$185.86
Q4395 identifies the Acelagraft product; 15271 reports application for qualifying wounds on the trunk, arms, or legs. The codes represent different parts of the service.
On this page
CMS RVU26D · Effective 2026-10-01
Q4395 Acelagraft Medicare reimbursement rates in Alaska
Q4395 reports Acelagraft by square centimeter as a wound-care product used with a primary procedure that applies the material. Compare Q4395 office and facility rates across CMS payment localities in Alaska.
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.
What does Medicare pay for Q4395 in Alaska?
Alaska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$135.53
1 of 1 localities have a supported rate.
Payment area: Alaska*
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care products
About Q4395: Acelagraft wound product by area
Q4395 reports Acelagraft by square centimeter as a wound-care product used with a primary procedure that applies the material.
Q4395 identifies Acelagraft by square centimeter for wound-care use. It represents the product, not the clinical work of preparing the wound or applying the graft. Wound-care clinicians, surgeons, and other qualified practitioners may use the material while treating a wound in an office, wound clinic, or hospital setting. The product and quantity reported should match what was actually used; the code alone does not identify the wound type or treatment method.
Report Q4395 with the primary procedure that applies the product. CMS treats it as an add-on and pays it within that procedure’s global period, so it is not a stand-alone service. Document the product identity, wound site and dimensions, amount used, and related application procedure to support the reported units. CMS classifies Q4395 as technical-component-only; interpretation is represented by a separate code.
CMS billing rules for Q4395
- 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.
Q4395 compared with similar codes
Office rates for Alaska, from the same CMS release.
$381.81
Q4395 identifies the product. Use 15273 for application to qualifying wounds on the face, scalp, neck, hands, feet, or genitalia.
$135.53
Q4394 identifies Surgraft ACA, while Q4395 identifies Acelagraft. Select the product code that matches the material used.
$135.53
Q4396 identifies Natalin, not Acelagraft. The product documented as used determines which code applies.
Compare Q4395 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alaska* →
Office / nonfacility
$135.53
Facility
Unavailable
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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 Q4395 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
18,480
- Code
- Q4395
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.500 | 0.0000 |
| Practice expense | 3.81 | × 1.065 | 4.0576 |
| Malpractice | 0.00 | × 0.551 | 0.0000 |
| Total RVUs | 4.0576 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alaska*$135.53
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.5 |
| Practice expense | 3.81 | 1.065 |
| Malpractice | 0 | 0.551 |
(0 × 1.5 + 3.81 × 1.065 + 0 × 0.551) × $33.4009 = $135.53
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.
Q4395 billing questions
Can Q4395 be reported by itself?
No. CMS identifies it as an add-on code, so report it with the primary procedure that applies the product.
How should the quantity be supported?
The descriptor is per square centimeter. Document the product used and the amount applied, along with the wound site and dimensions.
Does Q4395 include wound preparation or application?
No. Q4395 identifies the Acelagraft product; the primary procedure represents the application service.
Is interpretation included in Q4395?
No. CMS classifies Q4395 as technical-component-only and identifies interpretation as covered by a separate code.
When is Q4395 paid in relation to the primary procedure?
CMS places payment for Q4395 within the primary procedure’s global period. Report it with the related primary procedure rather than as a separate stand-alone service.
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.
18,477Q4392,,Grafix duo per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,478Q4393,,Surgraft ac per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,479Q4394,,Surgraft aca per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,480Q4395,,Acelagraft per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,481Q4396,,Natalin per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,482Q4397,,Summit aaa per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,483Q4398,,Summit ac per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609