$116.82–$132.47
Q4360 identifies AmchoPlast FD; Q4372 identifies AmchoPlast EXCL. Choose according to the product supplied, not the wound’s size or site.
On this page
CMS RVU26D · Effective 2026-10-01
Q4372 AmchoPlast EXCL Medicare reimbursement rates in Pennsylvania
Reports AmchoPlast EXCL wound-matrix product by square centimeter when supplied for application during a qualifying primary wound procedure. Compare Q4372 office and facility rates across CMS payment localities in Pennsylvania.
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 Q4372 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$116.82–$132.47
2 of 2 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.
Wound care supply
About Q4372: AmchoPlast EXCL wound matrix supply
Reports AmchoPlast EXCL wound-matrix product by square centimeter when supplied for application during a qualifying primary wound procedure.
Q4372 identifies the AmchoPlast EXCL product supplied for use as a biologic wound-covering matrix. It represents the product, not the clinician’s work applying it. Wound-care clinicians may use the material during a procedure for a selected wound; the code is reported by the square centimeter of product represented. The exact product name matters because nearby HCPCS codes identify other tissue products or AmchoPlast variants.
Report Q4372 only with a primary procedure, not by itself. CMS treats it as an add-on paid within the primary procedure’s global period. Documentation should identify AmchoPlast EXCL, the associated wound procedure, and the product quantity in square centimeters. CMS classifies the code as technical-component-only; a separate code covers interpretation. The clinical application service is represented by the primary procedure, while Q4372 identifies the product. Do not substitute another product’s HCPCS code based only on wound size or site.
CMS billing rules for Q4372
- 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.
Q4372 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$116.82–$132.47
Q4373 identifies Membrane Wrap LT, a different named product. Q4372 is specific to AmchoPlast EXCL.
$149.22–$164.41
15271 reports a primary wound application service when applicable; Q4372 identifies the AmchoPlast EXCL product and must accompany a primary procedure.
Compare Q4372 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$132.47
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$116.82
Facility
Unavailable
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Q4372 billing questions
Can Q4372 be billed by itself?
No. CMS identifies Q4372 as an add-on code that must be billed with a primary procedure and is paid within that procedure’s global period.
How should the units be determined?
The descriptor is per square centimeter. Document the AmchoPlast EXCL quantity represented in square centimeters.
Is Q4372 the wound application service?
No. Q4372 identifies the AmchoPlast EXCL product; report the applicable primary procedure for the clinician’s wound application service.
Does Q4372 include interpretation?
CMS classifies it as technical-component-only and indicates that a separate code covers interpretation. Q4372 itself is not the interpretation service.
How is Q4372 distinguished from Q4360?
Both descriptors identify AmchoPlast, but Q4372 specifies AmchoPlast EXCL and Q4360 specifies AmchoPlast FD. Select the code matching the product used.
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.
18,456Q4369,,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
18,457Q4370,,Aeroguard 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
18,458Q4371,,Neoguard 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
18,459Q4372,,Amchoplast excl 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
18,460Q4373,,Membrane wrp lt 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
18,461Q4375,,Duograft 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
18,462Q4376,,Duograft 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