$113.13
Q4219 identifies Surgigraft dual, while Q4218 identifies Surgicord. Match the code to the tissue product documented as supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4218 Wound graft Medicare reimbursement rates in Kentucky
Report Q4218 for the documented square-centimeter quantity of Surgicord tissue supplied with a primary wound or surgical procedure. Compare Q4218 office and facility rates across CMS payment localities in Kentucky.
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 Q4218 in Kentucky?
Kentucky 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
$113.13
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 Q4218: Surgicord wound tissue product
Report Q4218 for the documented square-centimeter quantity of Surgicord tissue supplied with a primary wound or surgical procedure.
Surgicord is a human umbilical cord tissue product reported by treated surface area when supplied and placed during wound or surgical treatment. A surgeon or other qualified clinician may use it as a biologic covering in wound-care or operative settings; the procedure itself is reported separately with the applicable primary service. The record should identify Surgicord rather than another graft product and show the area treated.
Report Q4218 only with a primary procedure; CMS classifies it as an add-on and places its payment within that procedure’s global period. The per-square-centimeter unit should be supported by documentation of the product quantity used. Keep the product label, operative or wound-care note, site, treated area, and amount applied to substantiate the units and distinguish Surgicord from similarly measured graft products. CMS classifies Q4218 as technical-component-only; a separate code covers interpretation, so Q4218 is not the professional interpretation service.
CMS billing rules for Q4218
- 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.
Q4218 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$113.13
Q4214 is for Cellesta cord. Both are measured by area, so the product name—not the unit of measure—distinguishes the codes.
$113.13
Q4216 identifies Artacent cord rather than Surgicord. Report the code for the specific product used.
Compare Q4218 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
Kentucky →
Office / nonfacility
$113.13
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 Q4218 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
18,309
- Code
- Q4218
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.889 | 3.3871 |
| Malpractice | 0.00 | × 0.915 | 0.0000 |
| Total RVUs | 3.3871 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$113.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.889 |
| Malpractice | 0 | 0.915 |
(0 × 1 + 3.81 × 0.889 + 0 × 0.915) × $33.4009 = $113.13
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.
Q4218 billing questions
Can Q4218 be billed by itself?
No. CMS identifies Q4218 as an add-on code that must be reported with a primary procedure, and its payment falls within that procedure’s global period.
How are units determined?
The code is measured per square centimeter. Document the Surgicord quantity used so the reported units are supported.
What documentation supports Q4218?
The record should identify Surgicord, the treatment site, the primary procedure, the area treated, and the quantity applied.
Does Q4218 include professional interpretation?
No. CMS classifies Q4218 as technical-component-only, with a separate code covering interpretation.
How do I choose between Q4218 and another graft code?
Use Q4218 when the product supplied is Surgicord. Codes for other tissue products represent those products, even when they are also measured by area.
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.
18,306Q4215,,"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
18,309Q4218,,Surgicord 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
18,310Q4219,,Surgigraft dual 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
18,311Q4220,,"Bellacell hd, surederm 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
18,312Q4221,,Amniowrap2 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
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631