HCPCS code Q4373: Membrane graft, wrap LT, per square centimeter2026 Medicare rate & RVUs

Q4373 reports Membrane Wrap LT by square centimeter when this specific wound-covering product is supplied for application with a primary wound-treatment procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4373 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4373

Membrane graft, wrap LT, per square centimeter

Office or facility?

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4373 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What Q4373 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What Q4373 covers

Q4373 identifies the Membrane Wrap LT wound-covering product, reported by the square centimeter supplied for application to a wound. It represents the product, not the clinician’s wound-bed preparation or placement work. A wound-care practitioner may use it in an outpatient office or hospital setting to cover a prepared wound, such as a chronic ulcer. The product name in the clinical and supply records should support choosing Q4373 rather than a code for a different membrane or skin substitute.

Report the product quantity in square-centimeter units with the applicable primary wound-treatment procedure. Documentation should identify the product, treated site, wound dimensions or area, and quantity applied. CMS classifies Q4373 as an add-on paid within the primary procedure’s global period, so it is not paid as a stand-alone service. It is technical-component-only; a separate code covers interpretation. Report the practitioner’s placement work under the appropriate application service, not as part of this product 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.

Where Q4373 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

Q4373 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta, GA$129.29Unavailable
Austin, TX$134.64Unavailable
Bakersfield, CA$139.47Unavailable
Baltimore area, MD$136.55Unavailable
Beaumont, TX$115.80Unavailable
Brazoria, TX$126.11Unavailable

Q4373 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
Q4373 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

How the Q4373 rate is calculated

Each of Q4373’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 · Q4373

RVUs × geographic indexes × conversion factor

Office or facility?

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 Q4373

The CMS indicators that decide how Q4373 is paid alongside other services.

CMS payment indicators · Q4373

Membrane graft, wrap LT, per square centimeter

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.

Q4373 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4373

    Membrane graft, wrap LT, per square centimeter0 wRVU

    $127.26

  • Q4372

    AmchoPlast EXCL, per square centimeter0 wRVU

    $127.26+$0.00

  • Q4375

    Wound graft, duograft AC, per square centimeter0 wRVU

    $127.26+$0.00

  • Q4371

    Wound product, neoguard, per square centimeter0 wRVU

    $127.26+$0.00

How to choose

Q4372AmchoPlast EXCLPer square centimeter
Q4372 identifies Amchoplast Excl; use Q4373 for Membrane Wrap LT. Select the product code from the specific product documented, not merely the wound site.
Q4375Wound graftDuograft AC, per square centimeter
Q4375 identifies Duograft AC, a different named product. Q4373 is specific to Membrane Wrap LT.
Q4371Wound productNeoguard, per square centimeter
Q4371 identifies Neoguard. Do not substitute it for Q4373 when the product record identifies Membrane Wrap LT.

Q4373 billing questions

Can Q4373 be billed by itself?

No. CMS classifies it as an add-on that must be billed with a primary procedure and is paid within that procedure’s global period.

How are units determined?

Report the product quantity in square centimeters. Documentation should connect the quantity to the treated wound and the amount applied.

Does Q4373 include the clinician’s application work?

No. Q4373 identifies the Membrane Wrap LT product; report the applicable wound-treatment or application service separately.

Does this code include interpretation?

No. CMS identifies Q4373 as technical-component-only, with interpretation covered by a separate code.

What documentation supports reporting Q4373?

Record the Membrane Wrap LT product identity, treated site, wound area, and quantity applied. The records should distinguish it from other membrane or skin-substitute products.

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 Q4373PPRRVU2026_Oct_nonQPP.csv, line 18,460 (RVU26D)

Open CMS sourceHow we calculate rates

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