$117.08–$126.11
Q4403 identifies Xwrap dual plus. Choose between the codes by the specific product furnished, not by wound size.
On this page
CMS RVU26D · Effective 2026-10-01
Q4402 Wound product Medicare reimbursement rates in Maine
Report Xwrap 2.0 by square centimeter as a wound-care product alongside its primary application service when this specific product is furnished. Compare Q4402 office and facility rates across CMS payment localities in Maine.
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 Q4402 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$117.08–$126.11
2 of 2 localities have a supported rate.
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 supplies
About Q4402: Xwrap 2.0 wound product
Report Xwrap 2.0 by square centimeter as a wound-care product alongside its primary application service when this specific product is furnished.
Q4402 identifies the Xwrap 2.0 wound-care product by the square centimeter. It represents the product, not the work of preparing the wound or applying material to it. Clinicians may use wound products during treatment of a wound in an office or facility setting; the product code is selected by the specific item furnished, not by wound size or severity alone.
Report the quantity in square centimeters and document the product identity and the amount used. This is an add-on code: it is reported only with a primary procedure, and its payment is within that procedure's global period. CMS classifies Q4402 as technical-component-only; a separate code covers interpretation. Do not use Q4402 in place of the primary wound procedure or to identify a different Xwrap product. The accompanying primary service and its documentation should support the product use and the reported quantity.
CMS billing rules for Q4402
- 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.
Q4402 compared with similar codes
Office rates for Maine, from the same CMS release.
$117.08–$126.11
Q4404 identifies Xwrap hydro plus; Q4402 identifies Xwrap 2.0. The product identity determines the code.
$117.08–$126.11
Q4406 identifies Xwrap fenestra. It is not interchangeable with Q4402 when Xwrap 2.0 was furnished.
Compare Q4402 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$117.08
Facility
Unavailable
Southern Maine →
Office / nonfacility
$126.11
Facility
Unavailable
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Q4402 billing questions
When should Q4402 be selected instead of another Xwrap code?
Use Q4402 when the product furnished is specifically Xwrap 2.0. Other Xwrap products have their own HCPCS codes, so select by the product identity rather than the wound's characteristics.
Can Q4402 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure. Its payment is within that procedure's global period.
What quantity should be reported?
Report the amount of Xwrap 2.0 furnished in square centimeters. Documentation should identify the product and support the reported area.
Does Q4402 include the wound preparation or application service?
Q4402 identifies the product, not the clinical work of preparing the wound or applying it. Report the supported primary procedure with the product code.
How does the technical-component designation affect billing?
CMS classifies Q4402 as technical-component-only; a separate code covers interpretation. The product code itself does not represent that 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.
18,484Q4399,,Summit fx 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
18,485Q4400,,Polygon3 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
18,486Q4401,,Absolv3 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
18,487Q4402,,Xwrap 2.0 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
18,488Q4403,,Xwrap dual 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
18,489Q4404,,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