$1,174.10–$1,262.54
65778 reports the ocular-surface procedure using a self-retaining membrane. Q4223 identifies the Dermabind SL Optic product by area; it does not describe the procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4223 Ocular membrane product Medicare reimbursement rates in Maine
Reports the per-square-centimeter Dermabind SL Optic membrane supplied for ophthalmic treatment when paired with a qualifying primary procedure. Compare Q4223 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 Q4223 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.
Ophthalmic tissue product
About Q4223: Dermabind SL Optic ophthalmic membrane supply
Reports the per-square-centimeter Dermabind SL Optic membrane supplied for ophthalmic treatment when paired with a qualifying primary procedure.
Q4223 identifies the Dermabind SL Optic product by the area supplied, rather than the clinician’s work applying it. It is used in ophthalmic care involving an ocular-surface defect, with an ophthalmologist typically selecting and placing the membrane in an office procedure room or outpatient surgical setting. The product code is distinct from the procedure that prepares or treats the ocular surface.
Report Q4223 only with a primary procedure; CMS treats it as an add-on paid within that procedure’s global period. Document the product name and the square-centimeter amount used, and report the application or reconstruction procedure separately. CMS classifies Q4223 as technical-component-only, with a separate code covering interpretation. The product’s quantity is based on its documented area, not the number of eyes or visits.
CMS billing rules for Q4223
- 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.
Q4223 compared with similar codes
Office rates for Maine, from the same CMS release.
$1,051.95–$1,128.54
65779 reports an ocular-surface procedure using a sutured membrane. Q4223 reports the Dermabind SL Optic product supplied, not the method of placement.
$117.08–$126.11
Q4222 identifies Progenamatrix by area, while Q4223 identifies Dermabind SL Optic. Choose according to the product documented as supplied.
$117.08–$126.11
Q4224 identifies HHF10-P by area. Q4223 is specific to Dermabind SL Optic, even though both descriptors use a square-centimeter unit.
Compare Q4223 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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Q4223 billing questions
Can Q4223 be billed by itself?
No. CMS identifies it as an add-on code, so report it with a primary procedure. Its payment falls within that procedure’s global period.
How should the units be determined?
Use the square-centimeter amount of Dermabind SL Optic supplied, supported by the product documentation and the clinical record.
Does Q4223 include the ocular procedure?
No. Q4223 identifies the product supply; report the applicable ocular-surface procedure separately.
Does this code include professional interpretation?
No. CMS classifies Q4223 as technical-component-only, with interpretation covered by a separate code.
How does Q4223 differ from Q4222 or Q4224?
Q4223 identifies Dermabind SL Optic. Q4222 and Q4224 identify different named products, so select the code matching the product actually supplied.
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.
18,311Q4220,,"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
18,313Q4222,,"Progenamatrix, 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
18,314Q4223,,Dermabind sl optic per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,315Q4224,,Hhf10-p 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
18,316Q4225,,"Amnio or derma tl, 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
18,317Q4226,,Myown harv prep proc sq cm,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00