$131.46
Q4186 identifies EpiFix rather than Revita. Select the code for the product furnished; the shared square-centimeter unit does not make the codes interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
Q4180 Wound product Medicare reimbursement rates in Rhode Island
Report Q4180 for the Revita wound product measured in square centimeters when it is supplied with a qualifying wound-application procedure. Compare Q4180 office and facility rates across CMS payment localities in Rhode Island.
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 Q4180 in Rhode Island?
Rhode Island 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
$131.46
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Skin substitute product
About Q4180: Revita wound product supply
Report Q4180 for the Revita wound product measured in square centimeters when it is supplied with a qualifying wound-application procedure.
Q4180 identifies Revita, a wound product measured by the square centimeter. Wound-care clinicians and surgeons may use it during a procedure that applies a skin substitute to a wound, including a lower-extremity wound. The product code reports the material; it does not replace the procedure code for applying it. The application code depends on the wound site and other applicable criteria.
Report units based on the Revita quantity furnished, with documentation supporting the product used and its measured amount. Pair Q4180 with the primary application procedure; CMS identifies it as an add-on and places its payment within that procedure’s global period. CMS also classifies Q4180 as technical-component-only, with interpretation covered by a separate code. Keep the product supply distinct from the clinician’s application service when coding the encounter.
CMS billing rules for Q4180
- 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.
Q4180 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$131.46
Q4187 identifies EpiCord rather than Revita. Use Q4180 only when the documented product is Revita.
$131.46
Q4179 identifies FlowerDerm rather than Revita. Both descriptors use a square-centimeter measure, but the product identity determines the code.
Compare Q4180 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
Rhode Island →
Office / nonfacility
$131.46
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 Q4180 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
18,272
- Code
- Q4180
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.019 | 0.0000 |
| Practice expense | 3.81 | × 1.033 | 3.9357 |
| Malpractice | 0.00 | × 0.892 | 0.0000 |
| Total RVUs | 3.9357 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$131.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.019 |
| Practice expense | 3.81 | 1.033 |
| Malpractice | 0 | 0.892 |
(0 × 1.019 + 3.81 × 1.033 + 0 × 0.892) × $33.4009 = $131.46
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.
Q4180 billing questions
Can Q4180 be reported by itself?
No. CMS identifies it as an add-on that must be reported with a primary procedure, such as an appropriate wound-application code.
How are the units determined?
The descriptor measures Revita in square centimeters. Documentation should support the amount of product furnished for the wound application.
Which application code should accompany Q4180?
Select the primary application code based on the wound site and applicable procedure criteria. For example, 15271 applies to qualifying sites on the trunk, arms, or legs, while 15275 covers specified sites including the hands and feet.
Is the application service included in Q4180?
No. Q4180 identifies the product supply, while the primary procedure code reports the application service. The product payment is within the primary procedure’s global period.
Does Q4180 have a separate professional interpretation?
CMS classifies Q4180 as technical-component-only and states that a separate code covers 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.
18,269Q4177,,"Floweramnioflo, 0.1 cc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,270Q4178,,"Floweramniopatch, 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
18,271Q4179,,"Flowerderm, 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
18,272Q4180,,"Revita, 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
18,273Q4181,,"Amnio wound, per square 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
18,274Q4182,,"Transcyte, per sq 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
18,275Q4183,,"Surgigraft, 1 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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537