$115.04
Q4355 identifies AbioXPL or AbioXPL Hydro; Q4356 identifies AbioMem or AbioHydro. Select according to the product used, not just the wound area.
On this page
CMS RVU26D · Effective 2026-10-01
Q4356 Wound matrix Medicare reimbursement rates in Kansas
Report Q4356 for the square-centimeter quantity of AbioMem or AbioHydro material furnished with a primary wound procedure. Compare Q4356 office and facility rates across CMS payment localities in Kansas.
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 Q4356 in Kansas?
Kansas 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
$115.04
1 of 1 localities have a supported rate.
Payment area: Kansas
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 products
About Q4356: AbioMem or AbioHydro wound material
Report Q4356 for the square-centimeter quantity of AbioMem or AbioHydro material furnished with a primary wound procedure.
Q4356 identifies AbioMem or AbioHydro wound-covering material, counted by the square centimeter. A clinician may use the material during treatment of a wound in a physician office, hospital outpatient department, or wound clinic. The product code represents the material; the clinician’s wound assessment and application are represented by the associated procedure coding. For example, skin-substitute application procedures may be reported for covered anatomic sites and wound areas.
Report Q4356 only with a primary procedure, not as a standalone service. Document the product used and the square-centimeter quantity furnished, along with the wound and application details supporting the primary procedure. CMS treats this as an add-on code and includes its payment within the primary procedure’s global period. It is also a technical-component-only code; a separate code accounts for interpretation.
CMS billing rules for Q4356
- 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.
Q4356 compared with similar codes
Office rates for Kansas, from the same CMS release.
$115.04
Q4363 identifies a different amniotic membrane product. Q4356 applies when the furnished product is AbioMem or AbioHydro.
Compare Q4356 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
Kansas →
Office / nonfacility
$115.04
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 Q4356 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
18,443
- Code
- Q4356
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.904 | 3.4442 |
| Malpractice | 0.00 | × 0.504 | 0.0000 |
| Total RVUs | 3.4442 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$115.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.904 |
| Malpractice | 0 | 0.504 |
(0 × 1 + 3.81 × 0.904 + 0 × 0.504) × $33.4009 = $115.04
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.
Q4356 billing questions
How is Q4356 different from Q4355?
Q4356 identifies AbioMem or AbioHydro, while Q4355 identifies AbioXPL or AbioXPL Hydro. Use the code matching the product actually furnished.
Can Q4356 be billed by itself?
No. CMS identifies it as an add-on code that must be reported with a primary procedure.
What does one unit represent?
The code is measured per square centimeter. Report the quantity corresponding to the product area furnished, supported by the application documentation.
Does Q4356 include wound application or interpretation?
Q4356 identifies the material, while the primary procedure represents the associated wound service. CMS classifies Q4356 as technical-component-only, with interpretation represented by a separate code.
What documentation supports Q4356?
Document whether AbioMem or AbioHydro was used, the wound treated, the area of product furnished, and the associated primary procedure.
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.
18,440Q4353,,Xceed tl matrix 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
18,441Q4354,,Palingen dl-palingen dl-x,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
18,442Q4355,,Abio xpl abio xpl hy p 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
18,443Q4356,,Abio mem abio hyd 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
18,444Q4357,,"Xwrap 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
18,445Q4358,,"Xwrap dual, 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
18,446Q4359,,"Choriply, 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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958