HCPCS code Q4247: Amniotext patch, per square centimeter2026 Medicare rate & RVUs in Illinois
Report Q4247 for Amniotext patch measured by square centimeter when the product is furnished with a qualifying wound-application procedure.
Medicare pays $116.19–$130.69 for Q4247 in the office in Illinois, from Rest of Illinois to Suburban Chicago, IL. Which amount applies depends on the service address.
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 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 in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$116.19 to $130.69
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | $127.89 | Unavailable |
| East St. Louis, IL | $117.08 | Unavailable |
| Rest of Illinois | $116.19 | Unavailable |
| Suburban Chicago, IL | $130.69 | Unavailable |
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.
How the rate is built · Q4247
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4247
The CMS indicators that decide how Q4247 is paid alongside other services.
CMS payment indicators · Q4247
Amniotext patch, per square centimeter
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4247 compared with similar codes
Compare codes · National
4 codes, side by side
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.
Q4247 billing questions
Can Q4247 be reported by itself?
No. CMS identifies it as an add-on code, so report it with the applicable primary wound-application procedure.
How are Q4247 units determined?
The code is measured per square centimeter. Document the Amniotext product and the square-centimeter quantity furnished.
How does Q4247 differ from Q4245?
Both identify Amniotext, but Q4247 is for the patch measured per square centimeter; Q4245 is measured per cubic centimeter.
Is interpretation included in Q4247?
CMS classifies Q4247 as technical-component-only and indicates that a separate code covers interpretation.
Does Q4247 have its own global period?
No separate global period is assigned. Payment for this add-on is within the primary procedure’s global period.
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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