CPT 15271 reports application of a skin substitute at an eligible trunk, arm, or leg site. Q4297 reports the Emerge Matrix product used with the application.
On this page
CMS RVU26D · Effective 2026-10-01
Q4297 in Austin
Office / nonfacility
$134.64
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Wound care products
About Q4297: Emerge wound matrix supply
Report Q4297 for each square centimeter of Emerge Matrix supplied with a primary skin substitute application procedure.
Q4297 identifies Emerge Matrix, a skin substitute product measured by the square centimeter for wound coverage. It represents the product supplied, not the clinician’s work to prepare or apply it. Wound care clinicians, surgeons, and podiatrists may use a matrix during treatment of wounds such as diabetic foot or venous leg ulcers when the product is selected for the wound.
Report units based on the square centimeters of Emerge Matrix supplied, and pair the product code with the appropriate primary skin substitute application procedure, such as CPT 15271 for an eligible trunk, arm, or leg site or CPT 15275 for an eligible other site. Documentation should identify Emerge Matrix, the wound site, the amount used, and the related application. CMS classifies Q4297 as an add-on code paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4297
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
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.
Q4297 compared with similar codes
Office rates for Austin, from the same CMS release.
CPT 15275 reports application at eligible sites such as the face, hands, or feet. Q4297 identifies the Emerge Matrix product, not the application service.
Q4296 identifies Rebound Matrix, not Emerge Matrix. Select the product-specific code that matches the material supplied.
Q4298 identifies Amniocore Pro, not Emerge Matrix. The per-square-centimeter unit does not make the product codes interchangeable.
The same code, a different location
How does Austin compare?
In Beaumont, the office rate for Q4297 is $115.80—$18.84 lower than the $134.64 rate in Austin. Both use the same code, release and participation basis.
Q4297 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
$134.64
$115.80
$18.84 lower than Austin
$126.11
$8.53 lower than Austin
$126.75
$7.89 lower than Austin
$125.48
$9.16 lower than Austin
$126.37
$8.27 lower than Austin
$126.37
$8.27 lower than Austin
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, Q4297 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · Q4297
Office
$120.77
Facility
Unavailable
$13.87 lower than Austin for the office setting.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · Q4297
Office
$150.55
Facility
Unavailable
$15.91 higher than Austin for the office setting.
Dc + Md/Va Suburbs
District of Columbia · Q4297
Office
$149.91
Facility
Unavailable
$15.27 higher than Austin for the office setting.
Miami
Florida · Q4297
Office
$132.47
Facility
Unavailable
$2.17 lower than Austin for the office setting.
Chicago
Illinois · Q4297
Office
$127.89
Facility
Unavailable
$6.75 lower than Austin for the office setting.
Manhattan
New York · Q4297
Office
$147.87
Facility
Unavailable
$13.23 higher than Austin for the office setting.
Alaska*
Alaska · Q4297
Office
$135.53
Facility
Unavailable
$0.89 higher than Austin for the office setting.
Alabama
Alabama · Q4297
Office
$111.35
Facility
Unavailable
$23.29 lower than Austin for the office setting.
Arkansas
Arkansas · Q4297
Office
$109.31
Facility
Unavailable
$25.33 lower than Austin for the office setting.
Arizona
Arizona · Q4297
Office
$123.31
Facility
Unavailable
$11.33 lower than Austin for the office setting.
Bakersfield
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Chico
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
El Centro
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Fresno
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Hanford-Corcoran
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Madera
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Merced
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Modesto
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Napa
California · Q4297
Office
$167.73
Facility
Unavailable
$33.09 higher than Austin for the office setting.
Oxnard-Thousand Oaks-Ventura
California · Q4297
Office
$150.42
Facility
Unavailable
$15.78 higher than Austin for the office setting.
Redding
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Rest Of California
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Riverside-San Bernardino-Ontario
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Sacramento-Roseville-Folsom
California · Q4297
Office
$148.00
Facility
Unavailable
$13.36 higher than Austin for the office setting.
Salinas
California · Q4297
Office
$147.49
Facility
Unavailable
$12.85 higher than Austin for the office setting.
San Diego-Chula Vista-Carlsbad
California · Q4297
Office
$152.20
Facility
Unavailable
$17.56 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · Q4297
Office
$179.43
Facility
Unavailable
$44.79 higher than Austin for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · Q4297
Office
$179.43
Facility
Unavailable
$44.79 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · Q4297
Office
$183.51
Facility
Unavailable
$48.87 higher than Austin for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · Q4297
Office
$183.51
Facility
Unavailable
$48.87 higher than Austin for the office setting.
San Luis Obispo-Paso Robles
California · Q4297
Office
$144.95
Facility
Unavailable
$10.31 higher than Austin for the office setting.
Santa Cruz-Watsonville
California · Q4297
Office
$154.62
Facility
Unavailable
$19.98 higher than Austin for the office setting.
Santa Maria-Santa Barbara
California · Q4297
Office
$148.38
Facility
Unavailable
$13.74 higher than Austin for the office setting.
Santa Rosa-Petaluma
California · Q4297
Office
$156.27
Facility
Unavailable
$21.63 higher than Austin for the office setting.
Stockton
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Vallejo
California · Q4297
Office
$167.73
Facility
Unavailable
$33.09 higher than Austin for the office setting.
Visalia
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Yuba City
California · Q4297
Office
$139.47
Facility
Unavailable
$4.83 higher than Austin for the office setting.
Colorado
Colorado · Q4297
Office
$135.40
Facility
Unavailable
$0.76 higher than Austin for the office setting.
Connecticut
Connecticut · Q4297
Office
$137.06
Facility
Unavailable
$2.42 higher than Austin for the office setting.
Delaware
Delaware · Q4297
Office
$125.73
Facility
Unavailable
$8.91 lower than Austin for the office setting.
Fort Lauderdale
Florida · Q4297
Office
$128.91
Facility
Unavailable
$5.73 lower than Austin for the office setting.
Rest Of Florida
Florida · Q4297
Office
$121.66
Facility
Unavailable
$12.98 lower than Austin for the office setting.
Atlanta
Georgia · Q4297
Office
$129.29
Facility
Unavailable
$5.35 lower than Austin for the office setting.
Rest Of Georgia
Georgia · Q4297
Office
$113.51
Facility
Unavailable
$21.13 lower than Austin for the office setting.
Hawaii, Guam
Hawaii · Q4297
Office
$144.69
Facility
Unavailable
$10.05 higher than Austin for the office setting.
Iowa
Iowa · Q4297
Office
$116.44
Facility
Unavailable
$18.20 lower than Austin for the office setting.
Idaho
Idaho · Q4297
Office
$117.08
Facility
Unavailable
$17.56 lower than Austin for the office setting.
East St. Louis
Illinois · Q4297
Office
$117.08
Facility
Unavailable
$17.56 lower than Austin for the office setting.
Rest Of Illinois
Illinois · Q4297
Office
$116.19
Facility
Unavailable
$18.45 lower than Austin for the office setting.
Suburban Chicago
Illinois · Q4297
Office
$130.69
Facility
Unavailable
$3.95 lower than Austin for the office setting.
Indiana
Indiana · Q4297
Office
$117.97
Facility
Unavailable
$16.67 lower than Austin for the office setting.
Kansas
Kansas · Q4297
Office
$115.04
Facility
Unavailable
$19.60 lower than Austin for the office setting.
Kentucky
Kentucky · Q4297
Office
$113.13
Facility
Unavailable
$21.51 lower than Austin for the office setting.
New Orleans
Louisiana · Q4297
Office
$119.75
Facility
Unavailable
$14.89 lower than Austin for the office setting.
Rest Of Louisiana
Louisiana · Q4297
Office
$112.62
Facility
Unavailable
$22.02 lower than Austin for the office setting.
Metropolitan Boston
Massachusetts · Q4297
Office
$151.95
Facility
Unavailable
$17.31 higher than Austin for the office setting.
Rest Of Massachusetts
Massachusetts · Q4297
Office
$134.00
Facility
Unavailable
$0.64 lower than Austin for the office setting.
Baltimore/Surr. Cntys
Maryland · Q4297
Office
$136.55
Facility
Unavailable
$1.91 higher than Austin for the office setting.
Rest Of Maryland
Maryland · Q4297
Office
$128.78
Facility
Unavailable
$5.86 lower than Austin for the office setting.
Rest Of Maine
Maine · Q4297
Office
$117.08
Facility
Unavailable
$17.56 lower than Austin for the office setting.
Southern Maine
Maine · Q4297
Office
$126.11
Facility
Unavailable
$8.53 lower than Austin for the office setting.
Detroit
Michigan · Q4297
Office
$122.80
Facility
Unavailable
$11.84 lower than Austin for the office setting.
Rest Of Michigan
Michigan · Q4297
Office
$116.19
Facility
Unavailable
$18.45 lower than Austin for the office setting.
Minnesota
Minnesota · Q4297
Office
$130.95
Facility
Unavailable
$3.69 lower than Austin for the office setting.
Metropolitan Kansas City
Missouri · Q4297
Office
$119.49
Facility
Unavailable
$15.15 lower than Austin for the office setting.
Metropolitan St. Louis
Missouri · Q4297
Office
$121.15
Facility
Unavailable
$13.49 lower than Austin for the office setting.
Rest Of Missouri
Missouri · Q4297
Office
$109.70
Facility
Unavailable
$24.94 lower than Austin for the office setting.
Mississippi
Mississippi · Q4297
Office
$109.57
Facility
Unavailable
$25.07 lower than Austin for the office setting.
Montana**
Montana · Q4297
Office
$127.26
Facility
Unavailable
$7.38 lower than Austin for the office setting.
North Carolina
North Carolina · Q4297
Office
$118.73
Facility
Unavailable
$15.91 lower than Austin for the office setting.
North Dakota**
North Dakota · Q4297
Office
$127.26
Facility
Unavailable
$7.38 lower than Austin for the office setting.
Nebraska
Nebraska · Q4297
Office
$117.46
Facility
Unavailable
$17.18 lower than Austin for the office setting.
New Hampshire
New Hampshire · Q4297
Office
$132.47
Facility
Unavailable
$2.17 lower than Austin for the office setting.
Northern Nj
New Jersey · Q4297
Office
$147.62
Facility
Unavailable
$12.98 higher than Austin for the office setting.
Rest Of New Jersey
New Jersey · Q4297
Office
$138.97
Facility
Unavailable
$4.33 higher than Austin for the office setting.
New Mexico
New Mexico · Q4297
Office
$116.70
Facility
Unavailable
$17.94 lower than Austin for the office setting.
Nevada**
Nevada · Q4297
Office
$127.38
Facility
Unavailable
$7.26 lower than Austin for the office setting.
Nyc Suburbs/Long Island
New York · Q4297
Office
$151.31
Facility
Unavailable
$16.67 higher than Austin for the office setting.
Poughkpsie/N Nyc Suburbs
New York · Q4297
Office
$139.35
Facility
Unavailable
$4.71 higher than Austin for the office setting.
Queens
New York · Q4297
Office
$150.42
Facility
Unavailable
$15.78 higher than Austin for the office setting.
Rest Of New York
New York · Q4297
Office
$120.89
Facility
Unavailable
$13.75 lower than Austin for the office setting.
Ohio
Ohio · Q4297
Office
$116.19
Facility
Unavailable
$18.45 lower than Austin for the office setting.
Oklahoma
Oklahoma · Q4297
Office
$113.64
Facility
Unavailable
$21.00 lower than Austin for the office setting.
Portland
Oregon · Q4297
Office
$141.38
Facility
Unavailable
$6.74 higher than Austin for the office setting.
Rest Of Oregon
Oregon · Q4297
Office
$126.75
Facility
Unavailable
$7.89 lower than Austin for the office setting.
Metropolitan Philadelphia
Pennsylvania · Q4297
Office
$132.47
Facility
Unavailable
$2.17 lower than Austin for the office setting.
Rest Of Pennsylvania
Pennsylvania · Q4297
Office
$116.82
Facility
Unavailable
$17.82 lower than Austin for the office setting.
Puerto Rico
Puerto Rico · Q4297
Office
$128.66
Facility
Unavailable
$5.98 lower than Austin for the office setting.
Rhode Island
Rhode Island · Q4297
Office
$131.46
Facility
Unavailable
$3.18 lower than Austin for the office setting.
South Carolina
South Carolina · Q4297
Office
$117.59
Facility
Unavailable
$17.05 lower than Austin for the office setting.
South Dakota**
South Dakota · Q4297
Office
$127.26
Facility
Unavailable
$7.38 lower than Austin for the office setting.
Tennessee
Tennessee · Q4297
Office
$115.68
Facility
Unavailable
$18.96 lower than Austin for the office setting.
Utah
Utah · Q4297
Office
$119.62
Facility
Unavailable
$15.02 lower than Austin for the office setting.
Virginia
Virginia · Q4297
Office
$125.09
Facility
Unavailable
$9.55 lower than Austin for the office setting.
Virgin Islands
United States Virgin Islands · Q4297
Office
$128.66
Facility
Unavailable
$5.98 lower than Austin for the office setting.
Vermont
Vermont · Q4297
Office
$125.98
Facility
Unavailable
$8.66 lower than Austin for the office setting.
Rest Of Washington
Washington · Q4297
Office
$134.00
Facility
Unavailable
$0.64 lower than Austin for the office setting.
Seattle (King Cnty)
Washington · Q4297
Office
$156.14
Facility
Unavailable
$21.50 higher than Austin for the office setting.
Wisconsin
Wisconsin · Q4297
Office
$121.91
Facility
Unavailable
$12.73 lower than Austin for the office setting.
West Virginia
West Virginia · Q4297
Office
$110.59
Facility
Unavailable
$24.05 lower than Austin for the office setting.
Wyoming**
Wyoming · Q4297
Office
$127.26
Facility
Unavailable
$7.38 lower than Austin for the office setting.
See how rates vary across the country
Q4297 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- Q4297 in Austin
Multiple payment areas
- Q4297 in Barton Creek
- Q4297 in Bee Cave
- Q4297 in Briarcliff
- Q4297 in Cedar Park
Multiple payment areas
- Q4297 in Creedmoor
Multiple payment areas
- Q4297 in Elgin
Multiple payment areas
- Q4297 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for Q4297 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$148.10
$134.64 × 110% = $148.10
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4297 in Austin.
PPRRVU2026_Oct_nonQPP.csv
18,384
- Code
- Q4297
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.002 | 0.0000 |
| Practice expense | 3.81 | × 1.058 | 4.0310 |
| Malpractice | 0.00 | × 0.886 | 0.0000 |
| Total RVUs | 4.0310 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Austin$134.64
Open Q4297 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.002 |
| Practice expense | 3.81 | 1.058 |
| Malpractice | 0 | 0.886 |
(0 × 1.002 + 3.81 × 1.058 + 0 × 0.886) × $33.4009 = $134.64
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
Q4297 · Office / nonfacility
$134.64
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
No ratechanged to$134.64
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $134.64 | Not available in this setting | RVU26D |
| 2026-07-01 | $134.64 | Not available in this setting | RVU26C |
| 2026-04-01 | $134.64 | Not available in this setting | RVU26B |
| 2026-01-01 | $134.64 | Not available in this setting | RVU26A |
| 2025-10-01 | Separate payment rules apply | Separate payment rules apply | RVU25D |
| 2025-07-01 | Separate payment rules apply | Separate payment rules apply | RVU25C |
| 2025-04-01 | Separate payment rules apply | Separate payment rules apply | RVU25B |
| 2025-01-01 | Separate payment rules apply | Separate payment rules apply | RVU25A |
Q4297 billing questions
How is Q4297 different from the application procedure code?
Q4297 reports the Emerge Matrix product by square centimeter. The applicable CPT skin substitute application code reports the clinician’s application service.
Can Q4297 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should units be determined?
Report units according to the square centimeters of Emerge Matrix supplied. Document the product and amount used.
Does Q4297 include interpretation?
No. CMS classifies Q4297 as technical-component-only and specifies that a separate code covers interpretation.
What supports reporting Q4297 with the application procedure?
The record should identify Emerge Matrix, the treated wound site, the amount supplied, and the related application procedure.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
