$109.70–$121.15
Q4378 identifies Renew FT Matrix, while Q4377 identifies Trigraft. Select the code for the product supplied; both descriptors use square-centimeter units.
On this page
CMS RVU26D · Effective 2026-10-01
Q4377 Skin substitute Medicare reimbursement rates in Missouri
Report Q4377 for Trigraft supplied for wound coverage, measured in square centimeters and billed with the applicable primary application procedure. Compare Q4377 office and facility rates across CMS payment localities in Missouri.
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 Q4377 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$109.70–$121.15
3 of 3 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.
Where Q4377 pays more and less in Missouri
3 payment localities
$109.70 to $121.15
Wound care
About Q4377: Trigraft skin substitute by area
Report Q4377 for Trigraft supplied for wound coverage, measured in square centimeters and billed with the applicable primary application procedure.
Q4377 identifies the Trigraft product supplied for wound coverage, with reporting based on square centimeters. A wound-care clinician, surgeon, or other treating practitioner may use the product during a wound-care encounter after preparing the wound bed. The HCPCS code identifies the product, not the clinical work of preparing the site or applying the material.
Report the quantity supported by the product used, and document the product identity, wound site, area treated, and associated application procedure. Q4377 is an add-on code: submit it only with a primary procedure, and its payment falls within that procedure’s global period. CMS classifies it as technical-component-only; a separate code covers interpretation. The applicable primary procedure depends on the wound location and treated area, so the product code does not replace the application service.
CMS billing rules for Q4377
- 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.
Q4377 compared with similar codes
Office rates for Missouri, from the same CMS release.
$109.70–$121.15
Q4379 identifies Amniodefend FT rather than Trigraft. The product identity, not the wound’s size alone, distinguishes these codes.
$143.70–$153.09
15271 reports the primary application service for specified wound locations and area; Q4377 identifies the Trigraft product used with a primary procedure.
Compare Q4377 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$119.49
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$121.15
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$109.70
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
Q4377 billing questions
How is Q4377 different from another skin-substitute product code?
Q4377 identifies Trigraft specifically. Use the code matching the product actually supplied rather than choosing among product codes based only on wound size or location.
Is Q4377 reported by wound or by square centimeter?
The descriptor is per square centimeter. Document the product quantity used in square centimeters and the area treated.
Can Q4377 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Does Q4377 include the wound application service?
No. Q4377 identifies the Trigraft product. Report the applicable primary application procedure for the clinical service.
How does the global-period rule affect Q4377?
Payment for Q4377 falls within the primary procedure’s global period. Submit it with that primary procedure rather than as a standalone service.
What does the technical-component designation mean here?
CMS classifies Q4377 as technical-component-only, with interpretation covered by a separate code.
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.
18,460Q4373,,Membrane wrp lt 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
18,461Q4375,,Duograft ac 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
18,462Q4376,,Duograft aa 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
18,463Q4377,,Trigraft ft 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
18,464Q4378,,Renew ft 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
18,465Q4379,,Amniodefend ft 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
18,466Q4380,,Advograft one 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