$154.19–$179.60
15271 reports the primary application service for eligible wounds on the trunk, arms, or legs; Q4250 reports the AmnioAMP-MP product supplied with that service.
On this page
CMS RVU26D · Effective 2026-10-01
Q4250 Wound allograft Medicare reimbursement rates in Virginia
Q4250 reports the AmnioAMP-MP amniotic membrane product, measured by square centimeter, when supplied for application to a wound. Compare Q4250 office and facility rates across CMS payment localities in Virginia.
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 Q4250 in Virginia?
Virginia 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
$125.09–$149.91
2 of 2 localities have a supported rate.
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.
Skin substitute product
About Q4250: AmnioAMP-MP wound membrane product
Q4250 reports the AmnioAMP-MP amniotic membrane product, measured by square centimeter, when supplied for application to a wound.
Q4250 identifies the AmnioAMP-MP amniotic membrane product by the square centimeter. It represents the product supplied for wound coverage, not the clinician’s work applying it. Wound care clinicians, surgeons, and podiatrists may use this type of membrane during treatment of wounds in office, outpatient, or surgical settings. The product code is reported with the primary procedure that applies the membrane, such as an appropriate skin substitute application service.
Report units according to the square centimeters of product supplied, supported by the product record and documentation of the wound site, dimensions, and amount used. Q4250 is an add-on code: bill it only with a primary procedure, and payment falls within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation. The application service and the product are distinct coding elements, so the application procedure must be reported separately when performed.
CMS billing rules for Q4250
- 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%
70.4K
Medicare services in 2024 · #671 by national volume
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.
Q4250 compared with similar codes
Office rates for Virginia, from the same CMS release.
$156.76–$181.06
15275 reports the primary application service for eligible wounds on the head, face, digits, or genitalia; Q4250 identifies the product, not the application work.
$125.09–$149.91
Q4247 identifies Amniotext patch per square centimeter, whereas Q4250 identifies AmnioAMP-MP per square centimeter. Select the product code matching the item supplied.
Compare Q4250 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
Dc + Md/Va Suburbs →
Office / nonfacility
$149.91
Facility
Unavailable
Virginia →
Office / nonfacility
$125.09
Facility
Unavailable
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Q4250 billing questions
Can Q4250 be billed by itself?
No. It is an add-on product code and must be billed with a primary procedure, such as an appropriate skin substitute application service.
How are units determined?
The unit of measure is one square centimeter. Document the product amount supplied and the wound dimensions that support the reported units.
Does Q4250 include the clinician’s application work?
No. Q4250 identifies the AmnioAMP-MP product; report the applicable primary procedure separately for the work of applying it.
Is interpretation included in Q4250?
No. CMS identifies Q4250 as technical-component-only, with interpretation covered by a separate code.
How does Q4250 differ from Q4247?
Q4250 identifies AmnioAMP-MP per square centimeter, while Q4247 identifies Amniotext patch per square centimeter. Report the code for the product actually 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.
18,335Q4247,,"Amniotext patch, 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
18,336Q4248,,Dermacyte amn mem allo 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
18,337Q4249,,"Amniply, 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
18,338Q4250,,Amnioamp-mp 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
18,339Q4251,,"Vim, per square centimeter",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
18,340Q4252,,"Vendaje, per square centimet",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
18,341Q4253,,Zenith amniotic membrane psc,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