HCPCS Q4314: Wound productMedicare rate & RVUs in Washington

Report Q4314 for Reeva wound product supplied by square centimeter when it accompanies the applicable primary wound procedure.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $134.00–$156.14 for Q4314 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.

$134.00–$156.14Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open Q4314 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Washington
  2. What Q4314 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What Q4314 covers

Q4314 identifies Reeva, a wound-care product reported by the square centimeter. It represents the product supplied, rather than the clinician’s work applying it. Wound-care clinicians may use the product during treatment of a wound, with the application service selected separately according to the treated site and wound area.

Report Q4314 only with a primary procedure; it is an add-on code and is paid within that procedure’s global period. Document the product used and the square-centimeter quantity reported, along with the wound site and the associated application procedure. CMS classifies Q4314 as technical-component-only, with a separate code covering interpretation. The applicable primary application code depends on the site and area treated; Q4314 does not replace that procedure code.

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.

Where Q4314 pays more and less in Washington

Q4314 office and facility rates by payment locality
Payment localityOfficeFacility
Rest Of Washington$134.00Unavailable
Seattle (King Cnty)$156.14Unavailable

How the Q4314 rate is calculated

Each of Q4314’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 · Q4314

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 Q4314

The CMS indicators that decide how Q4314 is paid alongside other services.

CMS payment indicators · Q4314

Wound product

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4314 compared with similar codes

Compare codes · National

4 codes, side by side

  • Q4314

    Wound product0 wRVU

    $127.26

  • Q4313

    Wound product0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft1.46 wRVU

    $157.99+$30.73

  • 15275

    Skin substitute1.78 wRVU

    $160.32+$33.06

How to choose

Q4313Wound product
Q4313 identifies Dermabind FM; Q4314 identifies Reeva. The product documentation determines which supply code describes the material used.
15271Skin substitute graft
15271 reports a primary wound application service for applicable trunk, arm, or leg sites. Q4314 identifies the Reeva product and must accompany a primary procedure.
15275Skin substitute
15275 reports a primary wound application service for applicable specified sites such as the face or scalp. Q4314 identifies the product, not the application service.

Q4314 billing questions

Can Q4314 be reported by itself?

No. CMS identifies Q4314 as an add-on code that must be billed with a primary procedure.

How should the quantity be reported?

The code is measured per square centimeter. Document the Reeva product and the quantity used to support the units reported.

Which application code should accompany Q4314?

Choose the primary wound application code based on the treated site and area. For example, 15271 applies to the applicable trunk, arm, or leg wound service, while 15275 is for the applicable service on specified other sites.

Does Q4314 include the application service?

No. Q4314 identifies the Reeva product; report the applicable primary procedure for the wound application.

What distinguishes Q4314 from Q4313?

Q4314 identifies Reeva, while Q4313 identifies Dermabind FM. Select the code that matches the product documented as used.

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
RVUs for Q4314PPRRVU2026_Oct_nonQPP.csv, line 18,401 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what Q4314 pays in Washington?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put Q4314 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 →