$127.26
Q4415 identifies Alexiguard ST-L; Q4417 identifies Alexiguard DL-T. Match the claim to the product documentation.
On this page
CMS RVU26D · Effective 2026-10-01
Q4417 Wound product Medicare reimbursement rates in Wyoming
Reports the per-square-centimeter Alexiguard DL-T wound product when furnished with a qualifying primary wound procedure. Compare Q4417 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 Q4417 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 products
About Q4417: Alexiguard DL-T wound product
Reports the per-square-centimeter Alexiguard DL-T wound product when furnished with a qualifying primary wound procedure.
Q4417 identifies the Alexiguard DL-T product by the square centimeter for wound treatment. It represents the product supplied for a wound, not the clinical work of evaluating or treating the wound. Wound-care clinicians may use it during a primary procedure that applies a wound product; the exact application method and clinical setting depend on the treatment plan and the wound.
Report the Alexiguard DL-T variant only when that is the product furnished, and support the claim with the product record, wound site, measured area, and quantity used. Because CMS identifies Q4417 as an add-on, bill it only with a qualifying primary procedure; its payment is associated with that procedure's global period. The code is technical-component-only, with interpretation represented by a separate code when applicable. Do not substitute another Alexiguard variant based only on a similar product name.
CMS billing rules for Q4417
- 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.
Q4417 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$127.26
Q4416 identifies Alexiguard TL-T, while Q4417 identifies DL-T. The product variant, not wound location alone, distinguishes these codes.
$156.16
Q4417 reports the product quantity per square centimeter; 15271 reports the qualifying primary application procedure for specified wound sites.
$158.59
Q4417 reports Alexiguard DL-T product quantity; 15275 is a primary application procedure for qualifying wounds at specified anatomic sites.
Compare Q4417 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
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 Q4417 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
18,502
- Code
- Q4417
- 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.
Q4417 billing questions
Can Q4417 be billed by itself?
No. CMS identifies it as an add-on, so report it only with a qualifying primary procedure. Its payment is associated with that procedure's global period.
How should the units be determined?
The descriptor is per square centimeter. Document the area of Alexiguard DL-T furnished and ensure the reported quantity matches the product record.
How is Q4417 distinguished from Q4415 and Q4416?
These codes identify different Alexiguard product variants. Use Q4417 only when the product documentation identifies DL-T, rather than the ST-L or TL-T variant.
Does Q4417 include interpretation?
No. CMS classifies it as technical-component-only; a separate code represents interpretation when applicable.
What documentation supports Q4417?
Retain records identifying Alexiguard DL-T, the wound site, the measured product area, the quantity furnished, and the accompanying primary procedure.
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.
18,499Q4414,,Simplichor 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
18,500Q4415,,Alexiguard st-l 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
18,501Q4416,,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
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.,,,,,,