HCPCS Q4271: Complete FTMedicare rate & RVUs in Virginia

Reports the Complete FT wound product by square centimeter when it is furnished with a primary wound procedure.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $125.09–$149.91 for Q4271 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.

$125.09–$149.91Office (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 Q4271 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Virginia
  2. What Q4271 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 Q4271 covers

Q4271 identifies the Complete FT product supplied for wound treatment, measured by square centimeter. It represents the product rather than the clinician’s work applying it. Wound-care clinicians may use it in outpatient settings when furnishing the product as part of a wound procedure; the separately reported procedure captures the application service.

Report Q4271 with the appropriate primary procedure and document the product used, the treated wound, and the product area in square centimeters. The code is an add-on and is paid within the primary procedure’s global period. CMS classifies it as technical-component-only; a separate code covers interpretation. Keep the product code distinct from the application code, and select a different product-specific code when a different product was furnished.

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 Q4271 pays more and less in Virginia

Q4271 office and facility rates by payment locality
Payment localityOfficeFacility
Dc + Md/Va Suburbs$149.91Unavailable
Virginia$125.09Unavailable

How the Q4271 rate is calculated

Each of Q4271’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 · Q4271

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 Q4271

The CMS indicators that decide how Q4271 is paid alongside other services.

CMS payment indicators · Q4271

Complete FT

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.

Q4271 compared with similar codes

Compare codes · National

4 codes, side by side

  • Q4271

    Complete FT0 wRVU

    $127.26

  • Q4270

    Complete SL0 wRVU

    $127.26+$0.00

  • Q4268

    Wound product0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft1.46 wRVU

    $157.99+$30.73

How to choose

Q4270Complete SL
Q4270 identifies Complete SL, while Q4271 identifies Complete FT. Match the code to the specific product used.
Q4268Wound product
Q4268 identifies Surgraft FT, not Complete FT. These product-specific codes are not interchangeable based only on wound area.
15271Skin substitute graft
15271 reports a wound-application procedure; Q4271 reports the Complete FT product supplied with a primary procedure.

Q4271 billing questions

Does Q4271 include applying the product?

No. Q4271 identifies the Complete FT product by area; report the appropriate primary procedure for the wound application.

Can Q4271 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

What documentation supports the reported quantity?

Document the product identity, treated wound, and product area in square centimeters, along with the primary procedure.

How does Q4271 differ from Q4270?

Both identify Complete products, but Q4271 is the FT product and Q4270 is the SL product. Use the code matching the product furnished.

What does the technical-component-only designation mean?

CMS classifies Q4271 as technical-component-only, with a separate code covering 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 Q4271PPRRVU2026_Oct_nonQPP.csv, line 18,359 (RVU26D)

Open CMS sourceHow we calculate rates

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