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CMS RVU26D · Effective 2026-10-01

Q4380 Wound graft Medicare reimbursement rates in Pennsylvania

Reports each square centimeter of single Advograft supplied for wound coverage, alongside the primary procedure that applies the product. Compare Q4380 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 Q4380 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.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $15.65 per service.

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.

Find Q4380 in your payment locality →

Wound care supply

About Q4380: Advograft single-layer wound product

Reports each square centimeter of single Advograft supplied for wound coverage, alongside the primary procedure that applies the product.

Q4380 identifies the single Advograft wound product by the square centimeter supplied. It represents the product, not the clinician’s work to prepare the wound or apply the graft. Wound care clinicians and surgeons may use the product when treating wounds that require graft coverage; the clinical record should identify the product and the wound treated.

Report units based on the documented square centimeters of Advograft supplied, and bill the code only with a primary procedure. CMS treats Q4380 as an add-on paid within the primary procedure’s global period. The application service is reported separately under the appropriate primary procedure code. CMS classifies Q4380 as technical-component-only; a separate code covers interpretation. Documentation should support the product used, the quantity supplied, and the associated primary procedure.

CMS billing rules for Q4380

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.

Q4380 compared with similar codes

Office rates for Pennsylvania, from the same CMS release.

Q4382

Skin substitute

Advograft Dual, per square centimeter

$116.82–$132.47

Q4382 identifies Advograft dual; Q4380 identifies the single Advograft product. Use the code matching the product supplied.

Q4367

Amniotic tissue product

Amniocore SL, per cm²

$116.82–$132.47

Q4367 identifies Amniocore SL rather than Advograft. These are distinct product-specific supply codes, not interchangeable descriptions.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$149.22–$164.41

15271 reports the wound application procedure for its covered sites and area range; Q4380 reports the Advograft product supplied with a primary procedure.

Compare Q4380 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

Office and facility base rates · shared scale starting at $0

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Q4380 billing questions

How is Q4380 different from Q4382?

Both identify Advograft by the square centimeter, but Q4380 is the single-product version and Q4382 identifies Advograft dual. Match the billed code to the product actually supplied.

Does Q4380 include the wound application?

No. Q4380 identifies the product supplied. Report the wound application under the appropriate primary procedure code.

Can Q4380 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure, and payment falls within that procedure’s global period.

How many units should be reported?

Report the documented square centimeters of Advograft supplied. The record should support the product and the quantity.

Does Q4380 include professional interpretation?

No. CMS classifies it 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.

RVUs for Q4380PPRRVU2026_Oct_nonQPP.csv, line 18,466 (RVU26D)