HCPCS Q4298: Wound productMedicare rate & RVUs in Delaware
Q4298 reports AmnioCore Pro by square centimeter when the named amniotic tissue product is used with a primary wound procedure.
Medicare pays $125.73 for Q4298 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 Q4298 covers
Q4298 identifies AmnioCore Pro, an amniotic tissue product reported by the square centimeter for wound coverage. In wound-care practice, clinicians may apply the product to a prepared wound bed, including a chronic lower-extremity ulcer. This code identifies the named product; it does not describe wound preparation or the procedure used to apply it. The record should identify the product and the wound treated.
Report Q4298 only with a primary procedure, and count the product area in square centimeters. Documentation should support the amount used and the related wound procedure. CMS treats the code as an add-on paid within that procedure’s global period, so it is not a stand-alone service outside the primary procedure. CMS also classifies Q4298 as 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.
Q4298 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $125.73 | Unavailable |
How the Q4298 rate is calculated
Each of Q4298’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 · Q4298
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 Q4298
The CMS indicators that decide how Q4298 is paid alongside other services.
CMS payment indicators · Q4298
Wound product
| 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. |
Q4298 compared with similar codes
Compare codes
Q4298 vs Q4299 vs Q4294 vs Q4295: national Medicare rates
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How to choose
- Q4299Wound product
- Q4299 identifies AmnioCore Pro+; Q4298 identifies AmnioCore Pro. Select the code that matches the product used.
- Q4294Amniotic graft
- Q4294 identifies Amnio Quad-Core, a different named product. It is not the code for AmnioCore Pro.
- Q4295Amniotic tissue product
- Q4295 identifies Amnio Tri-Core, not AmnioCore Pro. Match the reported code to the product documented.
Q4298 billing questions
How is Q4298 different from Q4299?
Q4298 identifies AmnioCore Pro, while Q4299 identifies AmnioCore Pro+. Use the code matching the product documented and supplied.
What does the reported quantity represent?
The quantity is based on the AmnioCore Pro product area in square centimeters. Documentation should support the amount used.
Can Q4298 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
Does Q4298 include wound preparation or application?
Q4298 identifies the product, not the wound preparation or application procedure. Report the primary procedure separately when supported.
How are the professional and technical portions handled?
CMS classifies Q4298 as technical-component-only. A separate code covers interpretation.
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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