$153.50
This is an application procedure for skin substitute grafts on the trunk, arms, or legs. Q4360 reports the AmchoPlast FD product used with the application.
On this page
CMS RVU26D · Effective 2026-10-01
Q4360 Amniotic membrane Medicare reimbursement rates in Vermont
Reports AmchoPlast FD amniotic membrane supplied for wound reconstruction, measured by square centimeter and paired with a primary application procedure. Compare Q4360 office and facility rates across CMS payment localities in Vermont.
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 Q4360 in Vermont?
Vermont has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$125.98
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
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 product
About Q4360: AmchoPlast FD wound product
Reports AmchoPlast FD amniotic membrane supplied for wound reconstruction, measured by square centimeter and paired with a primary application procedure.
AmchoPlast FD is a dehydrated amniotic membrane product supplied for placement as a biologic covering during wound reconstruction. A clinician may use it in treating a cutaneous wound, such as a chronic ulcer or surgical wound. Surgeons and wound-care clinicians apply the product after preparing the wound bed as part of a separately coded graft-application procedure. Q4360 represents the product, rather than the clinician’s wound evaluation or the application work.
Report the product by square centimeter with the primary application procedure; choose that procedure according to the treated site and area. Documentation should identify AmchoPlast FD, the wound site and dimensions, the product area used, and the application procedure. CMS classifies Q4360 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is also a technical-component-only code; a separate code covers interpretation.
CMS billing rules for Q4360
- 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.
Q4360 compared with similar codes
Office rates for Vermont, from the same CMS release.
$156.08
This is an application procedure for specified sites such as the head, hands, or feet. Choose the application code by site; Q4360 identifies the product.
$125.98
Q4372 identifies Amchoplast Excl rather than AmchoPlast FD. Match the HCPCS code to the product supplied.
Compare Q4360 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.
1 of 1 payment localities
Vermont →
Office / nonfacility
$125.98
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4360 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,447
- Code
- Q4360
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.990 | 3.7719 |
| Malpractice | 0.00 | × 0.506 | 0.0000 |
| Total RVUs | 3.7719 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$125.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.99 |
| Malpractice | 0 | 0.506 |
(0 × 1 + 3.81 × 0.99 + 0 × 0.506) × $33.4009 = $125.98
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4360 billing questions
Is Q4360 the wound application procedure?
No. Q4360 reports the AmchoPlast FD product by square centimeter. Report the appropriate wound graft-application procedure separately.
What primary procedure should accompany Q4360?
Select the application procedure based on the treated anatomical site and area. For example, the 15271 series applies to trunk, arms, or legs, while the 15275 series applies to specified other sites, including hands and feet.
How should the units be supported?
Document the AmchoPlast FD product, wound site and dimensions, square centimeters represented, and the application procedure. The code is measured per square centimeter.
How does the global-period rule affect Q4360?
CMS treats Q4360 as an add-on code that must be billed with a primary procedure. Payment is within that primary procedure’s global period.
Does Q4360 include interpretation?
No. CMS classifies Q4360 as technical-component-only; a separate code covers interpretation.
Is Q4360 interchangeable with Q4372?
No. Q4360 identifies AmchoPlast FD, while Q4372 identifies Amchoplast Excl. Use the code matching the product supplied.
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.
18,444Q4357,,"Xwrap plus, 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
18,445Q4358,,"Xwrap dual, 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
18,446Q4359,,"Choriply, 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
18,447Q4360,,Amchoplast fd 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
18,448Q4361,,"Epixpress, 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
18,449Q4362,,"Cygnus disk, 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
18,450Q4363,,Am bur mem hydro 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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817