$113.64
Q4365 identifies a different AmnioBUR product. Choose between it and Q4366 by the specific product used, not simply because both are amniotic membrane grafts.
On this page
CMS RVU26D · Effective 2026-10-01
Q4366 Amniotic membrane Medicare reimbursement rates in Oklahoma
Reports each square centimeter of DL AmnioBUR X-Mem used as a wound covering during a separately reported skin-substitute application procedure. Compare Q4366 office and facility rates across CMS payment localities in Oklahoma.
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 Q4366 in Oklahoma?
Oklahoma 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
$113.64
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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.
Wound care supplies
About Q4366: DL AmnioBUR X-Mem wound graft
Reports each square centimeter of DL AmnioBUR X-Mem used as a wound covering during a separately reported skin-substitute application procedure.
Q4366 identifies the DL AmnioBUR X-Mem amniotic membrane product, counted by square centimeter. A wound-care physician, podiatrist, or surgeon may use it as a covering for a wound, such as a diabetic foot ulcer or venous leg ulcer, in an outpatient wound clinic or surgical setting. The product code represents the graft material, not the clinician’s work of preparing the wound or applying the graft.
Report the product only with a primary application procedure, such as the appropriate skin-substitute application code for the wound site and treated area. Document the product identity, wound location, area treated, and quantity used; report Q4366 units in square centimeters. CMS classifies Q4366 as a technical-component-only code, with interpretation covered by a separate code. Payment for this add-on is included within the primary procedure’s global period.
CMS billing rules for Q4366
- 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.
Q4366 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$113.64
Q4364 identifies another AmnioBUR product. Match the claim to the exact product name and labeling rather than treating these product codes as interchangeable.
$113.64
Q4367 is a separate product code for Amniocore SL. Use Q4366 for DL AmnioBUR X-Mem, not for another amniotic membrane product.
Compare Q4366 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
Oklahoma →
Office / nonfacility
$113.64
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 Q4366 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
18,453
- Code
- Q4366
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.893 | 3.4023 |
| Malpractice | 0.00 | × 0.777 | 0.0000 |
| Total RVUs | 3.4023 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$113.64
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.893 |
| Malpractice | 0 | 0.777 |
(0 × 1 + 3.81 × 0.893 + 0 × 0.777) × $33.4009 = $113.64
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.
Q4366 billing questions
How is Q4366 distinguished from other amniotic membrane codes?
Use Q4366 only when the product is specifically DL AmnioBUR X-Mem. Select a different product code when the graft’s product name or labeling identifies another product, even if it is also amniotic tissue.
Can Q4366 be billed without a wound application procedure?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure. The primary application code depends on the wound site and treated area.
How are the units reported?
Report the quantity in square centimeters. Documentation should identify the graft product and support the wound area and amount used.
Does Q4366 include the clinician’s work applying the graft?
No. Q4366 identifies the product. Report the appropriate primary application procedure for the clinician’s work; payment for Q4366 falls within that procedure’s global period.
What does technical-component-only mean for Q4366?
CMS classifies the code as technical-component-only and indicates that a separate code covers interpretation. Q4366 itself identifies the graft product.
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.
18,450Q4363,,Am bur mem hydro 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
18,451Q4364,,Am bur xp mem xpl hy p 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
18,452Q4365,,Amnio bur dl mem 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
18,453Q4366,,Dl amnio bur x-mem 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
18,454Q4367,,"Amniocore sl, 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
18,455Q4368,,Amchothick 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
18,456Q4369,,Amnioplast 3 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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193