Q4177
No office rateFloweramnioflo, 0.1 cc
Q4177 identifies FlowerAmnioFlo and uses 0.1 cc units; Q4178 identifies FlowerAmnioPatch and uses square-centimeter units.
On this page
CMS RVU26D · Effective 2026-10-01
Q4178 Wound product Medicare reimbursement rates in Utah
Reports the per-square-centimeter amount of FlowerAmnioPatch used with a primary wound procedure, such as application of a skin substitute graft. Compare Q4178 office and facility rates across CMS payment localities in Utah.
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 Q4178 in Utah?
Utah 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
$119.62
1 of 1 localities have a supported rate.
Payment area: Utah
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
About Q4178: FlowerAmnioPatch wound product
Reports the per-square-centimeter amount of FlowerAmnioPatch used with a primary wound procedure, such as application of a skin substitute graft.
FlowerAmnioPatch is an amniotic tissue product applied to a wound as part of wound management. Clinicians may use this type of product for chronic or hard-to-heal wounds, including lower-extremity ulcers. Wound-care physicians, surgeons, and other qualified practitioners typically apply it in an office or outpatient setting. Q4178 identifies the product quantity, not the wound assessment or the application service itself.
Report the number of square centimeters represented by the product used, supported by documentation of the product and treated wound area. Submit Q4178 with the primary procedure; CMS treats it as an add-on and pays it within that procedure’s global period. CMS classifies the code as technical-component-only, with interpretation covered by a separate code. The product code is distinct from the application code, so documentation should identify both the graft application service and the FlowerAmnioPatch quantity.
CMS billing rules for Q4178
- 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.
Q4178 compared with similar codes
Office rates for Utah, from the same CMS release.
$119.62
Q4179 identifies FlowerDerm, not FlowerAmnioPatch. Match the HCPCS code to the product documented and the applicable unit.
$119.62
Q4186 identifies EpiFix, a different amniotic tissue product. Use Q4178 only when the product applied is FlowerAmnioPatch.
Compare Q4178 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
Utah →
Office / nonfacility
$119.62
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 Q4178 in Utah.
PPRRVU2026_Oct_nonQPP.csv
18,270
- Code
- Q4178
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.940 | 3.5814 |
| Malpractice | 0.00 | × 0.898 | 0.0000 |
| Total RVUs | 3.5814 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$119.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.94 |
| Malpractice | 0 | 0.898 |
(0 × 1 + 3.81 × 0.94 + 0 × 0.898) × $33.4009 = $119.62
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.
Q4178 billing questions
How is Q4178 different from Q4177?
Q4178 identifies FlowerAmnioPatch by square centimeter. Q4177 identifies FlowerAmnioFlo in 0.1 cc units, so select the code matching the product and its stated unit.
Can Q4178 be billed by itself?
No. CMS designates it as an add-on code, so it is reported with a primary procedure and paid within that procedure’s global period.
Is the wound application included in Q4178?
Q4178 identifies the FlowerAmnioPatch product quantity. Report the applicable primary wound procedure for the application service.
What quantity should the claim show?
Use the number of square centimeters represented by the product used. The record should support the product identity and treated wound area.
Does Q4178 include interpretation?
CMS classifies Q4178 as technical-component-only; 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.
18,267Q4175,,Miroderm,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
18,268Q4176,,"Neopatch or therion, 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
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985