Q4155
No office rateNeoxflo or clarixflo 1 mg
Q4155 identifies Neoxflo or Clarixflo and uses a milligram unit. Q4156 is for Neox 100 or Clarix 100 and is measured per square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4156 Wound material Medicare reimbursement rates in Minnesota
Reports Neox 100 or Clarix 100 placental-tissue wound material by square centimeter when supplied with a primary wound-treatment procedure. Compare Q4156 office and facility rates across CMS payment localities in Minnesota.
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 Q4156 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$130.95
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
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
About Q4156: Neox 100 or Clarix 100 wound material
Reports Neox 100 or Clarix 100 placental-tissue wound material by square centimeter when supplied with a primary wound-treatment procedure.
Q4156 identifies Neox 100 or Clarix 100 placental-tissue material used as a wound covering, measured by square centimeter; it represents the material, not the clinician’s work applying it. These products may be used in outpatient wound care, including treatment of diabetic foot ulcers or venous leg ulcers. A physician, podiatrist, or other qualified practitioner typically applies the material after preparing the wound bed in a clinic or hospital outpatient department.
Report the product quantity in square-centimeter units and pair the code with the primary wound-treatment procedure. Documentation should identify the product, wound site, amount used, and associated application service. CMS classifies Q4156 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. It is also technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4156
- 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.
Q4156 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$130.95
Q4148 identifies a different Neox or Clarix product form. Use Q4156 only when the supplied product is Neox 100 or Clarix 100.
$156.01
15271 reports the primary wound-treatment application service for qualifying sites on the trunk, arms, or legs; Q4156 reports the associated product.
Compare Q4156 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.
1 of 1 payment localities
Minnesota →
Office / nonfacility
$130.95
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4156 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
18,249
- Code
- Q4156
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.029 | 3.9205 |
| Malpractice | 0.00 | × 0.296 | 0.0000 |
| Total RVUs | 3.9205 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$130.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.029 |
| Malpractice | 0 | 0.296 |
(0 × 1 + 3.81 × 1.029 + 0 × 0.296) × $33.4009 = $130.95
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4156 billing questions
Does Q4156 report the application of the wound material?
No. Q4156 reports the Neox 100 or Clarix 100 material; report the primary procedure for the clinician’s wound treatment and application.
How is the quantity reported?
The code is measured per square centimeter. Document the quantity of product used and report the corresponding units.
Can Q4156 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
Does Q4156 include a professional interpretation?
No. CMS classifies it as technical-component-only; a separate code covers interpretation.
What documentation supports Q4156?
Record whether Neox 100 or Clarix 100 was used, the wound site, the amount used in square centimeters, and the associated primary wound-treatment procedure.
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.
18,246Q4153,,"Dermavest, plurivest 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
18,247Q4154,,Biovance 1 square 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
18,248Q4155,,Neoxflo or clarixflo 1 mg,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
18,249Q4156,,Neox 100 or clarix 100,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
18,250Q4157,,Revitalon 1 square 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
18,251Q4158,,"Kerecis omega3, 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
18,252Q4159,,Affinity1 square 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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002