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HCPCS code Q4360: Amniotic membrane, amchoPlast FD, per square centimeter2026 Medicare rate & RVUs

Reports AmchoPlast FD amniotic membrane supplied for wound reconstruction, measured by square centimeter and paired with a primary application procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4360 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4360

Amniotic membrane, amchoPlast FD, 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 Q4360 →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 Q4360 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 Q4360 covers

AmchoPlast FD is a dehydrated amniotic membrane product supplied for placement as a biologic covering during wound reconstruction. A clinician may use it in treating a cutaneous wound, such as a chronic ulcer or surgical wound. Surgeons and wound-care clinicians apply the product after preparing the wound bed as part of a separately coded graft-application procedure. Q4360 represents the product, rather than the clinician’s wound evaluation or the application work.

Report the product by square centimeter with the primary application procedure; choose that procedure according to the treated site and area. Documentation should identify AmchoPlast FD, the wound site and dimensions, the product area used, and the application procedure. CMS classifies Q4360 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is also 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 Q4360 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

Q4360 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

Q4360 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
Q4360 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 Q4360 rate is calculated

Each of Q4360’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 · Q4360

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 Q4360

The CMS indicators that decide how Q4360 is paid alongside other services.

CMS payment indicators · Q4360

Amniotic membrane, amchoPlast FD, 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.

Q4360 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4360

    Amniotic membrane, amchoPlast FD, per square centimeter0 wRVU

    $127.26

  • 15271

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

    $157.99+$30.73

  • 15275

    Skin substitute, face and other specified sites1.78 wRVU

    $160.32+$33.06

  • Q4372

    AmchoPlast EXCL, per square centimeter0 wRVU

    $127.26+$0.00

How to choose

15271Skin substitute graftFirst 25 cm², trunk/limbs
This is an application procedure for skin substitute grafts on the trunk, arms, or legs. Q4360 reports the AmchoPlast FD product used with the application.
15275Skin substituteFace and other specified sites
This is an application procedure for specified sites such as the head, hands, or feet. Choose the application code by site; Q4360 identifies the product.
Q4372AmchoPlast EXCLPer square centimeter
Q4372 identifies Amchoplast Excl rather than AmchoPlast FD. Match the HCPCS code to the product supplied.

Codes related to Q4360

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to Q4360
CodeHow it relatesNational office range
Primary code
15271Skin substitute graft, first 25 cm², trunk/limbsPrimary site-based application procedure for skin substitute grafts on the trunk, arms, or legs.$140.17–$205.27
15275Skin substitute, face and other specified sitesPrimary application procedure for specified sites including the head, hands, and feet.$143.80–$205.40
Often billed with
15272Skin substitute graft, additional trunk, arm, or leg areaAdditional-area application code that may accompany the 15271 application series.$23.02–$32.02
15276Skin substitute graft, additional area, selected sitesAdditional-area application code that may accompany the 15275 application series.$30.48–$41.85

Q4360 billing questions

Is Q4360 the wound application procedure?

No. Q4360 reports the AmchoPlast FD product by square centimeter. Report the appropriate wound graft-application procedure separately.

What primary procedure should accompany Q4360?

Select the application procedure based on the treated anatomical site and area. For example, the 15271 series applies to trunk, arms, or legs, while the 15275 series applies to specified other sites, including hands and feet.

How should the units be supported?

Document the AmchoPlast FD product, wound site and dimensions, square centimeters represented, and the application procedure. The code is measured per square centimeter.

How does the global-period rule affect Q4360?

CMS treats Q4360 as an add-on code that must be billed with a primary procedure. Payment is within that primary procedure’s global period.

Does Q4360 include interpretation?

No. CMS classifies Q4360 as technical-component-only; a separate code covers interpretation.

Is Q4360 interchangeable with Q4372?

No. Q4360 identifies AmchoPlast FD, while Q4372 identifies Amchoplast Excl. Use the code matching the product supplied.

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 Q4360PPRRVU2026_Oct_nonQPP.csv, line 18,447 (RVU26D)

Open CMS sourceHow we calculate rates

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