HCPCS code Q4226: MyOwn skin, per square centimeter2026 Medicare rate & RVUs in Texas

CMS doesn’t publish an office rate for Q4226 in Texas.

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

What Q4226 covers

Q4226 identifies MyOwn skin, a skin item reported with harvesting and preparation included. The code's measurement basis is the square centimeter of MyOwn skin furnished. Select this code for MyOwn rather than another named skin or amniotic product; identical area units do not identify the same product.

CMS assigns Q4226 physician fee schedule status E, excluding it from the physician fee schedule. If Medicare covers the item or service, it pays under another payment method. In the HCPCS pricing file, Q4226 is classified as a Part B drug; when covered, Medicare generally pays from CMS's quarterly ASP drug pricing files. Coverage is left to the Medicare contractor's judgment. Report quantity in square centimeters; one unit represents one square centimeter.

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 Q4226 pays more and less in Texas

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

8 of 8 payment localities

How the Q4226 rate is calculated

Each of Q4226’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.

Payment rules and modifiers for Q4226

Q4226 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Q4226 compared with similar codes

How to choose

Q4225Skin substituteAmnio or DermaTL

Q4225 identifies Amnio or Derma TL. Q4226 identifies MyOwn skin and includes harvesting and preparation procedures.

Q4227AmniocorePer square centimeter

Q4227 identifies Amniocore, while Q4226 identifies MyOwn skin. The shared square-centimeter unit does not make the product codes interchangeable.

Q4229Amniotic membraneCogenex, per square centimeter

Q4229 identifies Cogenex amnion membrane. Q4226 identifies MyOwn skin.

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

Open CMS sourceHow we calculate rates