HCPCS Q4326: Wound productMedicare rate & RVUs in Florida
Q4326 reports WoundPlus supplied for wound coverage, measured by square centimeter and submitted with the primary wound procedure.
Medicare pays $121.66–$132.47 for Q4326 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 Q4326 covers
Q4326 identifies WoundPlus supplied for wound coverage during a wound-care procedure. It represents the product, not the clinician’s work applying it. Wound specialists, podiatrists, surgeons, and other clinicians may use wound coverage products when treating ulcers or other wounds in outpatient settings. The specific product and the amount used should be identifiable in the record and supported by the product documentation.
Report the quantity in square centimeters and pair Q4326 with the primary procedure for the wound service; the application procedure is reported separately. CMS classifies Q4326 as an add-on, with payment within the primary procedure’s global period. CMS also identifies it as technical-component-only, with interpretation covered by a separate code. Documentation should connect the WoundPlus product to the treated wound and state the quantity used. The product code does not replace the code describing the application service.
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 Q4326 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 Q4326 rate is calculated
Each of Q4326’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 · Q4326
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4326
The CMS indicators that decide how Q4326 is paid alongside other services.
CMS payment indicators · Q4326
Wound product
| 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. |
Q4326 compared with similar codes
Compare codes
Q4326 vs Q4327 vs Q4314 vs 15271: national Medicare rates
Swap in your local Medicare rate.
How to choose
- Q4327Amniotic allograft
- Q4327 identifies Duoamnion, while Q4326 identifies WoundPlus. Select the code for the product actually supplied.
- Q4314Wound product
- Q4314 identifies Reeva rather than WoundPlus. The per-square-centimeter unit does not make the product codes interchangeable.
- 15271Skin substitute graft
- 15271 reports the application procedure for qualifying trunk, arm, or leg sites; Q4326 reports the WoundPlus product supplied with the primary procedure.
Q4326 billing questions
When should Q4326 be chosen instead of another wound-product code?
Use Q4326 when the product supplied is WoundPlus. Other Q codes identify different products, even when they are also measured by square centimeter.
Is the wound application included in Q4326?
No. Q4326 identifies the WoundPlus product; report the applicable wound application procedure separately.
Can Q4326 be submitted by itself?
No. CMS classifies it as an add-on code that must be reported with a primary procedure.
What quantity should be documented?
Document the square-centimeter quantity of WoundPlus used and identify the treated wound. The code is measured per square centimeter.
Does Q4326 include a professional interpretation?
No. CMS identifies Q4326 as technical-component-only and indicates that a separate code covers interpretation.
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 Q4326 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 →