HCPCS code Q4367: Amniotic tissue product, amniocore SL, per cm²2026 Medicare rate & RVUs

Medicare pays $127.26 for Q4367 nationally in the office. Local office rates run $109.31–$183.51.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What Q4367 covers

Q4367 identifies Amniocore SL, an amniotic tissue product applied to a wound bed as a covering. It may be used by wound care clinicians or surgeons treating wounds such as diabetic foot ulcers or venous leg ulcers. The code identifies the product by brand and billed area, rather than the clinician’s evaluation of the wound or the application work itself.

Report units based on the square centimeters of product applied, and document the product, wound site, amount used, and associated procedure. CMS classifies Q4367 as an add-on code: report it only with a primary procedure, and payment falls within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation covered by a separate code. The primary application code depends on the wound site and area; for example, the applicable skin-substitute application code may be from the 15271–15278 series.

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 Q4367 pays more and less

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

109 of 109 payment localities

Q4367 rates by state

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

How the Q4367 rate is calculated

Each of Q4367’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.

Payment rules and modifiers for Q4367

The CMS indicators that decide how Q4367 is paid alongside other services.

Q4367 compared with similar codes

How to choose

Q4366Amniotic membraneDL AmnioBUR X-Mem, per sq cm

Q4366 identifies DL Amnio Bur X-Mem, while Q4367 identifies Amniocore SL. Select the product-specific code that matches the material documented as applied.

Q4368Wound matrixAmchothick, per square centimeter

Q4368 identifies Amchothick rather than Amniocore SL. The wound site does not determine which of these product codes to report.

15271Skin substitute graftFirst 25 cm², trunk/limbs

15271 reports the primary application procedure for qualifying trunk, arm, or leg wounds; Q4367 identifies the Amniocore SL product used with a primary procedure.

15275Skin substituteFace and other specified sites

15275 reports the primary application procedure for qualifying wounds at specified other sites; Q4367 reports the product, not the application work.

Codes related to Q4367

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

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

Open CMS sourceHow we calculate rates