HCPCS Q4324: Amniotic graftMedicare rate & RVUs in Utah

Reports AmnioTx amniotic tissue used for wound coverage, billed per square centimeter with the primary procedure that applies the graft.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $119.62 for Q4324 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 Q4324 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What Q4324 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 Q4324 covers

Q4324 identifies AmnioTx, an amniotic tissue product used as a covering for skin wounds, including chronic or difficult-to-heal ulcers. It represents the product, not the clinician’s work to prepare the wound or apply the graft. Physicians and other qualified practitioners involved in wound care may use it in an office or facility setting as part of a graft application service.

Report the documented square centimeters of product used and pair Q4324 with the primary application procedure selected for the treated site and wound area; it is not a standalone service. Keep the product record and procedure note consistent about the product and amount applied. CMS treats Q4324 as an add-on paid within the primary procedure’s global period. It is also classified as technical-component-only, with interpretation covered by a separate code.

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.

Q4324 in Utah

Q4324 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$119.62Unavailable

How the Q4324 rate is calculated

Each of Q4324’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 · Q4324

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 Q4324

The CMS indicators that decide how Q4324 is paid alongside other services.

CMS payment indicators · Q4324

Amniotic graft

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.

Q4324 compared with similar codes

Compare codes

Q4324 vs Q4323 vs Q4325 vs 15271: national Medicare rates

Swap in your local Medicare rate.

  • Q4324
    Amniotic graft · 0 wRVU
    $127.26
  • Q4323
    AlloPly · 0 wRVU
    $127.26+$0.00
  • Q4325
    Wound product · 0 wRVU
    $127.26+$0.00
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73

How to choose

Q4323AlloPly
Q4323 identifies Alloply, while Q4324 identifies AmnioTx. Select the code that matches the product documented as used.
Q4325Wound product
Q4325 identifies Acapatch, not AmnioTx. The product name in the record determines which supply code to report.
15271Skin substitute graft
15271 reports the primary graft-application procedure; Q4324 identifies the AmnioTx product and is reported as an add-on with a primary procedure.

Q4324 billing questions

Can Q4324 be reported by itself?

No. It is an add-on for the primary procedure that applies the graft, and CMS pays it within that procedure’s global period.

How should the quantity be reported?

Report the quantity in square centimeters. Documentation should identify AmnioTx and support the amount used for the graft application.

Is Q4324 the application procedure?

No. Q4324 identifies the AmnioTx product; a separate primary procedure reports application of the graft to the wound.

Does Q4324 include professional interpretation?

No. CMS classifies Q4324 as technical-component-only; a separate code covers interpretation.

How is Q4324 distinguished from Q4323 or Q4325?

These codes identify different wound products. Use Q4324 for AmnioTx, rather than selecting it based only on wound location or size.

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 Q4324PPRRVU2026_Oct_nonQPP.csv, line 18,411 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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