$116.19
Q4260 identifies Signature Apatch, not TAG. Select the product code that matches the material actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4261 Wound product Medicare reimbursement rates in Ohio
Reports the TAG wound product by square centimeter when it is supplied for application during a wound-treatment procedure. Compare Q4261 office and facility rates across CMS payment localities in Ohio.
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 Q4261 in Ohio?
Ohio 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
$116.19
1 of 1 localities have a supported rate.
Payment area: Ohio
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 product
About Q4261: TAG wound product by area
Reports the TAG wound product by square centimeter when it is supplied for application during a wound-treatment procedure.
Q4261 identifies the TAG product furnished for wound coverage, measured by the area supplied. It is a product code, not the procedure that prepares the wound or places the material. Clinicians may use it during treatment of a wound when a wound product is applied; the applicable service may be performed in an office or facility. The record should identify the product and document the wound and the amount used, with enough detail to support the reported area.
Report Q4261 only with a primary procedure, not as a stand-alone service. CMS treats it as an add-on code paid within the primary procedure’s global period. Its payment represents the technical component; a separate code covers interpretation. Report the quantity in square centimeters and pair it with the procedure that applies the product. The wound assessment, product record, area treated, and application documentation should support the claim.
CMS billing rules for Q4261
- 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.
Q4261 compared with similar codes
Office rates for Ohio, from the same CMS release.
$116.19
Q4262 identifies Dual Layer Impax, not TAG. The product identity, rather than the wound area alone, distinguishes these codes.
$149.15
15271 reports a wound-product application procedure for specified anatomic sites and the initial treated area; Q4261 reports the TAG product by area.
Compare Q4261 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
Ohio →
Office / nonfacility
$116.19
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 Q4261 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
18,349
- Code
- Q4261
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.913 | 3.4785 |
| Malpractice | 0.00 | × 1.008 | 0.0000 |
| Total RVUs | 3.4785 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$116.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.913 |
| Malpractice | 0 | 1.008 |
(0 × 1 + 3.81 × 0.913 + 0 × 1.008) × $33.4009 = $116.19
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.
Q4261 billing questions
Can Q4261 be reported by itself?
No. CMS identifies it as an add-on code, so report it with a primary procedure.
How is the quantity determined?
Report the TAG product by the square centimeters supplied for the wound treatment. Document the area treated and the amount of product used.
Does Q4261 include the procedure that applies the product?
No. Q4261 identifies the product; report the applicable wound procedure separately as the primary service.
Does the code include interpretation?
No. CMS identifies Q4261 as technical-component-only; a separate code covers interpretation.
What documentation supports Q4261?
Document that TAG was supplied, the wound treated, the area covered, and the quantity used, along with the 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.
18,346Q4258,,"Enverse, 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
18,347Q4259,,Celera 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
18,348Q4260,,"Signature apatch, 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
18,349Q4261,,"Tag, per square 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
18,350Q4262,,"Dual layer impax, 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
18,351Q4263,,"Surgraft tl, 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
18,352Q4264,,"Cocoon membrane, 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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703