$137.06
Q4295 identifies Amnio Tri-Core; Q4294 identifies Amnio Quad-Core. Match the claim to the product actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4294 Amniotic graft Medicare reimbursement rates in Connecticut
Reports Amnio Quad-Core amniotic wound product by square centimeter when supplied with a primary wound procedure for a skin defect. Compare Q4294 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 Q4294 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 products
About Q4294: Amniotic quad-core wound product
Reports Amnio Quad-Core amniotic wound product by square centimeter when supplied with a primary wound procedure for a skin defect.
Q4294 identifies Amnio Quad-Core, an amniotic wound product supplied by area for use in wound treatment. Wound-care physicians, surgeons, and podiatrists may use it during treatment of skin defects such as diabetic foot ulcers or venous leg ulcers. The application procedure addresses the wound; this code identifies the product used rather than the clinical work of applying it.
Report Q4294 only with a primary procedure, using units that reflect the square centimeters represented by the product. Documentation should identify the product, wound site and size, and amount used. CMS treats the code as an add-on paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation. The code has no separate work value in the CMS physician fee schedule facts provided.
CMS billing rules for Q4294
- 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.
Q4294 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$168.30
Q4294 reports the Amnio Quad-Core product by area. Code 15271 reports the primary application service for qualifying trunk, arm, or leg wounds.
$170.17
Q4294 identifies the product supplied. Code 15275 reports the primary application service for qualifying wounds on the head, face, neck, hand, foot, or genitalia.
Compare Q4294 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 Q4294 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
18,381
- Code
- Q4294
- 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.
Q4294 billing questions
How is Q4294 different from Q4295?
Q4294 identifies Amnio Quad-Core, while Q4295 identifies Amnio Tri-Core. Select the code that matches the product supplied; the names do not make the products interchangeable.
Is Q4294 reported by wound area or product amount?
The unit is per square centimeter. Document the wound site and size and the amount of Amnio Quad-Core used to support the units reported.
Can Q4294 be billed without a wound procedure?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Does Q4294 include the work of applying the product?
Q4294 identifies the product, not the application service. Report the applicable primary wound procedure for the application.
How does the global-period rule affect Q4294?
Payment for Q4294 is within the primary procedure’s global period; it is not treated as a separate service outside that procedure’s period.
Is interpretation included in Q4294?
CMS classifies Q4294 as technical-component-only, with interpretation covered by a separate code.
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.
18,378Q4291,,"Lamellas xt, 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
18,379Q4292,,"Lamellas, 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
18,380Q4293,,"Acesso dl, 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
18,381Q4294,,"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
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