$143.70–$153.09
15271 reports the wound application procedure for qualifying trunk, arm, or leg sites; Q4420 reports the Nuform product furnished by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4420 Nuform Medicare reimbursement rates in Missouri
Report Q4420 for Nuform furnished by square centimeter as the product component of a wound application service. Compare Q4420 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 Q4420 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 Q4420 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Wound care supply
About Q4420: Nuform wound product by area
Report Q4420 for Nuform furnished by square centimeter as the product component of a wound application service.
Q4420 identifies Nuform supplied for use in wound care, measured by square centimeter. It represents the product, not the clinician’s work to prepare the wound or apply the material. A physician or other qualified clinician may furnish and apply the product in an office wound clinic or hospital outpatient setting as part of a wound treatment procedure.
Report the product units supported by the record and pair the code with the applicable primary skin-substitute application procedure. The application code is selected according to the wound’s location and total surface area; documentation should identify Nuform and support the amount supplied or used. CMS classifies Q4420 as an add-on, so it is billed only with a primary procedure and its payment is within that procedure’s global period. It is also a technical-component-only code; the professional interpretation, when separately applicable, is represented by a separate code.
CMS billing rules for Q4420
- 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.
Q4420 compared with similar codes
Office rates for Missouri, from the same CMS release.
$295.59–$313.03
15273 is the application procedure for its specified sites, including the face, hands, and feet. Q4420 identifies the product used, not the application service.
$109.70–$121.15
Q4419 identifies Biolab Wrap Flow LT by square centimeter. Use the product code matching the material furnished rather than choosing between these codes by wound size.
$109.70–$121.15
Q4421 identifies Biolab Wrap Solo by square centimeter; Q4420 identifies Nuform. The codes distinguish products, not different wound-area levels.
Compare Q4420 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?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
Q4420 billing questions
How is Q4420 different from a skin-substitute application code?
Q4420 identifies the Nuform product by square centimeter. The application code represents the procedure and is selected based on wound location and surface area.
Can Q4420 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, with payment within that procedure’s global period.
What should the record support?
Document that Nuform was furnished and the amount in square centimeters used, along with the wound details supporting the primary application code.
Does Q4420 include the clinician’s professional work?
No. CMS classifies it as technical-component-only; a separate code represents interpretation when applicable.
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.
18,502Q4417,,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
18,507Q4422,,Ac wrap 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
18,508Q4423,,Biolab tri wrap fl 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