$127.26
Q4308 identifies Sanopellis, while Q4319 identifies Sanograft. Choose according to the product supplied, not simply because both are reported by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4319 Wound graft Medicare reimbursement rates in Wyoming
Report Q4319 for Sanograft supplied by square centimeter with an appropriate wound application procedure, not as a stand-alone service. Compare Q4319 office and facility rates across CMS payment localities in Wyoming.
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 Q4319 in Wyoming?
Wyoming 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
$127.26
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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
About Q4319: Sanograft wound graft supply
Report Q4319 for Sanograft supplied by square centimeter with an appropriate wound application procedure, not as a stand-alone service.
Q4319 identifies Sanograft supplied for wound coverage, with the reported quantity measured in square centimeters. It represents the product, not the clinician’s work to prepare the wound or apply the graft. It is reported with an appropriate skin-substitute application service, such as an application code selected according to the treated body site and wound area. The product code alone does not identify the wound type or establish which application code applies.
Document the Sanograft product used, the treated wound’s location and dimensions, and the quantity reported in square centimeters. CMS classifies Q4319 as an add-on: submit it only with a primary procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation represented by a separate code. The product unit and the application service describe different parts of the encounter.
CMS billing rules for Q4319
- 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.
Q4319 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$127.26
Q4318 identifies E-graft. Q4319 is specific to Sanograft; the product’s name determines which supply code applies.
$156.16
CPT 15271 reports application work for eligible sites on the trunk, arms, or legs. Q4319 reports the Sanograft product and is billed with a primary procedure.
$158.59
CPT 15275 reports application work for specified head, face, hand, foot, or genital sites. Q4319 reports the product rather than the application service.
Compare Q4319 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
Wyoming** →
Office / nonfacility
$127.26
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 Q4319 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
18,406
- Code
- Q4319
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.000 | 3.8100 |
| Malpractice | 0.00 | × 0.740 | 0.0000 |
| Total RVUs | 3.8100 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$127.26
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1 |
| Malpractice | 0 | 0.74 |
(0 × 1 + 3.81 × 1 + 0 × 0.74) × $33.4009 = $127.26
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.
Q4319 billing questions
When should Q4319 be selected instead of another skin-substitute product code?
Use Q4319 when the product supplied is Sanograft. A similar per-square-centimeter unit does not make another product’s HCPCS code interchangeable.
Can Q4319 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Is the wound application included in Q4319?
No. Q4319 identifies the Sanograft product; report the appropriate application procedure separately for the clinician’s work.
How are the units determined?
The code is measured per square centimeter. Document the wound location and dimensions and the Sanograft quantity supporting the units reported.
How does CMS treat the code’s components?
CMS classifies Q4319 as technical-component-only and indicates that a separate code covers interpretation.
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.
18,403Q4316,,"Amchoplast, 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
18,404Q4317,,"Vitograft, 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
18,405Q4318,,"E-graft, 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
18,406Q4319,,"Sanograft, 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
18,407Q4320,,"Pellograft, 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
18,408Q4321,,"Renograft, 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
18,409Q4322,,"Caregraft, 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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,