$116.19–$122.80
Q4200 identifies SkinTE, while Q4203 identifies Derma-gide. Select the code for the specific product used, not simply because both are billed by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4203 Skin substitute Medicare reimbursement rates in Michigan
Q4203 reports Derma-gide by square centimeter when the product is used with a primary wound procedure for skin substitute application. Compare Q4203 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 Q4203 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.
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 Q4203: Derma-gide skin substitute product
Q4203 reports Derma-gide by square centimeter when the product is used with a primary wound procedure for skin substitute application.
Q4203 identifies Derma-gide supplied for wound coverage, measured in 1-square-centimeter units. It is reported for the product used on a wound, not for the clinician’s wound assessment or application work. Wound care clinicians, surgeons, and podiatrists may use skin substitute products in outpatient wound settings; the record should identify Derma-gide and the treated wound area.
CMS classifies Q4203 as an add-on code: report it only with a primary procedure, and payment is included within that procedure’s global period. The quantity should correspond to the square centimeters of product used, supported by documentation of the product and treated area. CMS identifies this code as technical-component-only; a separate code covers interpretation. Q4203 has no physician work RVUs, so it represents the product’s technical portion rather than a separate professional interpretation service.
CMS billing rules for Q4203
- 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.
Q4203 compared with similar codes
Office rates for Michigan, from the same CMS release.
$116.19–$122.80
Q4201 identifies Matrion; Q4203 identifies Derma-gide. The product name on the record distinguishes the codes.
$116.19–$122.80
Q4205 describes a membrane graft or wrap product. Q4203 is specific to Derma-gide, so use the code matching the supplied product.
Compare Q4203 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
Detroit →
Office / nonfacility
$122.80
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$116.19
Facility
Unavailable
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Q4203 billing questions
What does one unit of Q4203 represent?
One unit represents 1 square centimeter of Derma-gide. Document the amount used and the area treated.
Can Q4203 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Which primary procedure may be reported with Q4203?
Pair it with the applicable skin substitute application procedure, such as 15271 for an eligible trunk, arm, or leg site or 15275 for an eligible face, scalp, or neck site.
How does the global-period rule affect payment?
CMS pays Q4203 within the global period of the primary procedure. It is not paid as a separate service outside that pairing.
What should the record support?
Document that Derma-gide was used, the wound treated, and the square centimeters applied. The product identity matters when distinguishing Q4203 from other skin substitute codes.
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.
18,292Q4200,,Skin te 1 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
18,293Q4201,,Matrion 1 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
18,294Q4202,,"Keroxx (2.5g/cc), 1cc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,295Q4203,,"Derma-gide, 1 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
18,296Q4204,,Xwrap 1 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
18,297Q4205,,Membrane graft or wrap 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
18,298Q4206,,Fluid flow or fluid gf 1 cc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00