HCPCS code Q4247: Amniotext patch, per square centimeter2026 Medicare rate & RVUs

Medicare pays $127.26 for Q4247 nationally in the office. Local office rates run $109.31–$183.51.

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

What Q4247 covers

Q4247 represents the Amniotext patch product measured by square centimeter, rather than a wound-care evaluation or the act of placing the patch. A physician or other qualified clinician may place it over a prepared wound bed as part of wound treatment in an office or hospital outpatient setting. The product amount is reported separately from the application service.

Report Q4247 only with the primary procedure for the patch application; CMS treats it as an add-on and includes its payment within that procedure’s global period. Select units from the square-centimeter quantity of product represented, and retain documentation identifying the product and amount furnished. CMS classifies the code as technical-component-only, with interpretation covered by a separate code. The physician fee schedule assigns no work or malpractice RVUs to Q4247; its listed RVUs are practice expense.

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 Q4247 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

Q4247 rates by state

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

How the Q4247 rate is calculated

Each of Q4247’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 Q4247

The CMS indicators that decide how Q4247 is paid alongside other services.

Q4247 compared with similar codes

How to choose

Q4245AmniotextPer cc

Q4245 identifies Amniotext measured per cubic centimeter; Q4247 identifies the patch measured per square centimeter. Match the code to the product form and unit.

Q4248Wound allograftPer square centimeter

Q4248 identifies Dermacyte amniotic membrane allograft by square centimeter. Q4247 is the Amniotext patch product, even though both use an area-based unit.

Q4235Wound tissue productAmniorepair or Altiply

Q4235 identifies Amniorepair or Altiply by square centimeter. Use Q4247 for Amniotext patch, not solely because the products share an area-based unit.

Codes related to Q4247

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

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