HCPCS code Q4325: Wound product, acapatch, per square centimeter2026 Medicare rate & RVUs in Florida

Report Acapatch by square centimeter as the wound product used with a qualifying application procedure, not as a stand-alone service.

CMS RVU26DEffective Oct 1, 20263 payment localities

Medicare pays $121.66–$132.47 for Q4325 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.

$121.66–$132.47Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Florida
  2. What Q4325 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What Q4325 covers

Q4325 identifies Acapatch supplied for wound care, measured by the area in square centimeters. It represents the product rather than the clinician’s wound assessment or the act of applying a covering. Wound care clinicians may use it when treating a wound with Acapatch in an office or facility setting; the product name and amount used should match the claim. The code is specific to Acapatch, so a different wound product requires its own applicable product code.

CMS classifies Q4325 as an add-on code: report it only with a primary procedure, and its payment falls within that procedure’s global period. The technical component is reported under Q4325; a separate code covers interpretation. CMS assigns zero physician work RVUs, with practice expense represented in the fee schedule. Support the quantity with documentation of the Acapatch product and square centimeters used, and identify the related primary procedure on the claim.

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 Q4325 pays more and less in Florida

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

3 payment localities

$121.66 to $132.47

$121.66$127.06$132.47
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
Q4325 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale, FL$128.91Unavailable
Miami, FL$132.47Unavailable
Rest of Florida$121.66Unavailable

How the Q4325 rate is calculated

Each of Q4325’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 · Q4325

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 Q4325

The CMS indicators that decide how Q4325 is paid alongside other services.

CMS payment indicators · Q4325

Wound product, acapatch, 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.

Q4325 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4325

    Wound product, acapatch, per square centimeter0 wRVU

    $127.26

  • 15271

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

    $157.99+$30.73

  • 15272

    Skin substitute graft, additional trunk, arm, or leg area0.32 wRVU

    $25.72−$101.54

  • Q4324

    Amniotic graft, amnioTx, per square centimeter0 wRVU

    $127.26+$0.00

How to choose

15271Skin substitute graftFirst 25 cm², trunk/limbs
15271 reports the primary application service for a qualifying wound site and area; Q4325 identifies the Acapatch product used with that procedure.
15272Skin substitute graftAdditional trunk, arm, or leg area
15272 reports application to additional area under the graft application code family. Q4325 reports Acapatch quantity, not additional application area.
Q4324Amniotic graftAmnioTx, per square centimeter
Q4324 identifies Amniotx, while Q4325 identifies Acapatch. Choose the product code that matches the wound product supplied.

Q4325 billing questions

Can Q4325 be billed by itself?

No. CMS identifies it as an add-on, so it must be reported with a primary procedure and is paid within that procedure’s global period.

What does one unit represent?

The descriptor measures Acapatch by square centimeter. Document the area used so the reported quantity is supported.

Does Q4325 report the wound application service?

No. Q4325 identifies the Acapatch product; report the applicable primary procedure for the wound application.

What documentation supports the code?

Record that Acapatch was used, the square centimeters used, the wound treated, and the primary procedure reported with the product.

Is interpretation included in Q4325?

CMS classifies Q4325 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 Q4325PPRRVU2026_Oct_nonQPP.csv, line 18,412 (RVU26D)

Open CMS sourceHow we calculate rates

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