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CMS RVU26D · Effective 2026-10-01

Q4152 Skin substitute Medicare reimbursement rates in Maine

Reports Dermapure dermal matrix supplied for wound treatment, measured by square centimeter and billed with the primary procedure that applies it. Compare Q4152 office and facility rates across CMS payment localities in Maine.

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 Q4152 in Maine?

Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$117.08–$126.11

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $9.03 per service.

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.

Find Q4152 in your payment locality →

Skin substitute

About Q4152: Dermapure dermal matrix supply

Reports Dermapure dermal matrix supplied for wound treatment, measured by square centimeter and billed with the primary procedure that applies it.

Q4152 represents the Dermapure biologic dermal matrix supplied for wound care; it is the product code, not the service of preparing the wound or placing the material. Clinicians may use a dermal matrix in treating wounds such as chronic ulcers. The treating physician or other qualified practitioner typically documents the wound site and dimensions and performs or oversees the application in an outpatient or facility setting.

Report the measured square centimeters of Dermapure supplied, supported by the product record and documentation of the wound area treated. Bill Q4152 only with a primary procedure; CMS treats it as an add-on and includes its payment within that procedure's global period. CMS classifies the code as technical-component-only, with interpretation covered by a separate code. Report the applicable skin-substitute application procedure separately; its selection depends on the wound site and treated area.

CMS billing rules for Q4152

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.

Q4152 compared with similar codes

Office rates for Maine, from the same CMS release.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$147.16–$154.48

Q4152 reports Dermapure product; 15271 reports application to the trunk, arms, or legs. Report both when the product and application service are furnished.

Q4153

Wound product

Dermavest or Plurivest, per sq cm

$117.08–$126.11

Q4153 identifies Dermavest or Plurivest, not Dermapure. Select the HCPCS code for the product actually supplied.

Q4154

Wound matrix

Per square centimeter

$117.08–$126.11

Q4154 identifies Biovance, while Q4152 identifies Dermapure. The square-centimeter unit does not make these product codes interchangeable.

Compare Q4152 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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Q4152 billing questions

Does Q4152 report Dermapure placement?

No. Q4152 reports the Dermapure product; report the applicable skin-substitute application procedure separately.

Can Q4152 be billed by itself?

No. CMS identifies it as an add-on code that must be billed 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 amount of Dermapure supplied and the wound area treated to support the units reported.

Which application code should accompany Q4152?

Select the skin-substitute application procedure according to the treated body site and area. For example, 15271 is for application to the trunk, arms, or legs within its stated area range.

Does Q4152 include professional interpretation?

No. CMS identifies Q4152 as technical-component-only; a separate code covers 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.

RVUs for Q4152PPRRVU2026_Oct_nonQPP.csv, line 18,245 (RVU26D)