HCPCS code Q4272: Esano A, per square centimeter2026 Medicare rate & RVUs in Maryland
Reports Esano A skin-substitute material by square centimeter when supplied for application during a wound-care procedure.
Medicare pays $128.78–$149.91 for Q4272 in the office in Maryland, from Rest of Maryland to Washington, DC area. 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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What Q4272 covers
Q4272 identifies Esano A, a wound-care skin-substitute product reported by the square centimeter. It represents the product supplied for wound coverage, not the clinician’s work preparing the wound or applying the material. Wound-care clinicians, including surgeons and podiatrists, may use it as part of treatment for open wounds in office or hospital outpatient settings. The product is reported with the applicable wound-application procedure, rather than as a stand-alone application service.
Report the quantity in square centimeters and document the product used and the amount applied. CMS classifies Q4272 as an add-on code: it must be billed with a primary procedure and is paid within that procedure’s global period. It is technical-component-only; a separate code covers interpretation. The application procedure and product code represent distinct parts of the service, so documentation should support both the wound treatment and the Esano A quantity.
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 Q4272 pays more and less in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$128.78 to $149.91
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | $136.55 | Unavailable |
| Rest of Maryland | $128.78 | Unavailable |
| Washington, DC area | $149.91 | Unavailable |
How the Q4272 rate is calculated
Each of Q4272’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 · Q4272
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 Q4272
The CMS indicators that decide how Q4272 is paid alongside other services.
CMS payment indicators · Q4272
Esano A, 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. |
Q4272 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4273Esano AAAPer square centimeter
- Q4273 identifies Esano AAA, not Esano A. Match the reported code to the exact product supplied.
- Q4274Wound graftEsano AC, per square centimeter
- Q4274 identifies Esano AC. Q4272 is the product-specific code for Esano A.
- Q4275Esano ACAPer square centimeter
- Q4275 identifies Esano ACA. Do not select it in place of Q4272 when the supplied product is Esano A.
Q4272 billing questions
How is Q4272 different from Q4273?
Q4272 identifies Esano A, while Q4273 identifies Esano AAA. Select the code that matches the product supplied; the product names are not interchangeable.
Can Q4272 be reported without a wound-application procedure?
No. CMS identifies Q4272 as an add-on code that must be billed with a primary procedure.
How should the quantity be reported?
Report the Esano A quantity by square centimeter and retain documentation showing the product and amount applied.
Does Q4272 include the clinician’s wound application work?
No. Q4272 identifies the product; report the applicable wound-application procedure for the clinician’s service.
Is interpretation included in Q4272?
No. CMS classifies Q4272 as technical-component-only, with interpretation covered by a separate code.
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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