HCPCS code Q4310: Procenta, per 100 mg2026 Medicare rate & RVUs in Texas
HCPCS Level II code Q4310 reports Procenta in 100 mg units when that product is furnished and billed to Medicare.
CMS doesn’t publish an office rate for Q4310 in Texas.
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 8 sections
What Q4310 covers
Q4310 identifies Procenta as the item reported under this HCPCS Level II code. The code’s stated measure is 100 milligrams, so unit reporting is based on the amount of Procenta rather than surface area. One unit represents 100 mg furnished; report units based on the total amount furnished. Q4310 is designated technical-component-only, and a separate code covers interpretation.
Medicare classifies Q4310 as carrier priced (status C) under the physician fee schedule. CMS publishes no national payment amount; the Medicare Administrative Contractor sets payment for each claim. The HCPCS pricing method likewise assigns claim pricing to the Medicare contractor under the physician fee schedule. Coverage is left to the contractor’s judgment. Thus, claim-level contractor pricing, rather than a published national amount, governs payment. The code was added effective April 1, 2024.
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 Q4310 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 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | Unavailable |
| Beaumont, TX | Unavailable | Unavailable |
| Brazoria, TX | Unavailable | Unavailable |
| Dallas, TX | Unavailable | Unavailable |
| Fort Worth, TX | Unavailable | Unavailable |
| Galveston, TX | Unavailable | Unavailable |
| Houston, TX | Unavailable | Unavailable |
| Rest of Texas | Unavailable | Unavailable |
How the Q4310 rate is calculated
Each of Q4310’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 · Q4310
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4310
The CMS indicators that decide how Q4310 is paid alongside other services.
CMS payment indicators · Q4310
Procenta, per 100 mg
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
Q4310 compared with similar codes
Compare codes · National
Q4310 vs Q4311 vs Q4312: Medicare rates
How to choose
- Q4311Acesso graftPer square centimeter
- Q4311 identifies Acesso and uses square centimeters as its billing unit; Q4310 identifies Procenta and uses 100 mg units.
- Q4312Wound productAcesso AC, per square centimeter
- Q4312 identifies Acesso AC and is measured per square centimeter. Q4310 identifies Procenta and is measured per 100 mg.
Q4310 billing questions
How many units should be reported?
One unit represents 100 mg of Procenta. Base the reported units on the total amount furnished.
How does Q4310 differ from Q4311?
Q4310 identifies Procenta and is measured per 100 mg. Q4311 identifies Acesso and is measured per square centimeter.
Can Q4310 be used for another product?
Q4310 identifies Procenta. Q4311 and Q4312 identify Acesso products.
Does Q4310 include interpretation?
No. Q4310 is a technical-component-only code; a separate code covers interpretation.
How does Medicare price and cover Q4310?
The code is carrier priced under the physician fee schedule, with the Medicare Administrative Contractor setting payment for each claim. Coverage is left to that contractor’s judgment.
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
Fee sheets · Coming soon
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Your codes at your locality, with payer contracts beside Medicare.
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