$125.98
Q4418 identifies Biolab Wrap Flow; Q4419 identifies the Flow Lite product. Select the code that matches the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4419 Wound product Medicare reimbursement rates in Vermont
Reports Biolab Wrap Flow Lite supplied for wound treatment, measured per square centimeter and billed with the applicable primary procedure. Compare Q4419 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 Q4419 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 Q4419: Biolab Wrap Flow Lite wound product
Reports Biolab Wrap Flow Lite supplied for wound treatment, measured per square centimeter and billed with the applicable primary procedure.
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.
CMS billing rules for Q4419
- 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.
Q4419 compared with similar codes
Office rates for Vermont, from the same CMS release.
$125.98
Q4421 identifies Biolab Wrap Solo rather than Flow Lite. These product codes are not interchangeable based only on wound site or application.
$125.98
Q4423 identifies Biolab Tri Wrap Flow. Use Q4419 for Flow Lite, not for the Tri Wrap Flow product.
Compare Q4419 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
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Q4419 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,504
- Code
- Q4419
- 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.
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 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.
18,501Q4416,,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
18,505Q4420,,Nuform 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
18,506Q4421,,Biolab wrap 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
18,507Q4422,,Ac wrap 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