$125.98
Q4415 identifies AlexiGuard ST-L; Q4416 identifies the TL-T variant. Select the code that matches the product actually furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4416 Wound product Medicare reimbursement rates in Vermont
Reports the AlexiGuard TL-T wound product by square centimeter when furnished with a primary procedure for wound treatment. Compare Q4416 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 Q4416 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 Q4416: AlexiGuard TL-T wound product
Reports the AlexiGuard TL-T wound product by square centimeter when furnished with a primary procedure for wound treatment.
Q4416 identifies the AlexiGuard TL-T product supplied for wound treatment, measured by the area used. The code describes the product line, not the wound-care procedure itself. It may be encountered in outpatient wound-care settings where clinicians treat wounds and document the product placed. The code alone does not establish the wound type, application method, or clinical result.
Report Q4416 only with a primary procedure, as required for this add-on code. Determine units from the documented square-centimeter quantity of product used, and retain the product identity, amount, and treated area in the record. CMS places payment for this code within the primary procedure's global period. It represents the technical component; a separate code covers interpretation. The professional interpretation should therefore be represented separately when applicable, rather than included in Q4416.
CMS billing rules for Q4416
- 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.
Q4416 compared with similar codes
Office rates for Vermont, from the same CMS release.
$125.98
Q4417 identifies AlexiGuard DL-T, while Q4416 identifies TL-T. These product variants are not distinguished by the area unit.
$125.98
Q4414 identifies Simplichor, a different named product. Use Q4416 only when the supplied product is AlexiGuard TL-T.
Compare Q4416 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 Q4416 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,501
- Code
- Q4416
- 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.
Q4416 billing questions
How is Q4416 distinguished from Q4415 and Q4417?
All three identify AlexiGuard products, but Q4416 specifies the TL-T variant. Use the code matching the exact product documented; the neighboring variant codes identify ST-L and DL-T products.
Can Q4416 be billed by itself?
No. CMS identifies Q4416 as an add-on code that must be billed with a primary procedure.
How should the units be determined?
Report the square-centimeter quantity supported by the record for the AlexiGuard TL-T product used. Document the treated area and the amount of product supplied.
Does Q4416 include interpretation?
No. CMS classifies it as technical-component-only; a separate code covers interpretation.
What should the claim record support?
Document the product as AlexiGuard TL-T, its quantity in square centimeters, the treated area, 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 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.
18,498Q4413,,Cygnus solo 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
18,499Q4414,,Simplichor 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
18,500Q4415,,Alexiguard st-l 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
18,501Q4416,,Alexiguard tl-t 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
18,502Q4417,,Alexiguard dl-t 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
18,503Q4418,,Biolab wrap flow 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
18,504Q4419,,Biolab wrap flw lt 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
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