$127.26
Q4331 identifies Axolotl graft; Q4332 identifies Axolotl DualGraft. The product actually used determines which material code applies.
On this page
CMS RVU26D · Effective 2026-10-01
Q4332 Wound graft Medicare reimbursement rates in Wyoming
Report Q4332 for each square centimeter of Axolotl DualGraft used with a primary wound procedure, such as treatment involving a skin substitute. Compare Q4332 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 Q4332 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 Q4332: Axolotl DualGraft wound graft material
Report Q4332 for each square centimeter of Axolotl DualGraft used with a primary wound procedure, such as treatment involving a skin substitute.
Q4332 identifies Axolotl DualGraft wound graft material by the square centimeter. It represents the product, not the procedure that prepares a wound or applies the graft. Physicians and other qualified practitioners may use this material during wound care in settings where skin substitute products are applied, including treatment of chronic ulcers or other wounds requiring coverage. The product name on the package or product record helps distinguish this code from codes for other graft products.
Report Q4332 only with a primary procedure; CMS treats it as an add-on code, and payment falls within that procedure’s global period. Select the code by the product actually used, and report units in square centimeters supported by documentation of the product and amount used. The primary procedure represents the wound service; Q4332 represents the material. CMS classifies Q4332 as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4332
- 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.
Q4332 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$156.16
Q4332 reports the product by square centimeter; 15271 reports the primary application service for eligible wounds and body areas.
$158.59
Q4332 identifies the graft material. Use 15275 as the primary application code when its body-area and wound-size criteria fit.
Compare Q4332 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 Q4332 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
18,419
- Code
- Q4332
- 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.
Q4332 billing questions
Does Q4332 describe the graft application?
No. Q4332 identifies Axolotl DualGraft material per square centimeter; report the applicable primary wound procedure for the service that applies it.
Can Q4332 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, with payment within that procedure’s global period.
How is Q4332 distinguished from Q4331?
Use Q4332 for Axolotl DualGraft and Q4331 for Axolotl graft. Confirm the product name on the documentation or product label.
How many units should be reported?
Report units by the square centimeter, supported by documentation of the Axolotl DualGraft product and amount used.
Does Q4332 include an interpretation service?
No. CMS classifies Q4332 as technical-component-only; 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.
18,416Q4329,,"Singlay, 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
18,417Q4330,,"Total, 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
18,418Q4331,,"Axolotl 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
18,419Q4332,,"Axolotl dualgraft, 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
18,420Q4333,,"Ardeograft, 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
18,421Q4334,,"Amnioplast 1, 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
18,422Q4335,,"Amnioplast 2, 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.,,,,,,