$144.70
15271 reports the skin substitute application procedure for qualifying trunk, arm, or leg wounds; Q4316 reports the Amchoplast product used with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4316 Wound graft Medicare reimbursement rates in Kansas
Reports Amchoplast wound graft material by square centimeter when supplied for a skin substitute graft application during outpatient wound care. Compare Q4316 office and facility rates across CMS payment localities in Kansas.
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 Q4316 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$115.04
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Wound care supply
About Q4316: Amchoplast wound graft supply
Reports Amchoplast wound graft material by square centimeter when supplied for a skin substitute graft application during outpatient wound care.
Q4316 identifies the Amchoplast product supplied for wound treatment, measured by the square centimeter. It is generally reported by a physician or other qualified practitioner treating wounds in an outpatient wound-care setting, alongside the procedure that applies the graft. The HCPCS product code identifies the specific material; it is not interchangeable with another graft product code simply because both are used in wound care.
Report units based on the Amchoplast quantity used, and document the product, treated wound, and amount applied. This is an add-on code: it must accompany a primary procedure and is paid within that procedure’s global period, rather than billed by itself. CMS classifies Q4316 as technical-component-only; a separate code covers interpretation. Skin substitute application procedures such as 15271, 15273, 15275, or 15277 may be the primary service, selected according to wound location and area.
CMS billing rules for Q4316
- 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%
16.6K
Medicare services in 2024 · #1216 by national volume
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.
Q4316 compared with similar codes
Office rates for Kansas, from the same CMS release.
$293.72
15273 is an application procedure for larger qualifying trunk, arm, or leg wounds. It does not identify the Amchoplast supply.
$115.04
Q4317 identifies Vitograft by square centimeter, while Q4316 identifies Amchoplast. Select the product code that matches the material supplied.
Compare Q4316 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
$115.04
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4316 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
18,403
- Code
- Q4316
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.904 | 3.4442 |
| Malpractice | 0.00 | × 0.504 | 0.0000 |
| Total RVUs | 3.4442 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$115.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.904 |
| Malpractice | 0 | 0.504 |
(0 × 1 + 3.81 × 0.904 + 0 × 0.504) × $33.4009 = $115.04
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4316 billing questions
How is Q4316 different from a skin substitute application code?
Q4316 reports the Amchoplast product by square centimeter. Codes such as 15271 report the application procedure, with the applicable code determined by wound location and area.
Can Q4316 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.
How should units be determined?
Use the square centimeters of Amchoplast supplied for the wound treatment. The record should support the product used and the amount applied.
What documentation supports reporting Q4316?
Document that Amchoplast was used, the wound treated, the quantity applied, and the related application procedure.
Does Q4316 include interpretation?
CMS classifies Q4316 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 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.
18,400Q4313,,"Dermabind fm, 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
18,401Q4314,,"Reeva, 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
18,402Q4315,,Regenelink amniotic mem allo,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
18,403Q4316,,"Amchoplast, 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
18,404Q4317,,"Vitograft, 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
18,405Q4318,,"E-graft, 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
18,406Q4319,,"Sanograft, 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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958