HCPCS Q4369: Wound coveringMedicare rate & RVUs in Texas
Reports the square-centimeter supply of Amnioplast 3 when this amniotic membrane-based wound covering is applied with an eligible primary procedure.
Medicare pays $115.80–$134.64 for Q4369 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4369 covers
Q4369 identifies the supply of Amnioplast 3, an amniotic membrane-based wound covering measured by square centimeter. It represents the product, not wound-bed preparation or placement. Wound-care physicians, podiatrists, and surgeons may use this type of graft material in outpatient wound clinics or hospital outpatient settings for wounds such as diabetic foot or venous leg ulcers. Report Q4369 only when this specific product is supplied.
Count units by the square centimeters represented by the product used. Documentation should identify the product, wound site, treated area, quantity applied, and associated application procedure. Select the application procedure by anatomic site and wound area; 15271 or 15272 may be appropriate for qualifying trunk, arm, or leg wounds. CMS classifies Q4369 as an add-on code: submit it only with a primary procedure, and its payment falls within that procedure’s global period. It is technical-component-only; 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.
Where Q4369 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$115.80 to $134.64
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $134.64 | Unavailable |
| Beaumont | $115.80 | Unavailable |
| Brazoria | $126.11 | Unavailable |
| Dallas | $126.75 | Unavailable |
| Fort Worth | $125.48 | Unavailable |
| Galveston | $126.37 | Unavailable |
| Houston | $126.37 | Unavailable |
| Rest Of Texas | $120.77 | Unavailable |
How the Q4369 rate is calculated
Each of Q4369’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 · Q4369
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4369
The CMS indicators that decide how Q4369 is paid alongside other services.
CMS payment indicators · Q4369
Wound covering
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4369 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports an application procedure for qualifying trunk, arm, or leg wounds; Q4369 reports the Amnioplast 3 product supply.
- Q4368Wound matrix
- Q4368 identifies Amchothick. Use Q4369 only when the supplied product is Amnioplast 3.
- Q4372AmchoPlast EXCL
- Q4372 identifies Amchoplast excl. The product actually supplied determines whether Q4372 or Q4369 is reported.
Q4369 billing questions
Can Q4369 be billed by itself?
No. CMS classifies it as an add-on code, so it must be reported with a primary procedure.
Does Q4369 include the graft application?
No. Q4369 identifies the Amnioplast 3 product supply. Report the applicable primary procedure for placement based on the wound site and area.
How are units determined?
The code is measured per square centimeter. Document the treated area and the quantity of Amnioplast 3 used.
Does Q4369 include a professional interpretation?
No. CMS identifies Q4369 as technical-component-only; a separate code covers interpretation.
How does Q4369 differ from Q4368 or Q4372?
Each identifies a different named wound product. Report Q4369 only when Amnioplast 3 was supplied; use the code matching the product actually 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 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
Fee sheets
Put Q4369 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →