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CMS RVU26D · Effective 2026-10-01

Q4273 Esano AAA Medicare reimbursement rates in Michigan

Report Q4273 for the Esano AAA wound product supplied by measured area alongside the applicable primary wound-application procedure. Compare Q4273 office and facility rates across CMS payment localities in Michigan.

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 Q4273 in Michigan?

Michigan 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

$116.19–$122.80

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $6.61 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 Q4273 in your payment locality →

Skin substitute product

About Q4273: Esano AAA wound product supply

Report Q4273 for the Esano AAA wound product supplied by measured area alongside the applicable primary wound-application procedure.

Q4273 identifies the Esano AAA product supplied for wound coverage, measured in square centimeters. It represents the product, not the clinician’s work to prepare the wound or apply the material. Wound-care clinicians and surgeons may use the product in office-based wound care or hospital settings as part of a documented wound treatment. The application procedure is reported separately.

Report the measured product area in square centimeters and identify the wound and product in the record. Q4273 is an add-on code and must be billed with a primary procedure; CMS pays it within that procedure’s global period. CMS classifies Q4273 as technical-component-only, with interpretation covered by a separate code. Do not treat the Q4273 line as the professional interpretation or as a substitute for the wound-application procedure.

CMS billing rules for Q4273

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.

Q4273 compared with similar codes

Office rates for Michigan, from the same CMS release.

Q4272

Esano A

Per square centimeter

$116.19–$122.80

Q4272 identifies Esano A, while Q4273 identifies Esano AAA. Select the code for the product actually supplied.

Q4274

Wound graft

Esano AC, per square centimeter

$116.19–$122.80

Q4274 identifies Esano AC. Q4273 is specific to Esano AAA; the product name determines the supply code.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$150.00–$159.22

Q4273 reports Esano AAA by area; 15271 reports the wound-application service for qualifying trunk, arm, or leg sites.

Compare Q4273 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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Q4273 billing questions

Does Q4273 describe applying the product?

No. Q4273 identifies the Esano AAA product by area; report the applicable wound-application procedure separately.

Can Q4273 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

How should the quantity be reported?

Report the product area in square centimeters and document the wound site and amount supplied.

How does CMS treat the global period?

Payment for Q4273 is within the global period of the primary procedure with which it is billed.

Does Q4273 include professional interpretation?

No. CMS classifies it as technical-component-only, with interpretation covered by a separate code.

How do I choose between Q4273 and another Esano code?

Use the code matching the specific Esano product supplied. Q4272, Q4274, and Q4275 identify different Esano products.

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 Q4273PPRRVU2026_Oct_nonQPP.csv, line 18,361 (RVU26D)