$154.19–$179.60
Q4148 reports the Neox or Clarix Cord product. Code 15271 reports application work for eligible trunk, arm, or leg wounds in its area range.
On this page
CMS RVU26D · Effective 2026-10-01
Q4148 Wound tissue Medicare reimbursement rates in Virginia
Reports Neox, Neox RT, or Clarix Cord tissue used as a wound covering, with units based on the product supplied for the primary application procedure. Compare Q4148 office and facility rates across CMS payment localities in Virginia.
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 Q4148 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$125.09–$149.91
2 of 2 localities have a supported rate.
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 supplies
About Q4148: Neox or Clarix Cord wound tissue
Reports Neox, Neox RT, or Clarix Cord tissue used as a wound covering, with units based on the product supplied for the primary application procedure.
Q4148 identifies Neox, Neox RT, or Clarix Cord placental tissue used as a biologic wound covering, commonly for chronic wounds such as diabetic foot or venous leg ulcers. Physicians, podiatrists, and surgeons may apply the product in an outpatient wound clinic or hospital setting after preparing the wound. Q4148 reports the product, not the clinician’s wound-preparation or application work.
Select this code for the named product and report units according to the square centimeters supplied. Documentation should identify the product, the treated wound and its measured area, and the amount applied. CMS classifies Q4148 as an add-on code: report it with the applicable primary wound-application procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only; a separate code represents interpretation.
CMS billing rules for Q4148
- 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.
Q4148 compared with similar codes
Office rates for Virginia, from the same CMS release.
$156.76–$181.06
Q4148 identifies the product supplied. Code 15275 is the primary application procedure for eligible wounds at specified sites such as the face, hands, or feet.
Q4155
No office rateNeoxflo or clarixflo 1 mg
Q4155 identifies Neoxflo or Clarixflo, a flowable product reported by weight. Q4148 identifies Neox, Neox RT, or Clarix Cord and is reported by surface area.
Compare Q4148 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$149.91
Facility
Unavailable
Virginia →
Office / nonfacility
$125.09
Facility
Unavailable
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Q4148 billing questions
When is Q4148 reported with a wound-application code?
Report Q4148 with the primary procedure used to apply the tissue, such as the appropriate skin-substitute application code for the wound site and size. Q4148 is an add-on and is not reported by itself.
How should the units be determined?
Use the square centimeters of the named product supplied. Record the wound dimensions and the amount of product applied to support the reported units.
Does Q4148 include wound preparation and application?
No. Q4148 identifies the product; the primary procedure represents the application service.
What product documentation supports Q4148?
Document whether the product was Neox, Neox RT, or Clarix Cord, along with the treated wound, its measured area, and the quantity used.
Does Q4148 include interpretation?
No. CMS classifies Q4148 as technical-component-only, with interpretation 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.
18,238Q4145,,"Epifix, inj, 1mg",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
18,239Q4146,,"Tensix, 1cm",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
18,240Q4147,,Architect ecm px fx 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
18,241Q4148,,Neox neox rt or clarix cord,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
18,242Q4149,,"Excellagen, 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
18,243Q4150,,Allowrap ds or dry 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
18,244Q4151,,"Amnioband, guardian 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