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HCPCS Q4260: Wound graft productMedicare rate & RVUs

Reports the per-square-centimeter supply of Signature APatch used for wound coverage, alongside the primary procedure for its application.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4260 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4260

Wound graft product

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4260 →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.

On this page 10 sections
  1. Medicare rate
  2. What Q4260 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 Q4260 covers

Q4260 identifies the Signature APatch wound-coverage product by the square centimeter. Wound-care physicians, podiatrists, and surgeons may use it when applying the product to a wound in an outpatient clinic or hospital setting. The code represents the product supply, not the clinical work of assessing the wound or applying the material.

Report the documented quantity of Signature APatch furnished, using the product and area recorded in the procedure documentation. Q4260 is an add-on: bill it only with a primary procedure, and CMS pays it within that procedure's global period. CMS classifies it as technical-component-only, with a separate code covering interpretation. The record should identify Signature APatch and support the area supplied and the associated primary procedure.

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 Q4260 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

Q4260 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska*$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta$129.29Unavailable
Austin$134.64Unavailable
Bakersfield$139.47Unavailable
Baltimore/Surr. Cntys$136.55Unavailable
Beaumont$115.80Unavailable
Brazoria$126.11Unavailable

Q4260 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
Q4260 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 Q4260 rate is calculated

Each of Q4260’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 · Q4260

RVUs × geographic indexes × conversion factor

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 Q4260

The CMS indicators that decide how Q4260 is paid alongside other services.

CMS payment indicators · Q4260

Wound graft product

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.

Q4260 compared with similar codes

Compare codes · National

4 codes, side by side

  • Q4260

    Wound graft product0 wRVU

    $127.26

  • Q4259

    Wound product0 wRVU

    $127.26+$0.00

  • Q4261

    Wound product0 wRVU

    $127.26+$0.00

  • Q4262

    Wound product0 wRVU

    $127.26+$0.00

How to choose

Q4259Wound product
Q4259 identifies Celera, while Q4260 identifies Signature APatch. Select the code matching the product documented as furnished.
Q4261Wound product
Q4261 identifies Tag rather than Signature APatch. The per-square-centimeter basis does not make these product codes interchangeable.
Q4262Wound product
Q4262 identifies Dual Layer Impax. Use Q4260 only when Signature APatch is the product supplied.

Codes related to Q4260

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

Codes related to Q4260
CodeHow it relatesNational office range
Primary code
15271Skin substitute graftPrimary skin-substitute application procedure for an eligible trunk, arm, or leg site.$140.17–$205.27
15275Skin substitutePrimary skin-substitute application procedure for an eligible head, neck, hand, foot, or genital site.$143.80–$205.40
Used instead
Q4259Wound productCelera is a different named wound product reported by square centimeter.$109.31–$183.51
Q4261Wound productTag is a different named wound product reported by square centimeter.$109.31–$183.51
Q4262Wound productDual Layer Impax is a different named wound product reported by square centimeter.$109.31–$183.51

Q4260 billing questions

When should Q4260 be selected instead of another per-square-centimeter product code?

Use Q4260 when the product furnished is Signature APatch. Other product-specific codes represent different named products, even when they are also reported by area.

Can Q4260 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

What documentation supports the quantity?

Document that Signature APatch was used and the square-centimeter quantity furnished. The record should also identify the associated primary procedure.

How does the global period affect payment?

CMS pays Q4260 within the global period of the primary procedure with which it is billed.

Does Q4260 include interpretation?

No. CMS classifies Q4260 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 Q4260PPRRVU2026_Oct_nonQPP.csv, line 18,348 (RVU26D)

Open CMS sourceHow we calculate rates

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