$113.13
Q4380 identifies Advograft One, while Q4382 identifies Advograft Dual. Use the product code matching the material furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4382 Skin substitute Medicare reimbursement rates in Kentucky
Reports the per-square-centimeter Advograft Dual wound product used with a primary skin-substitute application procedure, with units supported by product and wound records. Compare Q4382 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 Q4382 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.
Skin substitute product
About Q4382: Advograft Dual wound product
Reports the per-square-centimeter Advograft Dual wound product used with a primary skin-substitute application procedure, with units supported by product and wound records.
Advograft Dual is a skin substitute product used to cover a prepared wound bed. Wound-care clinicians, surgeons, and podiatrists may use it in outpatient wound clinics, physician offices, or hospital outpatient settings. This HCPCS line identifies the product rather than the clinician’s work applying it; the application procedure is reported separately with the appropriate procedure code for the wound site and extent.
Report Q4382 for the Advograft Dual product furnished, using the documented square-centimeter quantity. The record should identify the product and support the amount used and the wound treated. CMS classifies this as an add-on code: submit it with a primary procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation represented by a separate code.
CMS billing rules for Q4382
- 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.
Q4382 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$146.05
Q4382 reports the Advograft Dual product; 15271 reports application work for qualifying trunk, arm, or leg wounds.
$149.30
Q4382 reports the product; 15275 reports application work for qualifying wounds on the head, face, neck, hands, feet, or genitalia.
Compare Q4382 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 Q4382 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
18,467
- Code
- Q4382
- 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.
Q4382 billing questions
How is Q4382 different from Q4380?
Q4382 identifies Advograft Dual; Q4380 identifies Advograft One. Choose the code matching the product furnished, not the wound size.
Does Q4382 include the application?
No. It identifies the product. Report the applicable skin-substitute application procedure separately for the wound site and extent.
Can Q4382 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
What supports the number of units?
The code is measured per square centimeter. Document the product used and the square-centimeter quantity associated with the treated wound.
How is interpretation represented?
CMS classifies Q4382 as technical-component-only. A separate code represents 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.
18,464Q4378,,Renew ft 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
18,465Q4379,,Amniodefend ft 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
18,466Q4380,,Advograft one 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
18,467Q4382,,Advograft 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
18,468Q4383,,Axolotl graft ult 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
18,469Q4384,,Axolotl dual ult 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
18,470Q4385,,Apollo ft 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