HCPCS code Q4245: Amniotext, per cc2026 Medicare rate & RVUs in Oregon
Reports Amniotext by volume, with one unit representing one cubic centimeter, and is priced and covered under Medicare contractor determinations.
CMS doesn’t publish an office rate for Q4245 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
Q4245 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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