HCPCS code Q4217: Wound product2026 Medicare rate & RVUs in Ohio
Q4217 identifies WoundFix BioWound Plus XPlus furnished for wound treatment and reported with a primary procedure that applies the product.
Medicare pays $116.19 for Q4217 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4217 covers
Q4217 identifies the WoundFix BioWound Plus XPlus product used in wound treatment. Wound-care clinicians, surgeons, and other practitioners who treat wounds may furnish it in an office, hospital outpatient department, or other setting where a wound procedure is performed. The product is reported separately from the service that prepares or treats the wound and applies the material.
CMS classifies Q4217 as an add-on code, so report it only with a primary procedure; its payment is within that procedure’s global period. The claim should identify the product furnished and support the quantity reported, including the treated area when units are based on square centimeters. CMS designates the code as technical-component-only, with interpretation covered by a separate code. This product code does not replace the procedure code for wound treatment or application.
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.
Q4217 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $116.19 | Unavailable |
How the Q4217 rate is calculated
Each of Q4217’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · Q4217
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4217
The CMS indicators that decide how Q4217 is paid alongside other services.
CMS payment indicators · Q4217
Wound product
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4217 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports application of a skin substitute to qualifying trunk, arm, or leg wounds; Q4217 identifies the WoundFix product furnished with the procedure.
- 15275Skin substitute
- 15275 is the application service for specified head, neck, hand, foot, or genital sites; site selection distinguishes it from 15271.
- Q4216Wound product
- Q4216 identifies Artacent Cord, a different product. Select the code that matches the product actually furnished, not merely the wound site.
Q4217 billing questions
Can Q4217 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure.
Which application code is commonly paired with Q4217?
For a wound on the trunk, arms, or legs, the skin-substitute application service may be reported with 15271 when its site and area criteria are met. Other wound sites may call for a different application code.
How should the units be supported?
Document the specific WoundFix product furnished and the quantity used. When reporting by square centimeter, support the units with the treated area and product amount.
Is Q4217 subject to a global period?
CMS places payment for this add-on within the primary procedure’s global period. Report it with the primary service rather than as a separate standalone procedure.
What does the technical-component designation mean for this code?
CMS identifies Q4217 as technical-component-only and states that a separate code covers interpretation.
Does the product code include the wound application service?
No. Q4217 identifies the product; report the applicable primary procedure for the wound service and application.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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