$116.19
Both codes identify Abio products by square centimeter. Q4355 is for Abio XPL or Abio XPL HY; Q4356 is for Abio MEM or Abio HYD.
On this page
CMS RVU26D · Effective 2026-10-01
Q4355 Wound material Medicare reimbursement rates in Ohio
Report Abio XPL or Abio XPL HY by square centimeter when this material is supplied during a separately reported wound application procedure. Compare Q4355 office and facility rates across CMS payment localities in Ohio.
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 Q4355 in Ohio?
Ohio 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
$116.19
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Skin substitutes
About Q4355: Abio XPL or XPL HY wound material
Report Abio XPL or Abio XPL HY by square centimeter when this material is supplied during a separately reported wound application procedure.
Q4355 identifies Abio XPL or Abio XPL HY material supplied for placement on a wound. A clinician performing the application may use the material as part of wound coverage in an office or facility. This code identifies the specific product, rather than the clinician’s work of preparing the wound and placing the material.
Select Q4355 only when the treatment record identifies Abio XPL or Abio XPL HY, and report the quantity in square centimeters. Document the product used, the wound site, the measured area, and the accompanying application procedure. CMS classifies Q4355 as an add-on code: it is billed with a primary procedure and paid within that procedure’s global period. CMS also classifies it as technical-component-only. Q4355 therefore represents the technical portion; a separate code covers interpretation when that service is reported.
CMS billing rules for Q4355
- 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.
Q4355 compared with similar codes
Office rates for Ohio, from the same CMS release.
$116.19
Q4364 identifies a different named amniotic membrane product. Use Q4355 only when the product record identifies Abio XPL or Abio XPL HY.
$149.15
Q4355 identifies the Abio material supplied. Code 15271 describes the clinician’s skin-substitute application procedure when the wound site and size meet its criteria.
Compare Q4355 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
Ohio →
Office / nonfacility
$116.19
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 Q4355 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
18,442
- Code
- Q4355
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.913 | 3.4785 |
| Malpractice | 0.00 | × 1.008 | 0.0000 |
| Total RVUs | 3.4785 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$116.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.913 |
| Malpractice | 0 | 1.008 |
(0 × 1 + 3.81 × 0.913 + 0 × 1.008) × $33.4009 = $116.19
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.
Q4355 billing questions
When is Q4355 reported instead of Q4356?
Use Q4355 for Abio XPL or Abio XPL HY. Q4356 identifies Abio MEM or Abio HYD; select the code that matches the documented product.
Does Q4355 replace the wound application procedure code?
No. Q4355 identifies the material by square centimeter and is billed with a primary procedure for its application.
How are units determined for Q4355?
The code is expressed per square centimeter. The record should identify the Abio product and support the quantity reported.
Is interpretation included in Q4355?
CMS classifies Q4355 as technical-component-only. A separate code covers interpretation when that service is reported.
How does the primary procedure’s global period affect Q4355?
Q4355 is an add-on billed with the primary procedure and paid within that procedure’s global period.
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.
18,439Q4352,,"Overlay sl 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
18,440Q4353,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703