HCPCS Q4312: Wound productMedicare rate & RVUs in Utah

Q4312 reports Acesso AC wound product by square centimeter when furnished with a primary wound application procedure.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $119.62 for Q4312 in the office in Utah (Utah). Which amount applies depends on the service address.

$119.62Office (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 Q4312 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What Q4312 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 Q4312 covers

Q4312 identifies the Acesso AC product used as a skin substitute or wound-covering material. It is reported by the clinician or facility furnishing the product during wound care, such as treatment of a chronic ulcer. The product code is distinct from the procedure that prepares the wound and applies the material; that procedure is selected according to the treated site and wound area.

Report the quantity in square centimeters and retain documentation identifying Acesso AC, the amount furnished, and the treated wound. CMS classifies Q4312 as an add-on code: submit it with a primary procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only, with a separate code covering interpretation. For example, the primary application procedure may be 15271 for an eligible trunk, arm, or leg site, or 15275 for an eligible head, face, neck, hand, foot, or genital site.

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.

Q4312 in Utah

Q4312 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$119.62Unavailable

How the Q4312 rate is calculated

Each of Q4312’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 · Q4312

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 Q4312

The CMS indicators that decide how Q4312 is paid alongside other services.

CMS payment indicators · Q4312

Wound 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.

Q4312 compared with similar codes

Compare codes

Q4312 vs Q4311 vs 15271 vs 15275: national Medicare rates

Swap in your local Medicare rate.

  • Q4312
    Wound product · 0 wRVU
    $127.26
  • Q4311
    Acesso graft · 0 wRVU
    $127.26+$0.00
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73
  • 15275
    Skin substitute · 1.78 wRVU
    $160.32+$33.06

How to choose

Q4311Acesso graft
Q4311 identifies Acesso; Q4312 identifies Acesso AC. Use the code matching the product furnished, even though both are reported by square centimeter.
15271Skin substitute graft
Q4312 reports the Acesso AC product quantity. Code 15271 reports the application procedure for eligible trunk, arm, or leg sites.
15275Skin substitute
Q4312 reports the product quantity, not its application. Code 15275 is the application procedure for eligible head, face, neck, hand, foot, or genital sites.

Q4312 billing questions

What does one unit of Q4312 represent?

The code is reported by square centimeter. Document the Acesso AC product and the quantity furnished for the treated wound.

Can Q4312 be billed by itself?

No. CMS identifies it as an add-on code, so report it with a primary procedure for the wound service.

Which application procedure is paired with Q4312?

Choose the primary application procedure based on the treated site and wound area. Examples include 15271 for eligible trunk, arm, or leg sites and 15275 for eligible head, face, neck, hand, foot, or genital sites.

How is Q4312 different from Q4311?

Both are product-specific codes reported by square centimeter, but Q4312 identifies Acesso AC and Q4311 identifies Acesso. Do not select between them based only on the similar names.

Does Q4312 include interpretation?

No. CMS classifies Q4312 as technical-component-only and indicates that 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 Q4312PPRRVU2026_Oct_nonQPP.csv, line 18,399 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what Q4312 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put Q4312 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 →