$109.70–$121.15
Q4259 identifies Celera, while Q4260 identifies Signature APatch. Select the code matching the product documented as furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4260 Wound graft product Medicare reimbursement rates in Missouri
Reports the per-square-centimeter supply of Signature APatch used for wound coverage, alongside the primary procedure for its application. Compare Q4260 office and facility rates across CMS payment localities in Missouri.
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 Q4260 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$109.70–$121.15
3 of 3 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.
Where Q4260 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Skin substitute supply
About Q4260: Signature APatch wound product
Reports the per-square-centimeter supply of Signature APatch used for wound coverage, alongside the primary procedure for its application.
Q4260 identifies the Signature APatch wound-coverage product by the square centimeter. Wound-care physicians, podiatrists, and surgeons may use it when applying the product to a wound in an outpatient clinic or hospital setting. The code represents the product supply, not the clinical work of assessing the wound or applying the material.
Report the documented quantity of Signature APatch furnished, using the product and area recorded in the procedure documentation. Q4260 is an add-on: bill it only with a primary procedure, and CMS pays it within that procedure's global period. CMS classifies it as technical-component-only, with a separate code covering interpretation. The record should identify Signature APatch and support the area supplied and the associated primary procedure.
CMS billing rules for Q4260
- 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.
Q4260 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4261 identifies Tag rather than Signature APatch. The per-square-centimeter basis does not make these product codes interchangeable.
$109.70–$121.15
Q4262 identifies Dual Layer Impax. Use Q4260 only when Signature APatch is the product supplied.
Compare Q4260 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$119.49
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$121.15
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$109.70
Facility
Unavailable
Need rates for a whole code list?
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Q4260 billing questions
When should Q4260 be selected instead of another per-square-centimeter product code?
Use Q4260 when the product furnished is Signature APatch. Other product-specific codes represent different named products, even when they are also reported by area.
Can Q4260 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What documentation supports the quantity?
Document that Signature APatch was used and the square-centimeter quantity furnished. The record should also identify the associated primary procedure.
How does the global period affect payment?
CMS pays Q4260 within the global period of the primary procedure with which it is billed.
Does Q4260 include interpretation?
No. CMS classifies Q4260 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.
18,345Q4257,,"Relese, 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
18,346Q4258,,"Enverse, 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
18,347Q4259,,Celera 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
18,348Q4260,,"Signature apatch, 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
18,349Q4261,,"Tag, per square centimeter",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
18,350Q4262,,"Dual layer impax, 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
18,351Q4263,,"Surgraft tl, 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