HCPCS Q4276: Skin substituteMedicare rate & RVUs in Delaware
Report Q4276 for each square centimeter of Orion used with a primary wound procedure when a skin substitute is applied to a wound.
Medicare pays $125.73 for Q4276 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4276 covers
Q4276 identifies Orion, a wound-care skin substitute, by the area used. It represents the product rather than the clinician’s work to prepare the wound or apply the material. Wound-care clinicians, surgeons, podiatrists, and other qualified practitioners may use a skin substitute when treating wounds such as diabetic foot ulcers or venous leg ulcers. The application procedure is reported separately according to the wound site and treated area.
Report Q4276 only with a primary procedure, and base the quantity on the square centimeters of Orion used. Documentation should identify the product and support the amount applied, along with the wound and the related application procedure. CMS treats Q4276 as an add-on code paid within the primary procedure’s global period. It is technical-component-only; a separate code covers interpretation.
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.
Q4276 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4276 rate is calculated
Each of Q4276’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · Q4276
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4276
The CMS indicators that decide how Q4276 is paid alongside other services.
CMS payment indicators · Q4276
Skin substitute
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4276 compared with similar codes
Compare codes
Q4276 vs 15271 vs 15273 vs 15272: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 15271Skin substitute graft
- 15271 reports the application procedure for qualifying wounds of the trunk, arms, or legs; Q4276 reports the Orion product by area.
- 15273Skin substitute graft
- 15273 reports the application procedure for qualifying wounds at its specified other sites; Q4276 reports the Orion product, not the application.
- 15272Skin substitute graft
- 15272 reports additional application area with its primary procedure. Q4276 counts Orion product area and is not an application-area code.
Q4276 billing questions
Does Q4276 report the wound application procedure?
No. Q4276 identifies the Orion product by area; report the appropriate primary wound application procedure separately.
Can Q4276 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the quantity be determined?
Report the square centimeters of Orion used. Documentation should support the product and area applied.
Does Q4276 include interpretation?
No. CMS classifies Q4276 as technical-component-only, with a separate code covering interpretation.
Which primary procedure should accompany Q4276?
Select the wound application procedure based on the wound site and treated area; Q4276 identifies the product, not the application method.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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