$116.44
Q4201 identifies Matrion, while Q4200 identifies SkinTE. Choose the code that matches the product used, not simply the wound type.
On this page
CMS RVU26D · Effective 2026-10-01
Q4200 SkinTE Medicare reimbursement rates in Iowa
Q4200 reports SkinTE by square centimeter when the product is used during a wound or skin-defect treatment procedure. Compare Q4200 office and facility rates across CMS payment localities in Iowa.
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 Q4200 in Iowa?
Iowa 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
$116.44
1 of 1 localities have a supported rate.
Payment area: Iowa
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 Q4200: SkinTE skin tissue product
Q4200 reports SkinTE by square centimeter when the product is used during a wound or skin-defect treatment procedure.
SkinTE is a named skin-tissue product reported when it is applied during treatment of a wound or skin defect. It is encountered in wound-care settings, including outpatient clinics and hospital-based services, where a treating clinician applies the product as part of a separately coded wound procedure. Q4200 identifies the product quantity rather than the wound assessment or application work itself.
Report units by the square centimeters represented by the quantity used, and document the product, treated site, amount applied, and associated procedure. CMS classifies Q4200 as an add-on code: bill it only with a primary procedure, and payment falls within that procedure’s global period. Q4200 is technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4200
- 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.
Q4200 compared with similar codes
Office rates for Iowa, from the same CMS release.
$116.44
Q4203 identifies Derma-gide rather than SkinTE. Both use square-centimeter units, but the product determines the HCPCS code.
$145.07
15271 reports a qualifying skin-substitute application service for specified body sites; Q4200 reports the SkinTE product quantity billed with a primary procedure.
$148.29
15275 reports a qualifying application service for specified sites such as the face or scalp. Q4200 identifies the SkinTE product, not the application service.
Compare Q4200 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
Iowa →
Office / nonfacility
$116.44
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 Q4200 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
18,292
- Code
- Q4200
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.915 | 3.4862 |
| Malpractice | 0.00 | × 0.397 | 0.0000 |
| Total RVUs | 3.4862 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$116.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.915 |
| Malpractice | 0 | 0.397 |
(0 × 1 + 3.81 × 0.915 + 0 × 0.397) × $33.4009 = $116.44
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.
Q4200 billing questions
Does Q4200 report the product or the application procedure?
It reports the SkinTE product quantity per square centimeter. The wound-treatment or product-application service is reported with the appropriate primary procedure.
What primary procedure is reported with Q4200?
Pair it with the primary procedure for the wound treatment. Skin substitute application codes such as 15271 or 15275 may be relevant, depending on the treated site and area.
How are Q4200 units determined?
The code is measured by square centimeter. The record should support the SkinTE quantity used and connect it to the treated wound and procedure.
How does the global-period rule affect Q4200?
CMS identifies Q4200 as an add-on code that must be billed with a primary procedure and paid within that procedure’s global period.
Does Q4200 include interpretation?
No. CMS identifies Q4200 as technical-component-only, with interpretation covered by a separate code.
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.
18,289Q4197,,Puraply xt 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
18,290Q4198,,Genesis amnio membrane 1sqcm,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
18,291Q4199,,"Cygnus matrix, 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
18,292Q4200,,Skin te 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
18,293Q4201,,Matrion 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
18,294Q4202,,"Keroxx (2.5g/cc), 1cc",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
18,295Q4203,,"Derma-gide, 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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136