$137.06
Q4247 identifies Amniotext patch, while Q4249 identifies Amniply. Use the code matching the product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4249 Amniply Medicare reimbursement rates in Connecticut
Reports the Amniply amniotic membrane product by square centimeter when furnished for application to a wound during a separately coded wound procedure. Compare Q4249 office and facility rates across CMS payment localities in Connecticut.
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 Q4249 in Connecticut?
Connecticut 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
$137.06
1 of 1 localities have a supported rate.
Payment area: Connecticut
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
About Q4249: Amniply wound product supply
Reports the Amniply amniotic membrane product by square centimeter when furnished for application to a wound during a separately coded wound procedure.
Q4249 represents the Amniply amniotic membrane product supplied for wound treatment, measured by the square centimeter. Wound-care clinicians, surgeons, and podiatrists may use it when applying the product to a prepared wound bed in an office or other treatment setting. The code identifies the product, not the wound preparation or application service itself.
Report the number of square centimeters represented by the Amniply product furnished, and retain documentation identifying the product and supporting the quantity reported. CMS classifies Q4249 as an add-on code: bill it only with a primary procedure, such as an applicable skin-substitute application procedure, and payment is within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4249
- 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%
3.9K
Medicare services in 2024 · #2012 by national volume
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.
Q4249 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$137.06
Q4248 identifies Dermacyte amniotic membrane allograft. Q4249 is specific to Amniply; the similar tissue category does not make the product codes interchangeable.
$137.06
Q4239 identifies Amnio-maxx or lite rather than Amniply. Select according to the product used, not just the shared square-centimeter billing unit.
Compare Q4249 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
Connecticut →
Office / nonfacility
$137.06
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 Q4249 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
18,337
- Code
- Q4249
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.020 | 0.0000 |
| Practice expense | 3.81 | × 1.077 | 4.1034 |
| Malpractice | 0.00 | × 1.210 | 0.0000 |
| Total RVUs | 4.1034 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$137.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.02 |
| Practice expense | 3.81 | 1.077 |
| Malpractice | 0 | 1.21 |
(0 × 1.02 + 3.81 × 1.077 + 0 × 1.21) × $33.4009 = $137.06
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.
Q4249 billing questions
How is Q4249 different from the skin-substitute application code?
Q4249 reports the Amniply product by square centimeter. The primary application code reports the wound application service.
Can Q4249 be billed by itself?
No. CMS identifies Q4249 as an add-on code that must be billed with a primary procedure.
What quantity should be reported?
Report the square centimeters of Amniply product furnished. Documentation should identify the product and support the quantity.
Is a separate interpretation code needed?
CMS classifies Q4249 as technical-component-only and specifies that a separate code covers interpretation.
How does the global-period rule affect payment?
Payment for Q4249 is within the primary procedure’s global period, so it is not paid separately from that procedure’s global payment.
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.
18,334Q4246,,"Coretext or protext, per cc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,335Q4247,,"Amniotext patch, 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
18,336Q4248,,Dermacyte amn mem allo 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
18,337Q4249,,"Amniply, 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
18,338Q4250,,Amnioamp-mp 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
18,339Q4251,,"Vim, per square centimeter",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
18,340Q4252,,"Vendaje, per square centimet",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
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808