HCPCS Q4268: Wound productMedicare rate & RVUs in Florida
Reports Surgraft FT wound product by square centimeter when supplied for application during a primary wound procedure.
Medicare pays $121.66–$132.47 for Q4268 in the office in Florida, from Rest Of Florida to Miami. 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 Q4268 covers
Q4268 identifies Surgraft FT, a wound-care tissue product measured by the area supplied. Wound-care clinicians, surgeons, and other practitioners who treat open wounds may use it during a procedure to cover a prepared wound bed. The product line is distinct from other Surgraft variants and from similarly measured wound products with different names.
Report Q4268 only with a primary procedure, using the documented square centimeters of product supplied. The record should identify Surgraft FT and support the quantity reported; the primary procedure documentation should support the wound treatment performed. CMS classifies Q4268 as an add-on paid within the primary procedure’s global period. It is also a technical-component-only code: a separate code represents 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.
Where Q4268 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$121.66 to $132.47
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $128.91 | Unavailable |
| Miami | $132.47 | Unavailable |
| Rest Of Florida | $121.66 | Unavailable |
How the Q4268 rate is calculated
Each of Q4268’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 · Q4268
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4268
The CMS indicators that decide how Q4268 is paid alongside other services.
CMS payment indicators · Q4268
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. |
Q4268 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- Q4263Surgraft TL
- Q4263 identifies Surgraft TL, while Q4268 identifies Surgraft FT. Use the code for the specific product supplied, not simply the shared Surgraft name.
- Q4269Surgraft XT
- Q4269 identifies Surgraft XT; Q4268 identifies Surgraft FT. Both are measured per square centimeter, but the product names distinguish the codes.
- 15271Skin substitute graft
- 15271 reports a wound application procedure for its specified anatomic sites. Q4268 reports the Surgraft FT product supplied with a primary procedure.
- Q4271Complete FT
- Q4271 identifies Complete FT, not Surgraft FT. The shared FT label does not make the products interchangeable for coding.
Q4268 billing questions
How is Q4268 different from Q4263 or Q4269?
Q4268 identifies Surgraft FT. Q4263 identifies Surgraft TL, and Q4269 identifies Surgraft XT; select the code matching the product supplied.
Can Q4268 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the units be determined?
Report the documented square centimeters of Surgraft FT supplied. The record should support both the product identity and the quantity.
How does the global-period rule affect payment?
CMS pays Q4268 within the global period of the primary procedure with which it is billed.
Does Q4268 include interpretation?
No. CMS classifies Q4268 as technical-component-only; a separate code represents interpretation.
Is Q4268 the application procedure code?
No. Q4268 identifies the product by area. Report the appropriate primary procedure for the wound treatment performed.
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
Show the CMS file lines behind this rate
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