$109.70–$121.15
Q4303 identifies Complete AA, whereas Q4302 identifies Complete ACA. Choose according to the specific product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4302 Skin substitute Medicare reimbursement rates in Missouri
Reports the Complete ACA skin substitute supplied for wound treatment, measured by square centimeters and billed with the applicable graft-application procedure. Compare Q4302 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 Q4302 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 Q4302 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Wound care supply
About Q4302: Complete ACA wound graft supply
Reports the Complete ACA skin substitute supplied for wound treatment, measured by square centimeters and billed with the applicable graft-application procedure.
Q4302 identifies Complete ACA, a skin-substitute product supplied for wound treatment. A clinician applies the material to a wound, commonly in a wound-care or surgical setting; the HCPCS code reports the product, not the clinician’s application service. The corresponding application procedure is reported separately. The product may be considered for wounds managed with a skin substitute, with selection based on the treating clinician’s plan and the product actually used.
Report the quantity in square centimeters and document the product, treated wound, amount supplied or applied, and associated application procedure. This is an add-on code: bill it only with a primary procedure, and Medicare payment falls within that procedure’s global period. CMS identifies Q4302 as technical-component-only, with interpretation covered by a separate code. The code has no physician work RVUs; its practice-expense RVUs represent the technical side of the service.
CMS billing rules for Q4302
- 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.
Q4302 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4301 identifies Activate Matrix, a different product. Q4302 is specific to Complete ACA.
$143.70–$153.09
15271 reports the application service for eligible trunk, arm, or leg sites; Q4302 reports the Complete ACA product supplied for that service.
Compare Q4302 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
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Q4302 billing questions
Is Q4302 the wound application procedure?
No. Q4302 reports the Complete ACA product by square centimeter. Report the appropriate skin-substitute application procedure separately.
Can Q4302 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
What quantity should the claim report?
Report the Complete ACA quantity in square centimeters. Documentation should identify the product and the amount supplied or applied to the treated wound.
How does the global-period rule affect payment?
Medicare pays Q4302 within the global period of the associated primary procedure; it is not a standalone service outside that procedure.
Does Q4302 include interpretation?
CMS classifies it as technical-component-only and states that a separate code covers interpretation.
How is Q4302 different from Q4303?
The codes identify different named products: Complete ACA and Complete AA. Select the code for the product actually used, rather than choosing by wound size.
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.
18,386Q4299,,"Amniocore pro+, 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
18,387Q4300,,"Acesso 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
18,388Q4301,,"Activate matrix, 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
18,389Q4302,,"Complete 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
18,390Q4303,,"Complete aa, 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
18,391Q4304,,"Grafix plus, 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
18,392Q4305,,Amer am ac tri-lay 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