$148.29–$161.18
15271 reports the skin-substitute application procedure for applicable sites and areas; Q4263 identifies Surgraft TL by square centimeter and is reported with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4263 Surgraft TL Medicare reimbursement rates in Georgia
Reports Surgraft TL by square centimeter when furnished as a wound graft with a primary procedure for wound treatment. Compare Q4263 office and facility rates across CMS payment localities in Georgia.
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 Q4263 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$113.51–$129.29
2 of 2 localities have a supported rate.
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.
Skin substitute
About Q4263: Surgraft TL wound graft supply
Reports Surgraft TL by square centimeter when furnished as a wound graft with a primary procedure for wound treatment.
Q4263 identifies Surgraft TL, a wound-graft product reported by the square centimeter. It may be used in wound care, including treatment of chronic wounds such as diabetic foot ulcers or venous leg ulcers. Wound-care physicians, podiatrists, and surgeons may furnish or apply the product in an office, clinic, or hospital setting as part of a wound-treatment procedure.
Report Q4263 only with a primary procedure, and select that procedure for the service performed and the treated site and area. The product record and clinical documentation should identify Surgraft TL, the wound treated, and the quantity used so the billed square-centimeter units are supported. CMS treats Q4263 as an add-on paid within the primary procedure's global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4263
- 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.
Q4263 compared with similar codes
Office rates for Georgia, from the same CMS release.
$24.60–$26.30
15272 reports additional-area application when its requirements are met. Q4263 identifies the Surgraft TL product quantity, not the additional application service.
$113.51–$129.29
Q4268 identifies Surgraft FT, whereas Q4263 identifies Surgraft TL. Use the code matching the specific product furnished.
$113.51–$129.29
Q4269 identifies Surgraft XT, whereas Q4263 identifies Surgraft TL. These product-specific codes are not interchangeable.
Compare Q4263 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$129.29
Facility
Unavailable
Rest Of Georgia →
Office / nonfacility
$113.51
Facility
Unavailable
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Q4263 billing questions
Can Q4263 be reported by itself?
No. CMS classifies Q4263 as an add-on, so it must be billed with a primary procedure.
How should the unit count be determined?
The code is per square centimeter. Document the Surgraft TL quantity used and the treated wound area to support the reported units.
Does Q4263 include interpretation?
No. CMS identifies Q4263 as technical-component-only; a separate code covers interpretation.
How does Q4263 differ from Q4268 or Q4269?
These are separate product-specific Surgraft codes: Q4263 identifies TL, Q4268 identifies FT, and Q4269 identifies XT. Report the code matching the product furnished.
What supports reporting Q4263 with the primary procedure?
The record should identify Surgraft TL, the wound and treatment provided, the primary procedure, and the square-centimeter quantity used.
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.
18,348Q4260,,"Signature apatch, 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
18,349Q4261,,"Tag, per square centimeter",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
18,350Q4262,,"Dual layer impax, 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
18,351Q4263,,"Surgraft tl, 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
18,352Q4264,,"Cocoon membrane, 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
18,353Q4265,,Neostim tl 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
18,354Q4266,,Neostim 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