$155.49–$168.32
15271 reports a primary wound-product application procedure; Q4400 identifies Polygon3 supplied by square centimeter and is billed only with a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
Q4400 Wound matrix Medicare reimbursement rates in Oregon
Report Q4400 for Polygon3 wound matrix furnished by square centimeter with a primary wound procedure during treatment of an appropriate wound. Compare Q4400 office and facility rates across CMS payment localities in Oregon.
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 Q4400 in Oregon?
Oregon 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
$126.75–$141.38
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 supply
About Q4400: Polygon3 wound matrix supply
Report Q4400 for Polygon3 wound matrix furnished by square centimeter with a primary wound procedure during treatment of an appropriate wound.
Q4400 identifies the Polygon3 wound matrix as a product supplied by square centimeter, rather than the clinician’s work applying it. Wound-care clinicians may use the product as part of wound treatment in an office or outpatient setting. The product and the wound procedure are distinct: the application service addresses the procedure performed, while Q4400 identifies the Polygon3 material furnished.
Report Q4400 only with a primary procedure, using the documented amount of Polygon3 supplied in square centimeters. The record should identify Polygon3, the treated wound, the product amount, and the associated primary procedure. CMS treats this as an add-on code paid within the primary procedure’s global period, not as a separately paid procedure with its own global period. Q4400 represents the technical component; a separate code covers interpretation.
CMS billing rules for Q4400
- 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.
Q4400 compared with similar codes
Office rates for Oregon, from the same CMS release.
$25.17–$26.95
15272 reports an additional application procedure when applicable. Q4400 instead reports the Polygon3 product amount and does not replace the application code.
$126.75–$141.38
Q4401 identifies Absolv3, while Q4400 identifies Polygon3. Select the product-specific code matching the material furnished.
Compare Q4400 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
Portland →
Office / nonfacility
$141.38
Facility
Unavailable
Rest Of Oregon →
Office / nonfacility
$126.75
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.
Q4400 billing questions
When should Q4400 be selected instead of another wound-product code?
Use Q4400 when the product furnished is Polygon3. Other product-specific codes, such as Q4401 for Absolv3, identify different products.
Can Q4400 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the quantity be documented?
Document the Polygon3 amount in square centimeters, along with the wound treated and the primary procedure.
Does Q4400 include interpretation?
No. It covers the technical component; a separate code covers interpretation.
Does Q4400 have its own global period?
No. Payment for the add-on code falls within the primary 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.
18,482Q4397,,Summit aaa 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
18,483Q4398,,Summit 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
18,484Q4399,,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