$134.00–$151.95
Q4305 identifies American amnion AC tri-layer. Use Q4307 when the product furnished is the American amnion product represented by that code.
On this page
CMS RVU26D · Effective 2026-10-01
Q4307 Amnion product Medicare reimbursement rates in Massachusetts
Reports each square centimeter of American amnion supplied for wound coverage, alongside the applicable procedure for applying a skin substitute. Compare Q4307 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 Q4307 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.
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
About Q4307: American amnion wound covering
Reports each square centimeter of American amnion supplied for wound coverage, alongside the applicable procedure for applying a skin substitute.
Q4307 represents American amnion furnished for application to a wound. It is used in wound management, including treatment of chronic ulcers, when the clinician selects this specific amnion product as a wound covering. Physicians and other qualified practitioners may apply the product in outpatient settings such as a clinic or hospital department; the associated application procedure is reported separately when supported by the service performed.
Report units based on the documented square centimeters of product supplied, and pair Q4307 with the applicable primary application procedure. The record should identify the product, wound site and size, amount used, and application performed. CMS classifies Q4307 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4307
- 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.
Q4307 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$134.00–$151.95
Q4306 identifies American amnion AC. The product identity, not the wound area or application procedure, distinguishes it from Q4307.
$162.76–$179.04
15271 reports the application procedure for qualifying trunk, arm, or leg wounds; Q4307 reports the American amnion product by square centimeter and is billed with a primary procedure.
Compare Q4307 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
Metropolitan Boston →
Office / nonfacility
$151.95
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$134.00
Facility
Unavailable
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Q4307 billing questions
How is Q4307 different from Q4305 or Q4306?
These codes identify different American amnion products. Report the code matching the product actually furnished, rather than selecting by wound size or application technique.
What procedure should accompany Q4307?
Report it with the applicable primary skin-substitute application procedure, selected by wound location and treated area. Q4307 is an add-on and is not billed alone.
How are units calculated?
Units represent the square centimeters of American amnion supplied. Document the amount used and the wound dimensions supporting the reported quantity.
Is the wound application included in Q4307?
Q4307 reports the product, while the clinician’s application is represented by the applicable procedure code. The supporting record should show both the product furnished and the application performed.
Does Q4307 include interpretation?
No. CMS identifies Q4307 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.
18,391Q4304,,"Grafix plus, 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
18,392Q4305,,Amer am ac tri-lay 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
18,393Q4306,,Americ amnion ac 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
18,394Q4307,,"American amnion, 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
18,395Q4308,,"Sanopellis, 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
18,396Q4309,,"Via matrix, 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
18,397Q4310,,"Procenta, per 100 mg",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00