$130.95
Q4404 identifies Xwrap Hydro Plus. Q4408 is for Xwrap Hydro; choose according to the exact product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4408 Wound product Medicare reimbursement rates in Minnesota
Report Q4408 for the per-square-centimeter supply of Xwrap Hydro used with a primary wound procedure for a chronic or hard-to-heal wound. Compare Q4408 office and facility rates across CMS payment localities in Minnesota.
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 Q4408 in Minnesota?
Minnesota 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
$130.95
1 of 1 localities have a supported rate.
Payment area: Minnesota
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
About Q4408: Xwrap Hydro wound product supply
Report Q4408 for the per-square-centimeter supply of Xwrap Hydro used with a primary wound procedure for a chronic or hard-to-heal wound.
Q4408 identifies the Xwrap Hydro wound product supplied for application to a wound. It may be used in wound-care treatment, including care of chronic ulcers such as diabetic foot or venous leg ulcers. A clinician performing the wound procedure typically documents the wound site and the product used; the code describes the product supply rather than the wound-care clinician’s evaluation or application service.
Report the product quantity in square centimeters and pair Q4408 with the primary procedure. The record should support the exact product and the amount used. CMS classifies Q4408 as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is also technical-component-only; a separate code covers interpretation. Select a different product code when the product actually furnished is a different Xwrap formulation.
CMS billing rules for Q4408
- 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.
Q4408 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$130.95
Q4402 identifies Xwrap 2.0, not Xwrap Hydro. The product name and supply record determine which code applies.
$130.95
Q4407 identifies Xwrap Tribus. Report Q4408 only when Xwrap Hydro was the product furnished.
Compare Q4408 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
Minnesota →
Office / nonfacility
$130.95
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 Q4408 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
18,493
- Code
- Q4408
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.029 | 3.9205 |
| Malpractice | 0.00 | × 0.296 | 0.0000 |
| Total RVUs | 3.9205 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$130.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.029 |
| Malpractice | 0 | 0.296 |
(0 × 1 + 3.81 × 1.029 + 0 × 0.296) × $33.4009 = $130.95
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.
Q4408 billing questions
When should Q4408 be chosen instead of another Xwrap product code?
Use Q4408 when the product furnished is Xwrap Hydro. Select the code matching the exact product used, such as Xwrap Hydro Plus or Xwrap 2.0, when that is what the record identifies.
Can Q4408 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How is the quantity reported?
The code is defined per square centimeter, so document the product amount in square centimeters and report the corresponding quantity.
Does Q4408 include the wound application procedure?
Q4408 identifies the product supply. Report the applicable primary wound procedure separately.
Does Q4408 include interpretation?
No. CMS classifies this as a technical-component-only code; a separate code covers interpretation.
What documentation supports Q4408?
Document the wound site, the specific Xwrap Hydro product furnished, and the quantity used in square centimeters, along with 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.
18,490Q4405,,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
18,496Q4411,,Amniomatrixf4x 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
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002