$109.70–$121.15
Q4419 identifies Biolab Wrap Flow Lite; Q4418 identifies Biolab Wrap Flow. Use the code corresponding to the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4418 Skin substitute Medicare reimbursement rates in Missouri
Reports Biolab Wrap Flow supplied for wound treatment, with units based on the product area used in square centimeters. Compare Q4418 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 Q4418 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 Q4418 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Wound care products
About Q4418: Biolab Wrap Flow wound product supply
Reports Biolab Wrap Flow supplied for wound treatment, with units based on the product area used in square centimeters.
Q4418 represents the Biolab Wrap Flow product supplied for wound care, measured by the surface area used. It is associated with clinician-applied wound treatment, such as placement of a skin substitute over a prepared wound; the code identifies the named product rather than the clinician’s evaluation or the wound procedure itself. The code name does not specify material composition, anatomical site, or wound severity.
CMS classifies Q4418 as an add-on, so report it only with a primary procedure; payment falls within that procedure’s global period. Select the code when the supplied product is Biolab Wrap Flow, and report units based on the square centimeters used. Documentation should identify the product and support the area reported. CMS classifies the code as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4418
- 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.
Q4418 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4421 identifies Biolab Wrap Solo, not Biolab Wrap Flow. Product identity, rather than wound characteristics, distinguishes these entries.
$109.70–$121.15
Q4423 identifies Biolab Tri Wrap Flow. Q4418 is the Biolab Wrap Flow entry; match the code to the product used.
Compare Q4418 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
Need rates for a whole code list?
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Q4418 billing questions
Can Q4418 be reported by itself?
No. CMS identifies it as an add-on that must be billed with a primary procedure, and its payment falls within that procedure’s global period.
How should units be determined?
Use the square centimeters of Biolab Wrap Flow supplied. Documentation should identify the product and support the area reported.
What distinguishes Q4418 from other Biolab Wrap codes?
Q4418 is specifically for Biolab Wrap Flow. Select the product-specific code matching the item supplied, rather than choosing by wound site or severity.
Does Q4418 include interpretation?
No. CMS classifies Q4418 as technical-component-only; a separate code covers interpretation.
What documentation supports this line?
Record the Biolab Wrap Flow product used and the square-centimeter area supplied, along with the associated primary 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.
18,500Q4415,,Alexiguard st-l 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
18,501Q4416,,Alexiguard tl-t 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
18,502Q4417,,Alexiguard dl-t 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
18,503Q4418,,Biolab wrap flow 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
18,504Q4419,,Biolab wrap flw lt 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
18,505Q4420,,Nuform 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
18,506Q4421,,Biolab wrap solo 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