HCPCS Q4307: Amnion productMedicare rate & RVUs in Nevada

Reports each square centimeter of American amnion supplied for wound coverage, alongside the applicable procedure for applying a skin substitute.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $127.38 for Q4307 in the office in Nevada (Nevada**). Which amount applies depends on the service address.

$127.38Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open Q4307 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Nevada
  2. What Q4307 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What Q4307 covers

Q4307 represents American amnion furnished for application to a wound. It is used in wound management, including treatment of chronic ulcers, when the clinician selects this specific amnion product as a wound covering. Physicians and other qualified practitioners may apply the product in outpatient settings such as a clinic or hospital department; the associated application procedure is reported separately when supported by the service performed.

Report units based on the documented square centimeters of product supplied, and pair Q4307 with the applicable primary application procedure. The record should identify the product, wound site and size, amount used, and application performed. CMS classifies Q4307 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation.

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.

Q4307 in Nevada**

Q4307 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**$127.38Unavailable

How the Q4307 rate is calculated

Each of Q4307’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · Q4307

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4307

The CMS indicators that decide how Q4307 is paid alongside other services.

CMS payment indicators · Q4307

Amnion product

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4307 compared with similar codes

Compare codes

Q4307 vs Q4305 vs Q4306 vs 15271: national Medicare rates

Swap in your local Medicare rate.

  • Q4307
    Amnion product · 0 wRVU
    $127.26
  • Q4305
    Wound allograft · 0 wRVU
    $127.26+$0.00
  • Q4306
    Amnion allograft · 0 wRVU
    $127.26+$0.00
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73

How to choose

Q4305Wound allograft
Q4305 identifies American amnion AC tri-layer. Use Q4307 when the product furnished is the American amnion product represented by that code.
Q4306Amnion allograft
Q4306 identifies American amnion AC. The product identity, not the wound area or application procedure, distinguishes it from Q4307.
15271Skin substitute graft
15271 reports the application procedure for qualifying trunk, arm, or leg wounds; Q4307 reports the American amnion product by square centimeter and is billed with a primary procedure.

Q4307 billing questions

How is Q4307 different from Q4305 or Q4306?

These codes identify different American amnion products. Report the code matching the product actually furnished, rather than selecting by wound size or application technique.

What procedure should accompany Q4307?

Report it with the applicable primary skin-substitute application procedure, selected by wound location and treated area. Q4307 is an add-on and is not billed alone.

How are units calculated?

Units represent the square centimeters of American amnion supplied. Document the amount used and the wound dimensions supporting the reported quantity.

Is the wound application included in Q4307?

Q4307 reports the product, while the clinician’s application is represented by the applicable procedure code. The supporting record should show both the product furnished and the application performed.

Does Q4307 include interpretation?

No. CMS identifies Q4307 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for Q4307PPRRVU2026_Oct_nonQPP.csv, line 18,394 (RVU26D)
Geographic factors for Nevada**GPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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