$161.53
15271 reports the graft-application service for qualifying trunk, arm, or leg wounds; Q4323 identifies the AlloPly product by area. Report both when the product and application service are furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4323 AlloPly Medicare reimbursement rates in Rhode Island
Reports the square-centimeter quantity of AlloPly furnished for wound treatment, alongside the primary procedure used to apply the graft. Compare Q4323 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 Q4323 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.
Wound care product
About Q4323: AlloPly wound graft product
Reports the square-centimeter quantity of AlloPly furnished for wound treatment, alongside the primary procedure used to apply the graft.
Q4323 identifies the AlloPly wound-care graft product by the area supplied, rather than the clinician’s work to prepare or treat the wound. It may be used in outpatient wound care, including treatment of chronic diabetic foot or venous leg ulcers when the clinician selects this product. The clinician performing the application may be a physician or another qualified practitioner, depending on the setting and applicable coverage rules.
Report Q4323 with the primary skin-substitute application procedure, selecting that procedure by the wound site and treated area. Units should reflect the square-centimeter quantity represented by the product documentation and claim. The record should identify AlloPly, the wound treated, and the amount used. CMS treats Q4323 as an add-on paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation. Its PFS valuation has no physician work or malpractice RVUs.
CMS billing rules for Q4323
- 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.
Q4323 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$131.46
Q4322 identifies Caregraft, not AlloPly. Select the product code from the graft actually furnished.
$131.46
Q4324 identifies Amniotx, not AlloPly. These product-specific codes are not selected by wound site or area.
Compare Q4323 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 Q4323 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
18,410
- Code
- Q4323
- 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.
Q4323 billing questions
What procedure should be reported with Q4323?
Report it with the primary procedure for applying the skin substitute graft. Choose the application code based on the wound site and treated area.
How are units determined?
The descriptor is per square centimeter, so the claim quantity should reflect the documented AlloPly area represented. Keep product and wound-area records that support the quantity billed.
Can Q4323 be reported by itself?
No. CMS identifies Q4323 as an add-on code that must be billed with a primary procedure.
Does Q4323 include the graft application work?
Q4323 identifies the AlloPly product, while the primary application procedure reports the graft-placement service. CMS places payment for Q4323 within that procedure’s global period.
How does the technical-component designation affect billing?
CMS classifies Q4323 as technical-component-only, with a separate code covering interpretation. The product line itself does not report the interpretation.
How is Q4323 distinguished from Q4322 or Q4324?
Those codes identify different named wound-care products. Report the HCPCS code matching the product actually furnished, rather than choosing among them by wound size.
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.
18,407Q4320,,"Pellograft, 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
18,408Q4321,,"Renograft, 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
18,409Q4322,,"Caregraft, 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
18,410Q4323,,"Alloply, 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
18,411Q4324,,"Amniotx, 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
18,412Q4325,,"Acapatch, 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
18,413Q4326,,"Woundplus, 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
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