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CMS RVU26D · Effective 2026-10-01

Q4153 Wound product Medicare reimbursement rates in Michigan

Reports Dermavest or Plurivest supplied for wound treatment, with the quantity measured in square centimeters and billed with a primary procedure. Compare Q4153 office and facility rates across CMS payment localities in Michigan.

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 Q4153 in Michigan?

Michigan 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

$116.19–$122.80

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $6.61 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 Q4153 in your payment locality →

Skin substitute product

About Q4153: Dermavest or Plurivest wound product

Reports Dermavest or Plurivest supplied for wound treatment, with the quantity measured in square centimeters and billed with a primary procedure.

Q4153 identifies Dermavest or Plurivest supplied for application to a wound, with quantity expressed in square centimeters. A wound-care physician, podiatrist, or surgeon may apply the product to a prepared wound bed in an office-based wound clinic or hospital outpatient setting. The code identifies the named product, not the wound’s size or the clinician’s application work, so the product reported should match what was actually used.

Select Q4153 by product identity and report the quantity in square centimeters, supported by documentation of the product, treated site, amount used, and associated primary procedure. This is an add-on code: report it only with a primary procedure, and CMS payment falls within that procedure’s global period. CMS classifies Q4153 as technical-component-only; a separate code covers interpretation. Keep the product quantity distinct from the primary procedure in the claim documentation.

CMS billing rules for Q4153

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.

Q4153 compared with similar codes

Office rates for Michigan, from the same CMS release.

Q4152

Skin substitute

Dermapure per square centimeter

$116.19–$122.80

Q4152 identifies Dermapure per square centimeter. Q4153 identifies Dermavest or Plurivest; select according to the product actually supplied.

Q4154

Wound matrix

Per square centimeter

$116.19–$122.80

Q4154 identifies Biovance per square centimeter. Q4153 is for Dermavest or Plurivest, not Biovance.

Q4150

Wound matrix

Allowrap DS or Dry, per cm²

$116.19–$122.80

Q4150 identifies Allowrap DS or dry by area. Use Q4153 only when the product supplied is Dermavest or Plurivest.

Compare Q4153 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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Q4153 billing questions

How is Q4153 distinguished from another skin substitute code?

Choose Q4153 when the product used is Dermavest or Plurivest. Other product codes, such as Q4152 for Dermapure, identify different products even when their quantities are measured by area.

Can Q4153 be reported by itself?

No. CMS identifies Q4153 as an add-on code that must be billed with a primary procedure.

How should the quantity be reported?

Report the amount of Dermavest or Plurivest supplied in square centimeters. Documentation should identify the product, wound site, and quantity used.

How does the global-period rule affect payment?

CMS payment for Q4153 is within the global period of the associated primary procedure.

Is there a separate interpretation component?

Yes. CMS classifies Q4153 as technical-component-only, and 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 Q4153PPRRVU2026_Oct_nonQPP.csv, line 18,246 (RVU26D)