HCPCS Q4344: Wound membraneMedicare rate & RVUs in Delaware

Q4344 reports Tri-Membrane Wrap by square centimeter when the product is placed over a wound during a separately coded primary procedure.

CMS RVU26DEffective Oct 1, 20261 payment locality

Medicare pays $125.73 for Q4344 in the office in Delaware (Delaware). Which amount applies depends on the service address.

$125.73Office (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 Q4344 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Delaware
  2. What Q4344 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 Q4344 covers

Q4344 identifies Tri-Membrane Wrap, a named membrane product used as a wound covering. Wound-care clinicians and surgeons may place it over a prepared wound bed, including in care of chronic ulcers such as diabetic foot or venous leg ulcers. The product line represents the material; the procedure that prepares the wound and applies the covering is reported separately when appropriate.

Report the product by square centimeter and document the product used, wound site, and area placed. CMS classifies Q4344 as an add-on code: it must be billed with a primary procedure, and payment is within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation covered by a separate code. Application procedures such as 15271 or 15275 may be relevant depending on the wound location; use the procedure code that matches the service performed.

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.

Q4344 in Delaware

Q4344 office and facility rates by payment locality
Payment localityOfficeFacility
Delaware$125.73Unavailable

How the Q4344 rate is calculated

Each of Q4344’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 · Q4344

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4344

The CMS indicators that decide how Q4344 is paid alongside other services.

CMS payment indicators · Q4344

Wound membrane

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.

Q4344 compared with similar codes

Compare codes

Q4344 vs 15271 vs 15275 vs Q4345: national Medicare rates

Swap in your local Medicare rate.

  • Q4344
    Wound membrane · 0 wRVU
    $127.26
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73
  • 15275
    Skin substitute · 1.78 wRVU
    $160.32+$33.06
  • Q4345
    Allograft matrix · 0 wRVU
    $127.26+$0.00

How to choose

15271Skin substitute graft
15271 reports application of a skin substitute for its designated anatomic site group; Q4344 identifies the Tri-Membrane Wrap product used with a primary procedure.
15275Skin substitute
15275 is an application procedure for a different anatomic site group from 15271. Q4344 identifies the product, not the wound-site application service.
Q4345Allograft matrix
Q4345 identifies Matrix HD Allograft, a different named wound product. Q4344 is specific to Tri-Membrane Wrap.

Q4344 billing questions

Can Q4344 be billed by itself?

No. CMS identifies Q4344 as an add-on code that must be billed with a primary procedure.

How is the quantity reported?

The descriptor is per square centimeter. Record the Tri-Membrane Wrap product and the area placed on the wound.

Which application code may accompany Q4344?

The appropriate skin-substitute application procedure depends on wound location and the service performed. Codes 15271 and 15275 are examples for different anatomic site groups.

Is interpretation included in Q4344?

CMS classifies Q4344 as technical-component-only and indicates that a separate code covers interpretation.

How does the global-period rule affect payment?

Q4344 is paid within the global period of the primary procedure with which it is billed.

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 Q4344PPRRVU2026_Oct_nonQPP.csv, line 18,431 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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