HCPCS Q4281: Wound productMedicare rate & RVUs in Oregon
Reports Barrera SL or DL wound product by square centimeter when supplied with a qualifying skin-substitute application procedure.
Medicare pays $126.75–$141.38 for Q4281 in the office in Oregon, from Rest Of Oregon to Portland. 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 Q4281 covers
Q4281 identifies Barrera SL or DL, a wound product reported by square centimeter. Wound-care clinicians, surgeons, and other practitioners who treat chronic ulcers or other wounds may use it as part of a skin-substitute application. The code identifies the specific product; it does not describe the wound site, wound severity, or application technique.
Report Q4281 with the primary application procedure, such as the appropriate code for the wound location and treated area. Document the product used and the square centimeters applied; the application code is selected separately based on site and area. CMS treats Q4281 as an add-on paid within the primary procedure's global period. It is technical-component-only, with interpretation accounted for 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.
Where Q4281 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $141.38 | Unavailable |
| Rest Of Oregon | $126.75 | Unavailable |
How the Q4281 rate is calculated
Each of Q4281’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 · Q4281
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 Q4281
The CMS indicators that decide how Q4281 is paid alongside other services.
CMS payment indicators · Q4281
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. |
Q4281 compared with similar codes
Compare codes
Q4281 vs Q4280 vs Q4282 vs 15271 vs 15275: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4280Amniotic matrix
- Q4280 identifies Xcell amnio matrix; Q4281 identifies Barrera SL or DL. The product actually supplied determines which product code is reported.
- Q4282Wound product
- Q4282 identifies Cygnus dual, while Q4281 identifies Barrera SL or DL. These product codes are not interchangeable based on wound area alone.
- 15271Skin substitute graft
- 15271 is the primary application code for qualifying trunk, arm, or leg sites; Q4281 reports the Barrera product by square centimeter and is billed with a primary procedure.
- 15275Skin substitute
- 15275 is the primary application code for qualifying head, neck, hand, foot, or genital sites. Choose the application code by site and area, separately from the product code.
Q4281 billing questions
How is Q4281 different from another wound-product code?
Q4281 identifies Barrera SL or DL. Use the code that matches the product actually supplied rather than choosing among product codes based only on wound size.
Can Q4281 be billed by itself?
No. CMS classifies it as an add-on that is billed with a primary procedure, such as the applicable skin-substitute application code.
How many units should be reported?
Report the square centimeters of Barrera SL or DL used, supported by the product and application documentation.
Which application code is reported with Q4281?
Select the primary application code based on the wound location and treated area. For example, 15271 or 15272 applies to qualifying trunk, arm, or leg sites, while 15275 or 15276 applies to qualifying head, neck, hand, foot, or genital sites.
Does Q4281 include a professional interpretation?
No. CMS classifies Q4281 as technical-component-only and identifies a separate code for 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 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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