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HCPCS code Q4245: Amniotext, per cc2026 Medicare rate & RVUs

Reports Amniotext by volume, with one unit representing one cubic centimeter, and is priced and covered under Medicare contractor determinations.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · Q4245

Amniotext, per cc

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for Q4245 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What Q4245 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What Q4245 covers

Q4245 identifies Amniotext as a product reported by volume, with each billing unit representing one cubic centimeter. The code is classified as technical-component-only; a separate code covers interpretation. Match reported units to the cubic centimeters furnished and documented. For example, 2 cc corresponds to 2 units. Q4247 instead identifies an Amniotext patch measured in square centimeters; Q4245 measures Amniotext by cubic centimeter.

Medicare assigns Q4245 carrier-priced status, meaning it publishes no national payment and the Medicare Administrative Contractor sets payment for each claim. HCPCS pricing places the code under contractor pricing through the physician fee schedule. Coverage is left to the contractor’s judgment. The quantity reported for Q4245 is based on volume, not the area-based measure used for Q4247.

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 Q4245 pays more and less

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

109 of 109 payment localities

Q4245 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

Q4245 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
Q4245 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the Q4245 rate is calculated

Each of Q4245’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.

How the rate is built · Q4245

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4245

The CMS indicators that decide how Q4245 is paid alongside other services.

CMS payment indicators · Q4245

Amniotext, per cc

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical3Technical component only.

Q4245 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4245

    Amniotext, per cc0 wRVU

    Not priced

  • Q4247

    Amniotext patch, per square centimeter0 wRVU

    $127.26

  • Q4246

    Coretext or Protext, per cubic centimeter0 wRVU

    Not priced

  • Q4233

    Surfactor or Nudyn, per 0.5 cc0 wRVU

    Not priced

How to choose

Q4247Amniotext patchPer square centimeter
Use Q4247 for an Amniotext patch measured by square centimeter; Q4245 reports Amniotext by cubic centimeter.
Q4246Coretext or ProtextPer cubic centimeter
Q4246 identifies Coretext or Protext, not Amniotext. Both descriptors use a per-cubic-centimeter measure.
Q4233Surfactor or NudynPer 0.5 cc
Q4233 identifies Surfactor or Nudyn and uses a 0.5 cc unit; Q4245 identifies Amniotext and uses a 1 cc unit.

Codes related to Q4245

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to Q4245
CodeHow it relatesNational office range
Same family
Q4247Amniotext patch, per square centimeterAmniotext patch is measured by area; Q4245 reports Amniotext by volume.$109.31–$183.51

Q4245 billing questions

How is Q4245 different from Q4247?

Q4245 reports Amniotext by cubic centimeter. Q4247 identifies an Amniotext patch reported by square centimeter.

How many units should be reported?

Report one unit for each cubic centimeter furnished. The documented quantity should support the units billed.

Does Medicare set a national payment for Q4245?

No. Q4245 is carrier priced, and the Medicare Administrative Contractor sets payment for each claim under contractor pricing through the physician fee schedule.

Who determines whether Medicare covers Q4245?

Coverage is left to the Medicare Administrative Contractor’s judgment.

Does Q4245 include interpretation?

No. It is a technical-component-only code; 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 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

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