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See a sample rate comparisonHCPCS Q4272 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Esano a, per square centimeter (add-on, list separately in addition to primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Skin Substitutes and Biologicals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q4272 |
National average reimbursement for HCPCS Q4272 by major payers:
$168.13
$365.27
$294.77
$299.11
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HCPCS Q4272
5 of 25 sample ratesHigher to lower in this preview
Fred Hutchinson Cancer Center
$875.25Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$560.17Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$360.50Published rateCindy Chang
Miguel A Arenas Md PC
$360.50Published rateCoram Alternate Site Services Inc
$297.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS Q4272 vs. Other Skin Substitutes and Biologicals Codes
The HCPCS Q4272 code is part of the Temporary Codes services used for Skin Substitutes and Biologicals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q4272 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q4271-HCPCS | High | Complete ft, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4272-HCPCS | Low | Esano a, per square centimeter (add-on, list separately in addition to primary procedure) |
| Q4273-HCPCS | Low | Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q4272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q4272 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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