HCPCS Q4269: Surgraft XTMedicare rate & RVUs in Florida
Reports the Surgraft XT wound tissue product by area when supplied for a wound treatment and billed with its primary procedure.
Medicare pays $121.66–$132.47 for Q4269 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 Q4269 covers
Q4269 reports Surgraft XT by the square centimeter as a wound tissue product used in wound treatment. It may be encountered in outpatient wound clinics, hospital departments, and office-based wound care when a clinician applies the product to a wound. The product code represents the tissue product, not the clinician’s wound assessment or the application service itself.
Report the measured area of Surgraft XT supplied, supported by the product record and documentation of the treated wound and amount used. This is an add-on code: bill it only with a qualifying primary procedure, and CMS pays it within that procedure’s global period. CMS classifies it as technical-component-only; a separate code covers interpretation. The record should identify Surgraft XT specifically so it is distinguishable from other products in the Surgraft series.
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 Q4269 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 Q4269 rate is calculated
Each of Q4269’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 · Q4269
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 Q4269
The CMS indicators that decide how Q4269 is paid alongside other services.
CMS payment indicators · Q4269
Surgraft XT
| 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. |
Q4269 compared with similar codes
Compare codes
Q4269 vs Q4268 vs Q4263 vs 15271: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4268Wound product
- Q4268 identifies Surgraft FT, while Q4269 identifies Surgraft XT. Use the code matching the product supplied.
- Q4263Surgraft TL
- Q4263 identifies Surgraft TL rather than Surgraft XT. The product identity, not the wound location, distinguishes these codes.
- 15271Skin substitute graft
- 15271 reports the wound application procedure for qualifying trunk, arm, or leg sites; Q4269 reports the Surgraft XT product used with a primary procedure.
Q4269 billing questions
Can Q4269 be billed by itself?
No. CMS classifies it as an add-on code, so report it only with a qualifying primary procedure.
How are units determined?
Report the area of Surgraft XT in square centimeters. Document the area treated and the product quantity supplied.
Is the wound application included in Q4269?
Q4269 reports the product. The primary procedure represents the wound application and must be billed with this add-on code.
What documentation distinguishes Q4269 from other Surgraft codes?
Identify the product as Surgraft XT and record the area supplied. Do not select a Surgraft sibling code based only on the treated wound.
Does Q4269 include interpretation?
No. CMS classifies Q4269 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
Show the CMS file lines behind this rate
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