$135.40
Q4351 identifies Enclose TL Matrix; use Q4353 for Xceed TL Matrix. Both are product-specific codes measured by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
Q4353 Wound matrix Medicare reimbursement rates in Colorado
Q4353 identifies the Xceed TL Matrix by square centimeter when this wound matrix is furnished with a primary procedure for wound treatment. Compare Q4353 office and facility rates across CMS payment localities in Colorado.
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 Q4353 in Colorado?
Colorado 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
$135.40
1 of 1 localities have a supported rate.
Payment area: Colorado
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 products
About Q4353: Xceed TL wound matrix
Q4353 identifies the Xceed TL Matrix by square centimeter when this wound matrix is furnished with a primary procedure for wound treatment.
Q4353 identifies Xceed TL Matrix by the square centimeter for use as a wound matrix in wound treatment. Wound care clinicians and surgeons may use the product to cover a prepared wound bed, including wounds managed in outpatient wound clinics or surgical settings. The code identifies the product quantity, not the clinical service of preparing the wound or applying the matrix.
Report Q4353 only with a primary procedure; CMS treats it as an add-on code, with payment within that procedure’s global period. Document the product used and the square-centimeter quantity represented by the claim, along with the wound and treatment details supporting the primary procedure. CMS classifies this as a technical-component-only code, with a separate code covering interpretation.
CMS billing rules for Q4353
- 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.
Q4353 compared with similar codes
Office rates for Colorado, from the same CMS release.
$135.40
Q4352 identifies Overlay SL Matrix rather than Xceed TL Matrix. Select the code matching the product furnished.
$135.40
Q4343 identifies Dermacyte AC Matrix, not Xceed TL Matrix. The product identity, rather than wound size alone, distinguishes these codes.
Compare Q4353 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
Colorado →
Office / nonfacility
$135.40
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 Q4353 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
18,440
- Code
- Q4353
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.012 | 0.0000 |
| Practice expense | 3.81 | × 1.064 | 4.0538 |
| Malpractice | 0.00 | × 0.781 | 0.0000 |
| Total RVUs | 4.0538 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$135.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.012 |
| Practice expense | 3.81 | 1.064 |
| Malpractice | 0 | 0.781 |
(0 × 1.012 + 3.81 × 1.064 + 0 × 0.781) × $33.4009 = $135.40
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.
Q4353 billing questions
Can Q4353 be billed by itself?
No. CMS identifies Q4353 as an add-on code, so it must be billed with a primary procedure.
How are units determined?
The code is reported per square centimeter. Document the Xceed TL Matrix quantity represented on the claim and the treated wound area.
Is the matrix application included in Q4353?
Q4353 identifies the product quantity, while the required primary procedure represents the associated service. Do not treat the product code alone as the wound-preparation or application service.
What does the technical-component-only designation mean?
CMS classifies Q4353 as technical-component-only; a separate code covers interpretation.
What documentation supports reporting Q4353?
Record the wound treated, the Xceed TL Matrix product used, and its square-centimeter quantity, together with documentation for the primary procedure.
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.
18,437Q4350,,Palisade dm matrix 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
18,438Q4351,,"Enclose tl matrix, 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
18,439Q4352,,"Overlay sl matrix, 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
18,440Q4353,,Xceed tl matrix 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
18,441Q4354,,Palingen dl-palingen dl-x,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
18,442Q4355,,Abio xpl abio xpl hy p 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
18,443Q4356,,Abio mem abio hyd 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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899