HCPCS Q4296: Rebound MatrixMedicare rate & RVUs in Florida
Report Rebound Matrix by square centimeter as wound coverage material alongside its application procedure, with the product quantity documented within the procedure's global period.
Medicare pays $121.66–$132.47 for Q4296 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4296 covers
Q4296 identifies Rebound Matrix furnished for wound coverage and measured by square centimeter. It represents the product, not the clinician’s wound-preparation or application service. Wound-care physicians, podiatrists, and other qualified practitioners may use the matrix during wound treatment in an outpatient clinic or hospital setting; the code itself does not specify a wound cause, site, or severity.
Report Q4296 with the primary procedure for applying the matrix, using units that reflect the square centimeters reported. Document the product name, treated wound area, amount used, and associated application procedure so the supply quantity can be reconciled to the service. CMS classifies Q4296 as an add-on, payable only with a primary procedure and within that procedure’s global period. It is technical-component-only; a separate code covers interpretation.
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 Q4296 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$121.66 to $132.47
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $128.91 | Unavailable |
| Miami | $132.47 | Unavailable |
| Rest Of Florida | $121.66 | Unavailable |
How the Q4296 rate is calculated
Each of Q4296’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 · Q4296
RVUs × geographic indexes × conversion factor
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 Q4296
The CMS indicators that decide how Q4296 is paid alongside other services.
CMS payment indicators · Q4296
Rebound Matrix
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4296 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports the application procedure for a skin substitute graft at specified trunk, arm, or leg sites; Q4296 identifies the Rebound Matrix product.
- 15275Skin substitute
- 15275 reports the application procedure at specified head, neck, hand, foot, or genital sites; Q4296 reports the product rather than the application.
- Q4297Wound matrix
- Q4297 identifies Emerge Matrix, while Q4296 identifies Rebound Matrix. Select the product code matching the material furnished.
- Q4280Amniotic matrix
- Q4280 identifies Xcell amnio matrix; Q4296 identifies Rebound Matrix. Both are product codes measured by square centimeter.
Q4296 billing questions
Can Q4296 be reported by itself?
No. CMS identifies it as an add-on that must be billed with a primary procedure.
How are units determined?
The descriptor measures Rebound Matrix by square centimeter. Document the treated area and the product quantity reported.
Is the matrix application included in Q4296?
Q4296 identifies the product, while the primary procedure represents the application service. Report the required primary procedure with the product code.
How does the global-period rule affect payment?
CMS pays Q4296 within the global period of the primary procedure; it is not reported as a stand-alone service.
Does Q4296 include interpretation?
No. CMS classifies Q4296 as technical-component-only, with interpretation covered by a separate code.
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
Fee sheets
Put Q4296 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →