$126.75–$141.38
Q4427 identifies a different DermBnd product designation. Use the code matching the product supplied, not simply another DermBnd code.
On this page
CMS RVU26D · Effective 2026-10-01
Q4426 Skin substitute Medicare reimbursement rates in Oregon
Reports DermBnd TL+ or TLX skin substitute by square centimeter when the product is supplied for application to a wound with a primary procedure. Compare Q4426 office and facility rates across CMS payment localities in Oregon.
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 Q4426 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$126.75–$141.38
2 of 2 localities have a supported rate.
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
About Q4426: DermBnd TL+ or TLX wound product
Reports DermBnd TL+ or TLX skin substitute by square centimeter when the product is supplied for application to a wound with a primary procedure.
Q4426 identifies the DermBnd TL+ or TLX skin substitute product in square-centimeter units. It represents the product supplied for wound coverage, not the clinician’s work applying it. The product may be used in wound care settings where a clinician applies a skin substitute to a wound; the application itself is reported separately with the procedure code selected for the wound’s site and treated area.
Report Q4426 only with a primary procedure, and count the product area in square centimeters as supported by the record. Documentation should identify the product, the wound treated, and the quantity used. CMS treats this as an add-on code paid within the primary procedure’s global period. It is classified as technical-component-only; a separate code covers interpretation. The product code does not replace the application procedure code, and the two code selections serve different purposes.
CMS billing rules for Q4426
- 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.
Q4426 compared with similar codes
Office rates for Oregon, from the same CMS release.
$126.75–$141.38
Q4428 represents a different DermBnd product designation from TL+ or TLX. Match the product code to the product documented.
$155.49–$168.32
15271 reports the application procedure for qualifying wounds on the trunk or extremities; Q4426 reports the DermBnd product by square centimeter.
Compare Q4426 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.
2 of 2 payment localities
Portland →
Office / nonfacility
$141.38
Facility
Unavailable
Rest Of Oregon →
Office / nonfacility
$126.75
Facility
Unavailable
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Q4426 billing questions
Is Q4426 the wound application procedure?
No. Q4426 reports the DermBnd TL+ or TLX product by square centimeter. Report the appropriate wound application procedure separately as the primary service.
Can Q4426 be billed by itself?
No. CMS identifies Q4426 as an add-on code that must be billed with a primary procedure.
How should the units be determined?
Use the documented square centimeters of DermBnd TL+ or TLX product supplied for the wound. The record should support the product and quantity reported.
Which code should be used for the application?
Select the primary skin-substitute application code based on the wound’s site and treated area. Q4426 identifies the product, not the application work.
How does the global-period rule affect Q4426?
CMS pays this add-on within the global period of its primary procedure. Report it with that procedure rather than as a stand-alone service.
Does Q4426 include interpretation?
No. CMS classifies Q4426 as technical-component-only, with a separate code covering 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 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.
18,508Q4423,,Biolab tri wrap fl 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
18,509Q4424,,Revive ft 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
18,510Q4425,,Revive 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
18,511Q4426,,"Dermbnd tl+, tlx 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
18,512Q4427,,Dermbnd dln dl+ dlx 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
18,513Q4428,,Dermbnd sln sl+ slx 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
18,514Q4429,,"Dermbnd chn, chx 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