$156.01
Q4211 reports the Amnion Bio or AxoBio product by square centimeter; 15271 reports the application service for its specified sites and area.
On this page
CMS RVU26D · Effective 2026-10-01
Q4211 Wound product Medicare reimbursement rates in Minnesota
Reports Amnion Bio or AxoBio biologic wound product by square centimeter when used with a qualifying wound graft application procedure. Compare Q4211 office and facility rates across CMS payment localities in Minnesota.
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 Q4211 in Minnesota?
Minnesota 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
$130.95
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Skin substitute product
About Q4211: Amnion Bio or AxoBio wound product
Reports Amnion Bio or AxoBio biologic wound product by square centimeter when used with a qualifying wound graft application procedure.
Q4211 identifies the Amnion Bio or AxoBio product supplied for wound coverage, measured by square centimeter. It represents the biologic material, not the clinician’s work to prepare or apply it. Physicians and other qualified practitioners may use these products during wound care in office or hospital outpatient settings; the application procedure is reported separately according to the wound site and treated area.
Report the product code with a primary procedure, using the documented product name and square centimeters represented by the billed units. The record should support the product used, the wound site, and the amount applied. CMS classifies Q4211 as an add-on code, so it is not billed alone and is paid within the primary procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4211
- 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.
Q4211 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$158.35
15275 reports the application service for a different anatomic-site grouping than 15271. Q4211 identifies the product used and does not determine the application code.
$130.95
Q4221 identifies Amniowrap2, while Q4211 identifies Amnion Bio or AxoBio. Select according to the product used.
Compare Q4211 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
Minnesota →
Office / nonfacility
$130.95
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 Q4211 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
18,302
- Code
- Q4211
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.029 | 3.9205 |
| Malpractice | 0.00 | × 0.296 | 0.0000 |
| Total RVUs | 3.9205 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$130.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.029 |
| Malpractice | 0 | 0.296 |
(0 × 1 + 3.81 × 1.029 + 0 × 0.296) × $33.4009 = $130.95
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.
Q4211 billing questions
What distinguishes Q4211 from another amnion product code?
Q4211 identifies Amnion Bio or AxoBio. Use the code that matches the product actually supplied, rather than choosing by the general tissue type alone.
Can Q4211 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Which application procedure is reported with Q4211?
Report the procedure code that matches the wound location and treated area. Codes 15271–15278 cover different site and area groupings for skin substitute graft application.
How are units supported?
The code is measured per square centimeter. Document the product used and the square centimeters represented by the billed units.
Does Q4211 include interpretation?
No. CMS classifies Q4211 as technical-component-only; a separate code covers interpretation.
How does the global-period rule affect payment?
Q4211 is paid within the primary procedure’s global period and must be reported with that primary procedure.
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.
18,299Q4207,,"Carbon life, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,300Q4208,,Novafix 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
18,301Q4209,,Surgraft 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
18,302Q4211,,Amnion bio or axobio 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
18,303Q4212,,"Allogen, per cc",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
18,304Q4213,,"Ascent, 0.5 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
18,305Q4214,,Cellesta cord 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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002