$117.97
Q4402 identifies XWrap 2.0, while Q4407 identifies XWrap Tribus. Choose according to the specific product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4407 Wound matrix Medicare reimbursement rates in Indiana
Report Q4407 for the square-centimeter quantity of XWrap Tribus supplied for wound coverage alongside the applicable wound-application procedure. Compare Q4407 office and facility rates across CMS payment localities in Indiana.
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 Q4407 in Indiana?
Indiana 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
$117.97
1 of 1 localities have a supported rate.
Payment area: Indiana
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 supply
About Q4407: XWrap Tribus wound matrix
Report Q4407 for the square-centimeter quantity of XWrap Tribus supplied for wound coverage alongside the applicable wound-application procedure.
Q4407 identifies XWrap Tribus, a wound product reported by the area supplied in square centimeters. Wound-care clinicians, surgeons, and other practitioners who treat ulcers may use it as part of a wound-coverage service. The product code represents the material; the clinical service that applies it is reported separately. Select Q4407 only when the product used is XWrap Tribus, rather than another XWrap variant or a different wound product.
Report the documented square-centimeter quantity with the applicable primary wound-application procedure. The record should identify XWrap Tribus and support the area represented by the units billed. CMS treats Q4407 as an add-on code: it is billed with a primary procedure and paid within that procedure’s global period. CMS also classifies it as technical-component-only, with a separate code covering interpretation.
CMS billing rules for Q4407
- 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.
Q4407 compared with similar codes
Office rates for Indiana, from the same CMS release.
$117.97
Q4403 is the code for XWrap Dual Plus; Q4407 is for XWrap Tribus. The product name determines which code to report.
$117.97
Q4408 identifies XWrap Hydro rather than XWrap Tribus. These product codes are not interchangeable based only on wound size or location.
Compare Q4407 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
Indiana →
Office / nonfacility
$117.97
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 Q4407 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
18,492
- Code
- Q4407
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.927 | 3.5319 |
| Malpractice | 0.00 | × 0.486 | 0.0000 |
| Total RVUs | 3.5319 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$117.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.927 |
| Malpractice | 0 | 0.486 |
(0 × 1 + 3.81 × 0.927 + 0 × 0.486) × $33.4009 = $117.97
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.
Q4407 billing questions
When should Q4407 be chosen over another XWrap code?
Use Q4407 when the product supplied is specifically XWrap Tribus. Other XWrap variants, such as XWrap 2.0 or XWrap Hydro, have separate codes.
What primary service is reported with Q4407?
Report it with the applicable primary wound-application procedure. Q4407 is an add-on code and is paid within that procedure’s global period.
How are units determined?
The code is reported per square centimeter. Document the XWrap Tribus product and the area represented by the units billed.
Does Q4407 include the wound application?
No. Q4407 identifies the product quantity; report the applicable primary procedure for the wound-application service.
How is the interpretation component handled?
CMS classifies Q4407 as technical-component-only. 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 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.
18,489Q4404,,Xwrap hydro plus 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
18,490Q4405,,Xwrap fenestra plus 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
18,491Q4406,,Xwrap fenestra 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
18,492Q4407,,Xwrap tribus 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
18,493Q4408,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915