Q4340 identifies Simpligraft; Q4341 identifies Simplimax. Use the product-specific code matching the material supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4341 Wound matrix Medicare reimbursement rates in New Jersey
Q4341 reports the Simplimax wound matrix supplied for application to a wound, measured by the product area in square centimeters. Compare Q4341 office and facility rates across CMS payment localities in New Jersey.
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 Q4341 in New Jersey?
New Jersey 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
$138.97–$147.62
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.
Skin substitute supply
About Q4341: Simplimax wound matrix supply
Q4341 reports the Simplimax wound matrix supplied for application to a wound, measured by the product area in square centimeters.
Q4341 represents the Simplimax product used as a wound matrix during wound coverage or reconstruction. Wound-care clinicians and surgeons may use it when treating wounds that require a matrix product; the code identifies the material, not the wound-preparation or application work. The appropriate amount is tied to the area of product used, rather than simply the number of wounds or applications.
Report Q4341 with the primary procedure for applying the product, and document the product name, treated wound, dimensions or area covered, and quantity used. CMS classifies it as an add-on code, so it is billed only with a primary procedure and paid within that procedure’s global period. It is technical-component-only; a separate code covers interpretation. The application procedure and Q4341 represent distinct parts of the service, so the product code does not replace reporting the appropriate application procedure.
CMS billing rules for Q4341
- 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.
Q4341 compared with similar codes
Office rates for New Jersey, from the same CMS release.
Q4342 identifies Theramend rather than Simplimax. These codes distinguish products, not wound size or anatomical site.
15271 reports the wound application procedure for specified body sites; Q4341 reports the Simplimax product supply used with a primary procedure.
Compare Q4341 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
Northern Nj →
Office / nonfacility
$147.62
Facility
Unavailable
Rest Of New Jersey →
Office / nonfacility
$138.97
Facility
Unavailable
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Q4341 billing questions
Can Q4341 be billed by itself?
No. CMS classifies it as an add-on code, so report it only with the primary procedure for applying the product.
Does Q4341 represent the wound application procedure?
No. Q4341 identifies the Simplimax product supply; report the applicable wound-application procedure separately.
How are units determined?
The descriptor is per square centimeter. Document the product area used for the wound rather than counting wounds or application sessions.
Does Q4341 include interpretation?
No. CMS identifies Q4341 as technical-component-only, with interpretation covered by a separate code.
How does Q4341 differ from Q4340?
Q4341 identifies Simplimax, while Q4340 identifies Simpligraft. Select the code that matches the product supplied and documented.
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.
