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CMS RVU26D · Effective 2026-10-01

Q4298 Wound product Medicare reimbursement rates in Massachusetts

Q4298 reports AmnioCore Pro by square centimeter when the named amniotic tissue product is used with a primary wound procedure. Compare Q4298 office and facility rates across CMS payment localities in Massachusetts.

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 Q4298 in Massachusetts?

Massachusetts 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

$134.00–$151.95

2 of 2 localities have a supported rate.

Lowest: Rest Of Massachusetts

Highest: Metropolitan Boston

A spread of $17.95 per service.

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.

Find Q4298 in your payment locality →

Skin substitute product

About Q4298: AmnioCore Pro wound product by area

Q4298 reports AmnioCore Pro by square centimeter when the named amniotic tissue product is used with a primary wound procedure.

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.

CMS billing rules for Q4298

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.

Q4298 compared with similar codes

Office rates for Massachusetts, from the same CMS release.

Q4299

Wound product

Per square centimeter

$134.00–$151.95

Q4299 identifies AmnioCore Pro+; Q4298 identifies AmnioCore Pro. Select the code that matches the product used.

Q4294

Amniotic graft

Quad-Core, per square centimeter

$134.00–$151.95

Q4294 identifies Amnio Quad-Core, a different named product. It is not the code for AmnioCore Pro.

Q4295

Amniotic tissue product

Tri-Core, per square centimeter

$134.00–$151.95

Q4295 identifies Amnio Tri-Core, not AmnioCore Pro. Match the reported code to the product documented.

Compare Q4298 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

Office and facility base rates · shared scale starting at $0

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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 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.

RVUs for Q4298PPRRVU2026_Oct_nonQPP.csv, line 18,385 (RVU26D)