HCPCS Q4325: Wound productMedicare rate & RVUs

Medicare pays $127.26 for Q4325 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 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

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

109 of 109 payment localities

Q4325 rates by state

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

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.

Payment rules and modifiers for Q4325

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

Q4325 compared with similar codes

How to choose

15271Skin substitute graft

15271 reports the primary application service for a qualifying wound site and area; Q4325 identifies the Acapatch product used with that procedure.

15272Skin substitute graft

15272 reports application to additional area under the graft application code family. Q4325 reports Acapatch quantity, not additional application area.

Q4324Amniotic graft

Q4324 identifies Amniotx, while Q4325 identifies Acapatch. Choose the product code that matches the wound product supplied.

Codes related to Q4325

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