$127.26
Q4425 identifies Revive TL, while Q4424 identifies Revive FT. Report the product code matching the variant supplied rather than treating the entries as interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
Q4424 Skin substitute Medicare reimbursement rates in Wyoming
Report Q4424 for the Revive FT skin-substitute product used during a qualifying wound procedure, using the documented product quantity in square centimeters. Compare Q4424 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 Q4424 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.
Skin substitute
About Q4424: Revive FT skin substitute product
Report Q4424 for the Revive FT skin-substitute product used during a qualifying wound procedure, using the documented product quantity in square centimeters.
Q4424 identifies Revive FT, a named skin-substitute product billed by square centimeter. It represents the product supplied for application to a wound, rather than the clinician’s wound-preparation or application service. Wound-care clinicians and surgeons may use the product as part of a wound treatment performed in an office or facility; the code identifies the product, not a particular wound site or clinical severity.
Report Q4424 with the primary procedure for applying the product, not by itself. The claim should identify the Revive FT product and document the quantity used in square centimeters, along with the wound and application service. Select the primary application code based on the applicable site and area criteria. CMS classifies Q4424 as an add-on code paid within the primary procedure’s global period. It is also a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4424
- 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.
Q4424 compared with similar codes
Office rates for Wyoming, from the same CMS release.
Q4431
No office ratePma skin substitute, nos
Q4431 is a nonspecific skin-substitute entry associated with a PMA category; Q4424 identifies the Revive FT product by name.
Q4432
No office rate510(k) skin subs, nos
Q4432 is a nonspecific skin-substitute entry associated with a 510(k) category; Q4424 identifies the Revive FT product by name.
Compare Q4424 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 Q4424 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
18,509
- Code
- Q4424
- 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.
Q4424 billing questions
Can Q4424 be billed by itself?
No. CMS identifies it as an add-on code, so report it with the primary procedure for applying the product.
How should the units be determined?
Use the documented amount of Revive FT supplied in square centimeters. The record should support the product identity and quantity reported.
Which application code should accompany Q4424?
Choose the primary skin-substitute application procedure according to the treated site and applicable area criteria. Q4424 reports the product, not the application service.
How does the global-period rule affect Q4424?
CMS pays this add-on product code within the primary procedure’s global period. It is not a standalone service outside that pairing.
What does technical-component-only mean for this code?
CMS classifies Q4424 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.
18,506Q4421,,Biolab wrap solo 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
18,507Q4422,,Ac wrap 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
18,508Q4423,,Biolab tri wrap fl 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
18,509Q4424,,Revive ft 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
18,510Q4425,,Revive tl 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
18,511Q4426,,"Dermbnd tl+, tlx 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
18,512Q4427,,Dermbnd dln dl+ dlx 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.,,,,,,