HCPCS Q4385: Wound productMedicare rate & RVUs in Ohio
Q4385 identifies the Apollo FT wound product by square centimeter when it is reported with a primary procedure for wound graft application.
Medicare pays $116.19 for Q4385 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 Q4385 covers
Q4385 identifies the Apollo FT wound product supplied for application to a wound, with quantity measured in square centimeters. It represents the product used in skin-substitute graft treatment, not the clinician’s wound preparation or placement service. Wound-care clinicians, surgeons, podiatrists, and other practitioners who apply graft products may encounter it in outpatient wound care; the primary procedure depends on the wound location and treated area.
Report Q4385 only with a primary procedure, not as a stand-alone service. Select the associated application procedure based on wound site and area, and document the product identity, wound location and dimensions, and square centimeters applied. CMS classifies Q4385 as an add-on and includes payment within the primary procedure’s global period. CMS also identifies it as technical-component-only, with interpretation represented by a separate code.
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.
Q4385 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $116.19 | Unavailable |
How the Q4385 rate is calculated
Each of Q4385’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 · Q4385
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4385
The CMS indicators that decide how Q4385 is paid alongside other services.
CMS payment indicators · Q4385
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. |
Q4385 compared with similar codes
Compare codes
Q4385 vs Q4377 vs Q4387 vs 15271: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4377Skin substitute
- Q4377 identifies Trigraft FT, while Q4385 identifies Apollo FT. Choose the product code matching the product supplied; the shared per-square-centimeter basis does not make the codes interchangeable.
- Q4387Skin substitute
- Q4387 identifies Neothelium FT rather than Apollo FT. The product identity, not the wound application service, distinguishes these supply codes.
- 15271Skin substitute graft
- 15271 represents a wound application procedure, while Q4385 identifies the Apollo FT product. When appropriate, the product code is reported with—not instead of—the primary application service.
Q4385 billing questions
Can Q4385 be billed by itself?
No. CMS identifies Q4385 as an add-on code that must be reported with a primary procedure.
How is the quantity determined?
The code is measured per square centimeter. Document the area of Apollo FT applied to support the reported quantity.
Which primary procedure should accompany Q4385?
Choose the wound application procedure based on the wound’s location and treated area. Codes such as 15271 or 15275 may be relevant, depending on the case.
Is Q4385 the wound application service?
No. Q4385 identifies the product; the primary procedure represents the application service.
What CMS payment rules affect Q4385?
It is an add-on paid within the primary procedure’s global period. CMS designates it as technical-component-only, with interpretation covered separately.
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
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