$156.92
15271 reports the application procedure for qualifying wounds; Q4184 reports the Cellesta or Duo product supplied for that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4184 Wound product Medicare reimbursement rates in Nevada
Reports Cellesta or Duo wound product by square centimeter when the product is supplied for application during a qualifying wound procedure. Compare Q4184 office and facility rates across CMS payment localities in Nevada.
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 Q4184 in Nevada?
Nevada 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
$127.38
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Wound care
About Q4184: Cellesta or Duo wound product
Reports Cellesta or Duo wound product by square centimeter when the product is supplied for application during a qualifying wound procedure.
Q4184 identifies Cellesta or Duo wound product supplied for treatment of a skin wound. Physicians, podiatrists, and other qualified clinicians may use it in office-based or outpatient wound care when applying a wound product as part of a primary procedure. The code represents the product quantity, not the clinical application service itself.
Report Q4184 only with a primary procedure; CMS treats it as an add-on and pays it within that procedure’s global period. Select units from the square centimeters of product represented, and document the wound site, treated area, product used, and amount applied. CMS classifies Q4184 as technical-component-only, with interpretation covered by a separate code. Its CMS relative values assign practice expense but no physician work or malpractice value.
CMS billing rules for Q4184
- 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.
Q4184 compared with similar codes
Office rates for Nevada, from the same CMS release.
$318.71
15273 reports the application service for its specified wound sites or surface areas. Q4184 identifies the product and is reported with the appropriate primary procedure.
Q4185
No office rateCellesta flowab amnion 0.5cc
Q4185 identifies Cellesta Flowable amnion and uses 0.5-cc units. Q4184 identifies Cellesta or Duo and uses square-centimeter units.
$127.38
Q4186 identifies EpiFix, not Cellesta or Duo. Both are product codes reported by square centimeter, so verify the product supplied.
Compare Q4184 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
Nevada** →
Office / nonfacility
$127.38
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 Q4184 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
18,276
- Code
- Q4184
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.001 | 3.8138 |
| Malpractice | 0.00 | × 0.833 | 0.0000 |
| Total RVUs | 3.8138 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$127.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.001 |
| Malpractice | 0 | 0.833 |
(0 × 1 + 3.81 × 1.001 + 0 × 0.833) × $33.4009 = $127.38
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.
Q4184 billing questions
Can Q4184 be reported by itself?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure and is paid within that procedure’s global period.
Is Q4184 the application procedure code?
No. Q4184 reports the Cellesta or Duo product by square centimeter. Report the applicable wound-product application procedure separately as the primary service.
How should the units be supported?
Document the product identity and the square centimeters applied to the wound. The Q4184 unit is based on square centimeters.
How does Q4184 differ from Q4185?
Q4184 identifies Cellesta or Duo by square centimeter; Q4185 identifies Cellesta Flowable amnion in 0.5-cc units. The product and its stated billing unit distinguish them.
Does Q4184 include interpretation?
No. CMS classifies Q4184 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.
18,273Q4181,,"Amnio wound, per 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
18,274Q4182,,"Transcyte, per sq 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
18,275Q4183,,"Surgigraft, 1 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
18,276Q4184,,Cellesta or duo 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
18,277Q4185,,Cellesta flowab amnion 0.5cc,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
18,278Q4186,,Epifix 1 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
18,279Q4187,,Epicord 1 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
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097