$115.04
Q4216 identifies Artacent Cord; Q4214 identifies Cellesta Cord. Select the code matching the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4214 Wound graft Medicare reimbursement rates in Kansas
Reports Cellesta Cord, an umbilical-cord-derived tissue product supplied for wound treatment, measured by the square centimeter and paired with a primary procedure. Compare Q4214 office and facility rates across CMS payment localities in Kansas.
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 Q4214 in Kansas?
Kansas 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
$115.04
1 of 1 localities have a supported rate.
Payment area: Kansas
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 Q4214: Cellesta cord tissue supply
Reports Cellesta Cord, an umbilical-cord-derived tissue product supplied for wound treatment, measured by the square centimeter and paired with a primary procedure.
Q4214 identifies the Cellesta Cord tissue product supplied for wound treatment, rather than the clinician’s work to prepare or treat the wound. Wound-care physicians, podiatrists, and surgeons may use this type of graft in outpatient wound clinics or other settings where wounds are treated. Examples of wounds commonly managed with tissue products include diabetic foot ulcers and venous leg ulcers; the product selection and clinical use should be supported by the record.
Report the quantity in square-centimeter units based on the product supplied for the treatment. Documentation should identify Cellesta Cord, the treated wound and site, the amount used, and the primary procedure performed. CMS classifies Q4214 as an add-on code: report it only with a primary procedure, and payment falls within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4214
- 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.
Q4214 compared with similar codes
Office rates for Kansas, from the same CMS release.
$115.04
Q4218 identifies Surgicord, while Q4214 identifies Cellesta Cord. The similar cord-product descriptions do not make the codes interchangeable.
$115.04
Q4211 identifies an amnion product. Q4214 is the product-specific code for Cellesta Cord.
$115.04
Q4205 identifies a membrane graft or wrap by square centimeter; Q4214 identifies Cellesta Cord by square centimeter.
Compare Q4214 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
Kansas →
Office / nonfacility
$115.04
Facility
Unavailable
Need rates for a whole code list?
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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 Q4214 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
18,305
- Code
- Q4214
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.904 | 3.4442 |
| Malpractice | 0.00 | × 0.504 | 0.0000 |
| Total RVUs | 3.4442 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$115.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.904 |
| Malpractice | 0 | 0.504 |
(0 × 1 + 3.81 × 0.904 + 0 × 0.504) × $33.4009 = $115.04
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.
Q4214 billing questions
How is Q4214 distinguished from other wound-graft product codes?
Q4214 identifies Cellesta Cord specifically. Use the code for the product supplied, not another tissue product with a similar wound-care purpose.
Can Q4214 be billed by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
How should the units be counted?
The descriptor is per square centimeter. Document the amount of Cellesta Cord supplied and report the corresponding square-centimeter units.
What documentation supports Q4214?
Record the product name, wound site, amount supplied, and primary procedure. The record should support the product and quantity reported.
Does Q4214 include interpretation?
No. CMS classifies Q4214 as technical-component-only and indicates that a separate code covers interpretation.
How does the global-period rule affect payment?
Q4214 is paid within the global period of the primary procedure with which it is reported.
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.
18,302Q4211,,Amnion bio or axobio 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
18,303Q4212,,"Allogen, per 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
18,304Q4213,,"Ascent, 0.5 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
18,305Q4214,,Cellesta cord 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
18,306Q4215,,"Axolotl ambient, cryo 0.1 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
18,307Q4216,,Artacent cord 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
18,308Q4217,,Woundfix biowound plus xplus,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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958