HCPCS Q4419: Wound productMedicare rate & RVUs in Utah
Reports Biolab Wrap Flow Lite supplied for wound treatment, measured per square centimeter and billed with the applicable primary procedure.
Medicare pays $119.62 for Q4419 in the office in Utah (Utah). 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 Q4419 covers
Q4419 identifies Biolab Wrap Flow Lite as a wound-care product supplied by the practice for application to a wound. Wound-care clinicians, including physicians and other qualified practitioners working in wound clinics or surgical settings, may use the product during treatment. The code is product-specific; it is not a general code for any skin substitute or wound covering.
Report the product by square centimeter with the primary procedure, using the product identity and quantity supplied in the record to support code selection and units. Document the wound treatment and the related application procedure as well as the product amount. CMS classifies Q4419 as an add-on code, payable within the primary procedure’s global period. It is also a technical-component-only code; a separate code covers interpretation.
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.
Q4419 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $119.62 | Unavailable |
How the Q4419 rate is calculated
Each of Q4419’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 · Q4419
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4419
The CMS indicators that decide how Q4419 is paid alongside other services.
CMS payment indicators · Q4419
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. |
Q4419 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4418Skin substitute
- Q4418 identifies Biolab Wrap Flow; Q4419 identifies the Flow Lite product. Select the code that matches the product supplied.
- Q4421Skin substitute
- Q4421 identifies Biolab Wrap Solo rather than Flow Lite. These product codes are not interchangeable based only on wound site or application.
- Q4423Skin substitute
- Q4423 identifies Biolab Tri Wrap Flow. Use Q4419 for Flow Lite, not for the Tri Wrap Flow product.
Q4419 billing questions
Which primary procedure should accompany Q4419?
Report Q4419 only with the primary procedure for the wound application. For skin-substitute application, select the procedure code that fits the treated site and extent.
How are units determined?
Q4419 is reported per square centimeter. Document the Biolab Wrap Flow Lite product and the quantity supplied to support the units billed.
Can Q4419 be used for another Biolab Wrap product?
No. Q4419 identifies Flow Lite; use the product-specific code matching the product furnished, such as Q4418 for Biolab Wrap Flow.
Does Q4419 include interpretation?
No. CMS classifies Q4419 as technical-component-only and identifies a separate code for interpretation.
What documentation supports Q4419?
Record the product as Biolab Wrap Flow Lite, the quantity supplied in square centimeters, the wound treatment, and the primary procedure billed with it.
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
Fee sheets
Put Q4419 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →