HCPCS code Q4273: Esano AAA, per square centimeter2026 Medicare rate & RVUs in Texas
Report Q4273 for the Esano AAA wound product supplied by measured area alongside the applicable primary wound-application procedure.
Medicare pays $115.80–$134.64 for Q4273 in the office in Texas, from Beaumont, TX to Austin, TX. 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 Q4273 covers
Q4273 identifies the Esano AAA product supplied for wound coverage, measured in square centimeters. It represents the product, not the clinician’s work to prepare the wound or apply the material. Wound-care clinicians and surgeons may use the product in office-based wound care or hospital settings as part of a documented wound treatment. The application procedure is reported separately.
Report the measured product area in square centimeters and identify the wound and product in the record. Q4273 is an add-on code and must be billed with a primary procedure; CMS pays it within that procedure’s global period. CMS classifies Q4273 as technical-component-only, with interpretation covered by a separate code. Do not treat the Q4273 line as the professional interpretation or as a substitute for the wound-application procedure.
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 Q4273 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$115.80 to $134.64
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $134.64 | Unavailable |
| Beaumont, TX | $115.80 | Unavailable |
| Brazoria, TX | $126.11 | Unavailable |
| Dallas, TX | $126.75 | Unavailable |
| Fort Worth, TX | $125.48 | Unavailable |
| Galveston, TX | $126.37 | Unavailable |
| Houston, TX | $126.37 | Unavailable |
| Rest of Texas | $120.77 | Unavailable |
How the Q4273 rate is calculated
Each of Q4273’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 · Q4273
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 Q4273
The CMS indicators that decide how Q4273 is paid alongside other services.
CMS payment indicators · Q4273
Esano AAA, 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. |
Q4273 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4272Esano APer square centimeter
- Q4272 identifies Esano A, while Q4273 identifies Esano AAA. Select the code for the product actually supplied.
- Q4274Wound graftEsano AC, per square centimeter
- Q4274 identifies Esano AC. Q4273 is specific to Esano AAA; the product name determines the supply code.
- 15271Skin substitute graftFirst 25 cm², trunk/limbs
- Q4273 reports Esano AAA by area; 15271 reports the wound-application service for qualifying trunk, arm, or leg sites.
Q4273 billing questions
Does Q4273 describe applying the product?
No. Q4273 identifies the Esano AAA product by area; report the applicable wound-application procedure separately.
Can Q4273 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the quantity be reported?
Report the product area in square centimeters and document the wound site and amount supplied.
How does CMS treat the global period?
Payment for Q4273 is within the global period of the primary procedure with which it is billed.
Does Q4273 include professional interpretation?
No. CMS classifies it as technical-component-only, with interpretation covered by a separate code.
How do I choose between Q4273 and another Esano code?
Use the code matching the specific Esano product supplied. Q4272, Q4274, and Q4275 identify different Esano products.
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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