HCPCS Q4416: Wound productMedicare rate & RVUs in Ohio
Reports the AlexiGuard TL-T wound product by square centimeter when furnished with a primary procedure for wound treatment.
Medicare pays $116.19 for Q4416 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 Q4416 covers
Q4416 identifies the AlexiGuard TL-T product supplied for wound treatment, measured by the area used. The code describes the product line, not the wound-care procedure itself. It may be encountered in outpatient wound-care settings where clinicians treat wounds and document the product placed. The code alone does not establish the wound type, application method, or clinical result.
Report Q4416 only with a primary procedure, as required for this add-on code. Determine units from the documented square-centimeter quantity of product used, and retain the product identity, amount, and treated area in the record. CMS places payment for this code within the primary procedure's global period. It represents the technical component; a separate code covers interpretation. The professional interpretation should therefore be represented separately when applicable, rather than included in Q4416.
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.
Q4416 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $116.19 | Unavailable |
How the Q4416 rate is calculated
Each of Q4416’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 · Q4416
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 Q4416
The CMS indicators that decide how Q4416 is paid alongside other services.
CMS payment indicators · Q4416
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. |
Q4416 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4415AlexiGuard ST-L
- Q4415 identifies AlexiGuard ST-L; Q4416 identifies the TL-T variant. Select the code that matches the product actually furnished.
- Q4417Wound product
- Q4417 identifies AlexiGuard DL-T, while Q4416 identifies TL-T. These product variants are not distinguished by the area unit.
- Q4414Wound matrix
- Q4414 identifies Simplichor, a different named product. Use Q4416 only when the supplied product is AlexiGuard TL-T.
Q4416 billing questions
How is Q4416 distinguished from Q4415 and Q4417?
All three identify AlexiGuard products, but Q4416 specifies the TL-T variant. Use the code matching the exact product documented; the neighboring variant codes identify ST-L and DL-T products.
Can Q4416 be billed by itself?
No. CMS identifies Q4416 as an add-on code that must be billed with a primary procedure.
How should the units be determined?
Report the square-centimeter quantity supported by the record for the AlexiGuard TL-T product used. Document the treated area and the amount of product supplied.
Does Q4416 include interpretation?
No. CMS classifies it as technical-component-only; a separate code covers interpretation.
What should the claim record support?
Document the product as AlexiGuard TL-T, its quantity in square centimeters, the treated area, and the primary procedure billed with it.
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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