$130.95
Q4207 identifies Carbon Life, while Q4208 identifies Novafix. Select the code for the product actually supplied; the shared square-centimeter basis does not make the products interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
Q4208 Wound product Medicare reimbursement rates in Minnesota
Q4208 reports Novafix wound-care material by square centimeter when it is supplied with a qualifying skin-substitute application procedure. Compare Q4208 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 Q4208 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.
Skin substitute
About Q4208: Novafix wound covering supply
Q4208 reports Novafix wound-care material by square centimeter when it is supplied with a qualifying skin-substitute application procedure.
Q4208 identifies Novafix material used as a skin-substitute wound covering. Wound-care clinicians may use it during treatment of open wounds, such as diabetic foot or venous leg ulcers. This code represents the product, not wound-bed preparation or the act of applying the material. The application is reported separately by the appropriate procedure code.
Report units based on the square centimeters of Novafix supplied for the treated wound. Documentation should identify the product, wound site, area treated, and quantity used, and support the separately reported application procedure. CMS classifies Q4208 as an add-on: bill it only with a primary procedure, with payment included within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4208
- 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.
Q4208 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$130.95
Q4209 identifies Surgraft rather than Novafix. Use the product-specific code matching the material used on the wound.
Q4202
No office rateKeroxx (2.5g/cc), 1cc
Q4202 identifies Keroxx and uses a volume-based unit; Q4208 identifies Novafix and is measured by square centimeter.
Compare Q4208 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 Q4208 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
18,300
- Code
- Q4208
- 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.
Q4208 billing questions
Can Q4208 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure. The skin-substitute application procedure is reported separately.
How is the quantity determined?
Report the Novafix quantity in square-centimeter units. Document the wound site, area treated, and amount of product used.
Does Q4208 include the wound application?
No. Q4208 identifies the Novafix material; report the appropriate skin-substitute application procedure separately.
Does this code include interpretation?
No. CMS classifies Q4208 as technical-component-only, with interpretation covered by a separate code.
How does the global-period rule affect billing?
Q4208 is paid within the global period of the primary procedure and must be reported with that procedure, not as a standalone service.
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.
18,297Q4205,,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
18,299Q4207,,"Carbon life, 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
18,300Q4208,,Novafix 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
18,301Q4209,,Surgraft 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
18,302Q4211,,Amnion bio or axobio 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
18,303Q4212,,"Allogen, per 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
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