4186 identifies EpiFix per square centimeter. Although both are wound-covering products billed by area, the product-specific code distinguishes them.
Compare Q4191 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
Indiana →
Office / nonfacility
$117.97
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 Q4191 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
18,283
- Code
- Q4191
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.927 | 3.5319 |
| Malpractice | 0.00 | × 0.486 | 0.0000 |
| Total RVUs | 3.5319 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$117.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.927 |
| Malpractice | 0 | 0.486 |
(0 × 1 + 3.81 × 0.927 + 0 × 0.486) × $33.4009 = $117.97
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.
Q4191 billing questions
Can Q4191 be billed without an application procedure?
No. CMS identifies Q4191 as an add-on code that must be billed with a primary procedure.
How should the units be determined?
The code is measured per square centimeter. Report the quantity supported by the product used and the documented treated area.
Does Q4191 include wound preparation or application?
Q4191 identifies the Restorigin product. Report the applicable primary procedure for the wound preparation and application service.
What documentation supports Q4191?
Document the Restorigin product, wound location and measured area, quantity used, and the related application procedure.
Is interpretation included in Q4191?
No. CMS classifies Q4191 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.
18,280Q4188,,Amnioarmor 1 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
18,281Q4189,,"Artacent ac, 1 mg",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,282Q4190,,Artacent ac 1 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
18,283Q4191,,Restorigin 1 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
18,284Q4192,,"Restorigin, 1 cc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,285Q4193,,Coll-e-derm 1 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
18,286Q4194,,Novachor 1 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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915