FeeBase
Log inGet started
Menu

HCPCS code Q4246: Coretext or Protext, per cubic centimeter2026 Medicare rate & RVUs

Reports Coretext or Protext by cubic-centimeter quantity; the code is contractor priced under the physician fee schedule, with coverage determined by the Medicare contractor.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · Q4246

Coretext or Protext, per cubic centimeter

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 Q4246 →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 9 sections
  1. Medicare rate
  2. What Q4246 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Billing questions
  9. Sources

What Q4246 covers

Q4246 identifies Coretext or Protext, with the reported quantity measured in cubic centimeters. Each unit represents 1 cc; report units according to the volume furnished. This distinguishes it from codes that identify other named products or use area-based or half-cc measures. Q4245 identifies Amniotext per cc, Q4247 identifies an Amniotext patch per square centimeter, Q4240 identifies Corecyte topical only per 0.5 cc, and Q4242 identifies Amniocyte Plus per 0.5 cc. The product name and unit basis therefore matter when selecting among these codes.

Medicare assigns Q4246 physician fee schedule status C (carrier priced): the Medicare Administrative Contractor (MAC) determines payment for each claim, using physician fee schedule contractor pricing. Medicare coverage is left to the MAC’s judgment. CMS classifies the code as technical-component-only, and a separate code covers interpretation. The reporting unit is one cc, so the number of units follows the cc quantity furnished.

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 Q4246 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

Q4246 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

Q4246 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
Q4246 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 Q4246 rate is calculated

Each of Q4246’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 · Q4246

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 Q4246

The CMS indicators that decide how Q4246 is paid alongside other services.

CMS payment indicators · Q4246

Coretext or Protext, per cubic centimeter

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.

Q4246 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4246

    Coretext or Protext, per cubic centimeter0 wRVU

    Not priced

  • Q4245

    Amniotext, per cc0 wRVU

    Not priced

  • Q4247

    Amniotext patch, per square centimeter0 wRVU

    $127.26

  • Q4240

    Corecyte, topical, per 0.5 cc0 wRVU

    Not priced

How to choose

Q4245AmniotextPer cc
Q4246 identifies Coretext or Protext; Q4245 identifies Amniotext. Both codes measure the product per cc.
Q4247Amniotext patchPer square centimeter
Q4247 identifies an Amniotext patch and measures it per square centimeter; Q4246 identifies Coretext or Protext and measures it per cc.
Q4240CorecyteTopical, per 0.5 cc
Q4240 identifies Corecyte for topical use and measures it per 0.5 cc. Q4246 identifies Coretext or Protext and measures it per cc.

Q4246 billing questions

How many units represent 1 cc?

One unit represents 1 cubic centimeter of Coretext or Protext. Report units according to the volume furnished.

Which products does Q4246 identify?

Q4246 identifies Coretext or Protext, measured per cc.

How does Q4246 differ from Q4245?

Q4246 identifies Coretext or Protext, while Q4245 identifies Amniotext. Both are measured per cc.

How does Q4246 differ from Q4247?

Q4246 identifies Coretext or Protext and is measured per cc. Q4247 identifies an Amniotext patch and is measured per square centimeter.

How does Medicare treat Q4246?

Status C means the MAC determines payment for each claim under physician fee schedule contractor pricing. Coverage is left to the MAC’s judgment.

Does Q4246 include interpretation?

No. Q4246 is designated technical-component-only; 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

Did this answer your question about what Q4246 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put Q4246 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist