Q4331 identifies Axolotl graft rather than Ardeograft. Choose based on the product furnished; both descriptors use a per-square-centimeter unit.
On this page
CMS RVU26D · Effective 2026-10-01
Q4333 Ardeograft Medicare reimbursement rates in Kentucky
Q4333 reports Ardeograft furnished by square centimeter for a wound graft procedure and is billed with the applicable primary procedure. Compare Q4333 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 Q4333 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 product
About Q4333: Ardeograft wound graft supply
Q4333 reports Ardeograft furnished by square centimeter for a wound graft procedure and is billed with the applicable primary procedure.
Q4333 identifies Ardeograft as the wound graft product furnished, measured by square centimeter. It is a product-supply code rather than a code for the clinician’s application work. Physicians and other qualified clinicians may use the product during wound-care procedures; the specific primary procedure depends on the treated site and wound area. Keep the product record and wound documentation linked to the service date so the billed product can be matched to the procedure.
Report Q4333 only with a primary procedure, such as the applicable skin-substitute application code, and use units reflecting the square centimeters represented by the product. Documentation should identify Ardeograft, the treated wound and site, the amount used, and the associated application procedure. CMS treats Q4333 as an add-on code paid within the primary procedure’s global period. CMS also classifies it as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4333
- 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.
Q4333 compared with similar codes
Office rates for Kentucky, from the same CMS release.
Q4332 identifies Axolotl dualgraft. It is not interchangeable with Q4333 when Ardeograft is the product supplied.
Q4334 identifies Amnioplast 1, while Q4333 identifies Ardeograft. The product name on the supply record determines which code to report.
Compare Q4333 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 Q4333 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
18,420
- Code
- Q4333
- 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.
Q4333 billing questions
Which application code should accompany Q4333?
Pair it with the primary skin-substitute application procedure that fits the wound’s site and area. Q4333 is not reported by itself.
How should units be calculated?
The code is measured per square centimeter. Report units that correspond to the Ardeograft product represented on the claim.
What documentation supports Q4333?
Document the product as Ardeograft, the wound and treated site, the square-centimeter amount, and the related application procedure.
Is the application work included in Q4333?
Q4333 identifies the product supply, while the primary procedure represents the application service. CMS pays Q4333 within that procedure’s global period.
How does Q4333 differ from Q4334?
Q4333 identifies Ardeograft; Q4334 identifies Amnioplast 1. Select the code for the product actually furnished, not simply because both are reported per square centimeter.
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.
