HCPCS code Q4307: Amnion product, per square centimeter2026 Medicare rate & RVUs

Reports each square centimeter of American amnion supplied for wound coverage, alongside the applicable procedure for applying a skin substitute.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4307 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4307

Amnion product, per square centimeter

Office or facility?

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4307 →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 10 sections
  1. Medicare rate
  2. What Q4307 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What Q4307 covers

Q4307 represents American amnion furnished for application to a wound. It is used in wound management, including treatment of chronic ulcers, when the clinician selects this specific amnion product as a wound covering. Physicians and other qualified practitioners may apply the product in outpatient settings such as a clinic or hospital department; the associated application procedure is reported separately when supported by the service performed.

Report units based on the documented square centimeters of product supplied, and pair Q4307 with the applicable primary application procedure. The record should identify the product, wound site and size, amount used, and application performed. CMS classifies Q4307 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.

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 Q4307 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

Q4307 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta, GA$129.29Unavailable
Austin, TX$134.64Unavailable
Bakersfield, CA$139.47Unavailable
Baltimore area, MD$136.55Unavailable
Beaumont, TX$115.80Unavailable
Brazoria, TX$126.11Unavailable

Q4307 rates by state

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

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.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
Q4307 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

How the Q4307 rate is calculated

Each of Q4307’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 · Q4307

RVUs × geographic indexes × conversion factor

Office or facility?

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 Q4307

The CMS indicators that decide how Q4307 is paid alongside other services.

CMS payment indicators · Q4307

Amnion product, per square centimeter

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4307 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4307

    Amnion product, per square centimeter0 wRVU

    $127.26

  • Q4305

    Wound allograft, american Amnion AC Tri-Layer0 wRVU

    $127.26+$0.00

  • Q4306

    Amnion allograft, american Amnion AC, per square centimeter0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft, first 25 cm², trunk/limbs1.46 wRVU

    $157.99+$30.73

How to choose

Q4305Wound allograftAmerican Amnion AC Tri-Layer
Q4305 identifies American amnion AC tri-layer. Use Q4307 when the product furnished is the American amnion product represented by that code.
Q4306Amnion allograftAmerican Amnion AC, per square centimeter
Q4306 identifies American amnion AC. The product identity, not the wound area or application procedure, distinguishes it from Q4307.
15271Skin substitute graftFirst 25 cm², trunk/limbs
15271 reports the application procedure for qualifying trunk, arm, or leg wounds; Q4307 reports the American amnion product by square centimeter and is billed with a primary procedure.

Q4307 billing questions

How is Q4307 different from Q4305 or Q4306?

These codes identify different American amnion products. Report the code matching the product actually furnished, rather than selecting by wound size or application technique.

What procedure should accompany Q4307?

Report it with the applicable primary skin-substitute application procedure, selected by wound location and treated area. Q4307 is an add-on and is not billed alone.

How are units calculated?

Units represent the square centimeters of American amnion supplied. Document the amount used and the wound dimensions supporting the reported quantity.

Is the wound application included in Q4307?

Q4307 reports the product, while the clinician’s application is represented by the applicable procedure code. The supporting record should show both the product furnished and the application performed.

Does Q4307 include interpretation?

No. CMS identifies Q4307 as 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

Show the CMS file lines behind this rate
RVUs for Q4307PPRRVU2026_Oct_nonQPP.csv, line 18,394 (RVU26D)

Open CMS sourceHow we calculate rates

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