This is a primary wound application procedure code, not the Artacent product supply code. The applicable primary code depends on site and procedure criteria.
On this page
CMS RVU26D · Effective 2026-10-01
Q4169 Wound product Medicare reimbursement rates in Maine
Report Q4169 for each square centimeter of Artacent wound product furnished with a primary wound application procedure. Compare Q4169 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 Q4169 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.
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 Q4169: Artacent wound product, per square centimeter
Report Q4169 for each square centimeter of Artacent wound product furnished with a primary wound application procedure.
Q4169 represents Artacent wound product measured by the square centimeter, rather than the clinician’s work to prepare or cover a wound. It may be used in wound-care settings by clinicians such as wound-care specialists, podiatrists, and surgeons treating wounds such as diabetic foot or venous leg ulcers. The related application procedure describes the work performed on the wound; Q4169 identifies the product quantity.
Report units based on the square centimeters of Artacent product furnished, and document the wound, product used, and quantity. Q4169 is an add-on code and must be billed with a primary procedure; payment is within that procedure’s global period. CMS classifies it as technical-component-only, with interpretation covered by a separate code. The primary application code depends on the wound site and applicable procedure criteria.
CMS billing rules for Q4169
- 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.
Q4169 compared with similar codes
Office rates for Maine, from the same CMS release.
This is also a primary application procedure code, used for qualifying head, neck, hand, foot, or genital sites; Q4169 reports the Artacent product quantity.
Amnioband, 1 mg
Q4168 identifies a different wound product with a milligram billing unit. Q4169 identifies Artacent by square centimeter.
Q4170 identifies Cygnus per square centimeter, while Q4169 identifies Artacent per square centimeter. Select the code for the product actually furnished.
Compare Q4169 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
Rest Of Maine →
Office / nonfacility
$117.08
Facility
Unavailable
Southern Maine →
Office / nonfacility
$126.11
Facility
Unavailable
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Q4169 billing questions
How is Q4169 different from the wound application procedure code?
Q4169 identifies Artacent product by square centimeter. The primary procedure code represents the clinician’s work applying a wound product.
Can Q4169 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 reported?
Use the square centimeters of Artacent product furnished. The record should support the product and quantity reported.
What does the global-period rule mean for this code?
Payment for Q4169 falls within the primary procedure’s global period. Report it with that primary procedure rather than as a stand-alone service.
Does Q4169 include interpretation?
No. CMS classifies Q4169 as technical-component-only; a separate code covers interpretation.
How does Q4169 differ from Q4168?
Q4169 is measured per square centimeter. Q4168 is identified by a milligram unit, so the product and billing unit must match the code 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.
