$125.98
Q4208 identifies Novafix, while Q4207 identifies Carbon Life. Select the code that matches the product supplied; the shared square-centimeter unit does not make the products interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
Q4207 Wound product Medicare reimbursement rates in Vermont
Q4207 reports Carbon Life wound product by square centimeter when it is supplied for application during a separately reported wound procedure. Compare Q4207 office and facility rates across CMS payment localities in Vermont.
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 Q4207 in Vermont?
Vermont 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
$125.98
1 of 1 localities have a supported rate.
Payment area: Vermont
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 Q4207: Carbon Life wound product supply
Q4207 reports Carbon Life wound product by square centimeter when it is supplied for application during a separately reported wound procedure.
Q4207 identifies Carbon Life, a wound-care product reported by the area supplied for application. It represents the product rather than the clinician’s work applying it. Wound-care clinicians may use the product during treatment of a wound in an office or facility setting; the applicable procedure code reports the wound application service.
Report Q4207 only with a primary procedure, using the product’s square-centimeter quantity and documentation identifying Carbon Life and the amount used. The code is an add-on, and CMS pays it within the primary procedure’s global period. CMS classifies Q4207 as technical-component-only, with interpretation represented by a separate code. Keep the product quantity distinct from the wound-application service when documenting and reporting the encounter.
CMS billing rules for Q4207
- 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.
Q4207 compared with similar codes
Office rates for Vermont, from the same CMS release.
$125.98
Q4205 identifies a membrane graft or wrap by area. Q4207 is specifically for Carbon Life, so use the product-specific code matching the material furnished.
Q4206
No office rateFluid flow or fluid gf 1 cc
Q4206 reports a fluid product by cubic centimeter. Q4207 reports Carbon Life by square centimeter, reflecting different products and units.
Compare Q4207 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
Vermont →
Office / nonfacility
$125.98
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 Q4207 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,299
- Code
- Q4207
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.990 | 3.7719 |
| Malpractice | 0.00 | × 0.506 | 0.0000 |
| Total RVUs | 3.7719 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$125.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.99 |
| Malpractice | 0 | 0.506 |
(0 × 1 + 3.81 × 0.99 + 0 × 0.506) × $33.4009 = $125.98
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.
Q4207 billing questions
How is Q4207 different from Q4208?
Q4207 identifies Carbon Life; Q4208 identifies Novafix. Report the code for the product actually supplied, even though both use square-centimeter units.
Can Q4207 be reported by itself?
No. CMS identifies Q4207 as an add-on code that must be billed with a primary procedure.
What unit should be reported?
Report the square-centimeter quantity of Carbon Life supplied. Documentation should identify the product and support the quantity reported.
Does Q4207 include the wound application service?
No. Q4207 identifies the product; report the applicable primary procedure for the wound application.
How does the global-period rule affect payment?
CMS pays Q4207 within the primary procedure’s global period, so it is not treated as an independent service outside that procedure.
What does the technical-component designation mean?
CMS classifies Q4207 as technical-component-only; interpretation is represented by a separate code.
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.
18,296Q4204,,Xwrap 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
18,297Q4205,,Membrane graft or wrap 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
18,298Q4206,,Fluid flow or fluid gf 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
18,299Q4207,,"Carbon life, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,300Q4208,,Novafix 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
18,301Q4209,,Surgraft 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
18,302Q4211,,Amnion bio or axobio 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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817