$117.46
Q4158 identifies Kerecis omega-3 per square centimeter; Q4157 identifies Revitalon per square centimeter. Choose according to the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4157 Wound product Medicare reimbursement rates in Nebraska
Report Q4157 for each square centimeter of Revitalon supplied for wound coverage, alongside the primary procedure associated with its application. Compare Q4157 office and facility rates across CMS payment localities in Nebraska.
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 Q4157 in Nebraska?
Nebraska 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
$117.46
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 product
About Q4157: Revitalon wound product per square centimeter
Report Q4157 for each square centimeter of Revitalon supplied for wound coverage, alongside the primary procedure associated with its application.
Q4157 identifies Revitalon by the square centimeter for wound-care use. It represents the product rather than the work of preparing or treating the wound. A wound-care clinician may use it when Revitalon is supplied as part of a wound-coverage service; the application procedure and the product are distinct reporting elements. The record should identify Revitalon and document the wound and the area for which the product was supplied.
Report the quantity in square-centimeter units and bill Q4157 only with a primary procedure. The CMS payment rule places payment for this add-on within the primary procedure’s global period, rather than treating the product code as a standalone service. Q4157 is a technical-component-only code; a separate code covers interpretation. Documentation should support the product billed, the measured area, and the associated primary procedure.
CMS billing rules for Q4157
- 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.
Q4157 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$117.46
Q4159 identifies Affinity, while Q4157 identifies Revitalon. Both are measured by area, but the product determines the code.
$117.46
Q4152 identifies Dermapure per square centimeter. Use Q4157 only when the product supplied is Revitalon.
Compare Q4157 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
Nebraska →
Office / nonfacility
$117.46
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 Q4157 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
18,250
- Code
- Q4157
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.923 | 3.5166 |
| Malpractice | 0.00 | × 0.378 | 0.0000 |
| Total RVUs | 3.5166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$117.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.923 |
| Malpractice | 0 | 0.378 |
(0 × 1 + 3.81 × 0.923 + 0 × 0.378) × $33.4009 = $117.46
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.
Q4157 billing questions
Can Q4157 be billed by itself?
No. CMS identifies it as an add-on code, so it is billed only with a primary procedure.
How should units be reported?
The descriptor is per square centimeter. Document the area represented by the Revitalon product and report the corresponding square-centimeter quantity.
Does Q4157 include the wound application procedure?
No. Q4157 identifies the Revitalon product; report the associated primary procedure separately when supported by the service.
How does the global-period rule affect payment?
The add-on is paid within the global period of its primary procedure. It is not a standalone payment separate from that procedure’s global period.
Does Q4157 include interpretation?
No. CMS classifies Q4157 as technical-component-only; a separate code covers interpretation.
How is Q4157 different from Q4158?
Q4157 identifies Revitalon per square centimeter, while Q4158 identifies Kerecis omega-3 per square centimeter. Select the code for the product actually supplied.
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.
18,247Q4154,,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
18,253Q4160,,Nushield 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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068