$162.76–$179.04
15271 reports an application procedure for qualifying trunk, arm, or leg wounds; Q4369 reports the Amnioplast 3 product supply.
On this page
CMS RVU26D · Effective 2026-10-01
Q4369 Wound covering Medicare reimbursement rates in Massachusetts
Reports the square-centimeter supply of Amnioplast 3 when this amniotic membrane-based wound covering is applied with an eligible primary procedure. Compare Q4369 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 Q4369 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 Q4369: Amnioplast 3 wound covering supply
Reports the square-centimeter supply of Amnioplast 3 when this amniotic membrane-based wound covering is applied with an eligible primary procedure.
Q4369 identifies the supply of Amnioplast 3, an amniotic membrane-based wound covering measured by square centimeter. It represents the product, not wound-bed preparation or placement. Wound-care physicians, podiatrists, and surgeons may use this type of graft material in outpatient wound clinics or hospital outpatient settings for wounds such as diabetic foot or venous leg ulcers. Report Q4369 only when this specific product is supplied.
Count units by the square centimeters represented by the product used. Documentation should identify the product, wound site, treated area, quantity applied, and associated application procedure. Select the application procedure by anatomic site and wound area; 15271 or 15272 may be appropriate for qualifying trunk, arm, or leg wounds. CMS classifies Q4369 as an add-on code: submit it only with a primary procedure, and its payment falls within that procedure’s global period. It is technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4369
- 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.
Q4369 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$134.00–$151.95
Q4368 identifies Amchothick. Use Q4369 only when the supplied product is Amnioplast 3.
$134.00–$151.95
Q4372 identifies Amchoplast excl. The product actually supplied determines whether Q4372 or Q4369 is reported.
Compare Q4369 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
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
Q4369 billing questions
Can Q4369 be billed by itself?
No. CMS classifies it as an add-on code, so it must be reported with a primary procedure.
Does Q4369 include the graft application?
No. Q4369 identifies the Amnioplast 3 product supply. Report the applicable primary procedure for placement based on the wound site and area.
How are units determined?
The code is measured per square centimeter. Document the treated area and the quantity of Amnioplast 3 used.
Does Q4369 include a professional interpretation?
No. CMS identifies Q4369 as technical-component-only; a separate code covers interpretation.
How does Q4369 differ from Q4368 or Q4372?
Each identifies a different named wound product. Report Q4369 only when Amnioplast 3 was supplied; use the code matching the product actually 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.
18,453Q4366,,Dl amnio bur x-mem 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
18,454Q4367,,"Amniocore sl, 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
18,455Q4368,,Amchothick 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
18,456Q4369,,Amnioplast 3 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
18,457Q4370,,Aeroguard 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
18,458Q4371,,Neoguard 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
18,459Q4372,,Amchoplast excl 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