HCPCS Q4271: Complete FTMedicare rate & RVUs

Reports the Complete FT wound product by square centimeter when it is furnished with a primary wound procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4271 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4271

Complete FT

Swap in your local Medicare rate.

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4271 → · 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 Q4271 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 Q4271 covers

Q4271 identifies the Complete FT product supplied for wound treatment, measured by square centimeter. It represents the product rather than the clinician’s work applying it. Wound-care clinicians may use it in outpatient settings when furnishing the product as part of a wound procedure; the separately reported procedure captures the application service.

Report Q4271 with the appropriate primary procedure and document the product used, the treated wound, and the product area in square centimeters. The code is an add-on and is paid within the primary procedure’s global period. CMS classifies it as technical-component-only; a separate code covers interpretation. Keep the product code distinct from the application code, and select a different product-specific code when a different product was furnished.

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 Q4271 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

Q4271 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

Q4271 rates by state

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

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
Q4271 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 Q4271 rate is calculated

Each of Q4271’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 · Q4271

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4271

The CMS indicators that decide how Q4271 is paid alongside other services.

CMS payment indicators · Q4271

Complete FT

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.

Q4271 compared with similar codes

Compare codes

Q4271 vs Q4270 vs Q4268 vs 15271: national Medicare rates

Swap in your local Medicare rate.

  • Q4271
    Complete FT · 0 wRVU
    $127.26
  • Q4270
    Complete SL · 0 wRVU
    $127.26+$0.00
  • Q4268
    Wound product · 0 wRVU
    $127.26+$0.00
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73

How to choose

Q4270Complete SL
Q4270 identifies Complete SL, while Q4271 identifies Complete FT. Match the code to the specific product used.
Q4268Wound product
Q4268 identifies Surgraft FT, not Complete FT. These product-specific codes are not interchangeable based only on wound area.
15271Skin substitute graft
15271 reports a wound-application procedure; Q4271 reports the Complete FT product supplied with a primary procedure.

Q4271 billing questions

Does Q4271 include applying the product?

No. Q4271 identifies the Complete FT product by area; report the appropriate primary procedure for the wound application.

Can Q4271 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 reported quantity?

Document the product identity, treated wound, and product area in square centimeters, along with the primary procedure.

How does Q4271 differ from Q4270?

Both identify Complete products, but Q4271 is the FT product and Q4270 is the SL product. Use the code matching the product furnished.

What does the technical-component-only designation mean?

CMS classifies Q4271 as technical-component-only, with a separate code covering 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 Q4271PPRRVU2026_Oct_nonQPP.csv, line 18,359 (RVU26D)

Open CMS sourceHow we calculate rates

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