$163.58
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 Wound matrix Medicare reimbursement rates in Colorado
Report Q4297 for each square centimeter of Emerge Matrix supplied with a primary skin substitute application procedure. Compare Q4297 office and facility rates across CMS payment localities in Colorado.
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 Q4297 in Colorado?
Colorado 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
$135.40
1 of 1 localities have a supported rate.
Payment area: Colorado
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 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 Colorado, from the same CMS release.
$165.60
CPT 15275 reports application at eligible sites such as the face, hands, or feet. Q4297 identifies the Emerge Matrix product, not the application service.
$135.40
Q4296 identifies Rebound Matrix, not Emerge Matrix. Select the product-specific code that matches the material supplied.
$135.40
Q4298 identifies Amniocore Pro, not Emerge Matrix. The per-square-centimeter unit does not make the product codes interchangeable.
Compare Q4297 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
Colorado →
Office / nonfacility
$135.40
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 Q4297 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
18,384
- Code
- Q4297
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.012 | 0.0000 |
| Practice expense | 3.81 | × 1.064 | 4.0538 |
| Malpractice | 0.00 | × 0.781 | 0.0000 |
| Total RVUs | 4.0538 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$135.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.012 |
| Practice expense | 3.81 | 1.064 |
| Malpractice | 0 | 0.781 |
(0 × 1.012 + 3.81 × 1.064 + 0 × 0.781) × $33.4009 = $135.40
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.
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.
18,381Q4294,,"Amnio quad-core, 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
18,382Q4295,,"Amnio tri-core, 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
18,383Q4296,,"Rebound matrix, 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
18,384Q4297,,"Emerge matrix, 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
18,385Q4298,,"Amniocore pro, 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
18,386Q4299,,"Amniocore pro+, 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
18,387Q4300,,"Acesso tl, 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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899