$116.44
Q4327 identifies Duoamnion, while Q4326 identifies WoundPlus. Select the code for the product actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4326 Wound product Medicare reimbursement rates in Iowa
Q4326 reports WoundPlus supplied for wound coverage, measured by square centimeter and submitted with the primary wound procedure. Compare Q4326 office and facility rates across CMS payment localities in Iowa.
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 Q4326 in Iowa?
Iowa 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
$116.44
1 of 1 localities have a supported rate.
Payment area: Iowa
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 Q4326: WoundPlus wound coverage product
Q4326 reports WoundPlus supplied for wound coverage, measured by square centimeter and submitted with the primary wound procedure.
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.
CMS billing rules for Q4326
- 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%
79K
Medicare services in 2024 · #636 by national volume
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.
Q4326 compared with similar codes
Office rates for Iowa, from the same CMS release.
$116.44
Q4314 identifies Reeva rather than WoundPlus. The per-square-centimeter unit does not make the product codes interchangeable.
$145.07
15271 reports the application procedure for qualifying trunk, arm, or leg sites; Q4326 reports the WoundPlus product supplied with the primary procedure.
Compare Q4326 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
Iowa →
Office / nonfacility
$116.44
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 Q4326 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
18,413
- Code
- Q4326
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.915 | 3.4862 |
| Malpractice | 0.00 | × 0.397 | 0.0000 |
| Total RVUs | 3.4862 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$116.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.915 |
| Malpractice | 0 | 0.397 |
(0 × 1 + 3.81 × 0.915 + 0 × 0.397) × $33.4009 = $116.44
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.
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 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.
18,410Q4323,,"Alloply, 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
18,411Q4324,,"Amniotx, 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
18,412Q4325,,"Acapatch, 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
18,413Q4326,,"Woundplus, 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
18,414Q4327,,"Duoamnion, 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
18,415Q4328,,"Most, 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
18,416Q4329,,"Singlay, 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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136