$109.70–$121.15
Q4251 identifies Vim; Q4252 identifies Vendaje. Both are reported by square centimeter, so the product furnished determines the code.
On this page
CMS RVU26D · Effective 2026-10-01
Q4252 Wound graft Medicare reimbursement rates in Missouri
Q4252 reports Vendaje wound covering material by square centimeter when furnished with a qualifying wound application procedure. Compare Q4252 office and facility rates across CMS payment localities in Missouri.
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 Q4252 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$109.70–$121.15
3 of 3 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.
Where Q4252 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Skin substitute supply
About Q4252: Vendaje wound covering supply
Q4252 reports Vendaje wound covering material by square centimeter when furnished with a qualifying wound application procedure.
Q4252 identifies Vendaje, an amniotic membrane-based wound covering supplied by square centimeter. Wound-care clinicians may use this type of graft in managing chronic ulcers, such as diabetic foot or venous leg wounds. The product code represents the material; the associated procedure covers its application to the wound.
Report Q4252 only with a primary procedure, as required for an add-on code. CMS places its payment within that procedure’s global period. Choose the code for the product actually furnished, and document the product, wound site and dimensions, quantity used, and application. Select the primary application procedure according to the wound site and area treated. CMS classifies Q4252 as technical-component-only, with interpretation covered by a separate code. Its relative-value structure assigns value to practice expense rather than physician work or malpractice.
CMS billing rules for Q4252
- 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.
Q4252 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4253 identifies Zenith amniotic membrane material, while Q4252 identifies Vendaje. Use the code matching the product applied.
Compare Q4252 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$119.49
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$121.15
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$109.70
Facility
Unavailable
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Q4252 billing questions
Can Q4252 be reported by itself?
No. CMS identifies Q4252 as an add-on code, so report it with the applicable primary wound procedure.
How is Q4252 different from another per-square-centimeter wound product code?
Q4252 identifies Vendaje specifically. Choose the code for the product actually furnished, rather than selecting among products solely by wound diagnosis or area.
What documentation supports the quantity billed?
Document the Vendaje product used, wound site and dimensions, and the amount applied. The code is measured per square centimeter.
Is application included in Q4252?
Q4252 identifies the wound covering material; the primary wound procedure represents its application. Report the applicable primary procedure with the add-on code.
How does the global-period rule affect Q4252?
CMS places Q4252 payment within the primary procedure’s global period. Report it with that primary procedure rather than as a stand-alone service.
Does Q4252 include interpretation?
CMS classifies the code as technical-component-only and indicates that 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.
18,337Q4249,,"Amniply, 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
18,338Q4250,,Amnioamp-mp 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
18,339Q4251,,"Vim, per square centimeter",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
18,340Q4252,,"Vendaje, per square centimet",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
18,341Q4253,,Zenith amniotic membrane psc,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
18,342Q4254,,Novafix dl 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
18,343Q4255,,"Reguard, topical use per sq",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