$111.35
Q4409 is for AmnioMatrix F3X; Q4411 is for AmnioMatrix F4X. The product identity, not the shared area-based unit, determines the code.
On this page
CMS RVU26D · Effective 2026-10-01
Q4411 Wound matrix Medicare reimbursement rates in Alabama
Reports the AmnioMatrix F4X wound matrix by square centimeter when this specific product is furnished with a primary wound procedure. Compare Q4411 office and facility rates across CMS payment localities in Alabama.
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 Q4411 in Alabama?
Alabama 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
$111.35
1 of 1 localities have a supported rate.
Payment area: Alabama
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 Q4411: AmnioMatrix F4X wound matrix
Reports the AmnioMatrix F4X wound matrix by square centimeter when this specific product is furnished with a primary wound procedure.
Q4411 identifies the AmnioMatrix F4X wound product by surface area, rather than the clinician’s application work. It is reported when this specific amniotic-tissue matrix is furnished for placement on a wound, such as an ulcer treated in an outpatient wound clinic. A physician or other qualified practitioner typically selects and applies the product as part of wound treatment; Q4411 represents the product quantity. The code is technical-component-only, with a separate code covering interpretation.
Report Q4411 only with a primary procedure. CMS treats it as an add-on, and payment falls within that procedure’s global period. Base the units on the documented square centimeters of AmnioMatrix F4X furnished, and retain records identifying the product, treated site, amount used, and associated wound procedure. Do not report another product-specific code just because it also uses square-centimeter units. Interpretation is represented separately from Q4411.
CMS billing rules for Q4411
- 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.
Q4411 compared with similar codes
Office rates for Alabama, from the same CMS release.
$111.35
Q4410 identifies Amchomatrix DL, a different named wound product. Use Q4411 only when AmnioMatrix F4X is furnished.
$111.35
Q4412 identifies Choriofix rather than AmnioMatrix F4X. Both descriptors use square-centimeter units, so verify the product actually supplied.
Compare Q4411 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
Alabama →
Office / nonfacility
$111.35
Facility
Unavailable
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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 Q4411 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
18,496
- Code
- Q4411
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.875 | 3.3338 |
| Malpractice | 0.00 | × 0.566 | 0.0000 |
| Total RVUs | 3.3338 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$111.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.875 |
| Malpractice | 0 | 0.566 |
(0 × 1 + 3.81 × 0.875 + 0 × 0.566) × $33.4009 = $111.35
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.
Q4411 billing questions
How is Q4411 different from Q4409?
Q4411 identifies AmnioMatrix F4X, while Q4409 identifies AmnioMatrix F3X. Select the code matching the specific product furnished, not just the wound or area treated.
Can Q4411 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
How should the units be determined?
Report the square centimeters of AmnioMatrix F4X furnished, supported by the product and wound documentation.
Does Q4411 include interpretation?
No. CMS classifies Q4411 as technical-component-only; a separate code covers interpretation.
What documentation supports reporting Q4411?
Document the exact product, the wound site, the square centimeters furnished, and the primary wound procedure reported with the add-on.
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.
18,493Q4408,,Xwrap 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
18,494Q4409,,Amniomatrixf3x 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
18,495Q4410,,Amchomatrixdl 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
18,496Q4411,,Amniomatrixf4x 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
18,497Q4412,,Choriofix 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
18,498Q4413,,Cygnus solo 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
18,499Q4414,,Simplichor 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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515