$130.95
Q4272 identifies Esano A; Q4274 identifies Esano AC. Select the code that matches the product supplied, not the wound size.
On this page
CMS RVU26D · Effective 2026-10-01
Q4274 Wound graft Medicare reimbursement rates in Minnesota
Reports Esano AC wound-graft material by square centimeter when the product is furnished for application during a wound procedure. Compare Q4274 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 Q4274 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 Q4274: Esano AC wound graft material
Reports Esano AC wound-graft material by square centimeter when the product is furnished for application during a wound procedure.
Q4274 identifies the Esano AC product supplied for wound coverage. A clinician may apply it to a wound as part of a skin-substitute procedure, such as treatment of a chronic ulcer. This code represents the product quantity, not the clinician’s wound preparation or application service. The application procedure is reported separately according to the site and area treated.
Report the units from the documented square centimeters of Esano AC furnished for the procedure, and retain the product record and wound-area documentation to support the quantity. Q4274 is an add-on code and must be reported with a primary procedure; its payment is within that procedure’s global period. CMS classifies it as technical-component-only, with a separate code covering interpretation.
CMS billing rules for Q4274
- 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%
1.1K
Medicare services in 2024 · #2926 by national volume
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.
Q4274 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$130.95
Q4273 identifies Esano AAA, while Q4274 identifies Esano AC. These product-specific codes are not interchangeable.
$130.95
Q4275 identifies Esano ACA; Q4274 identifies Esano AC. Use the product identifier for the material furnished.
Compare Q4274 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 Q4274 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
18,362
- Code
- Q4274
- 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.
Q4274 billing questions
How is Q4274 different from the other Esano codes?
Q4274 identifies Esano AC. Q4272, Q4273, and Q4275 identify other Esano product variants; report the code matching the product actually furnished.
Is Q4274 reported by wound or by square centimeter?
It is reported by square centimeter. The documented quantity should support the units billed.
Can Q4274 be billed without a wound application procedure?
No. It is an add-on code and must be reported with a primary procedure; payment is within that procedure’s global period.
Does Q4274 include the wound application service?
No. Q4274 identifies the Esano AC product. Report the applicable wound application procedure separately.
What documentation supports the Q4274 units?
Document that Esano AC was furnished and the square-centimeter quantity used. The wound record should support the treated area and the product quantity.
How does CMS classify the code’s components?
CMS classifies Q4274 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.
18,359Q4271,,Complete ft 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
18,360Q4272,,"Esano a, 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
18,361Q4273,,"Esano aaa, 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
18,362Q4274,,"Esano 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
18,363Q4275,,"Esano aca, 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
18,364Q4276,,"Orion, 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
18,365Q4278,,"Epieffect, 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