HCPCS Q4410: Wound matrixMedicare rate & RVUs in Oregon

Q4410 identifies AmchoMatrix DL supplied for wound treatment, measured by area and reported with the primary procedure that applies the product.

CMS RVU26DEffective Oct 1, 20262 payment localities

Medicare pays $126.75–$141.38 for Q4410 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.

$126.75–$141.38Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open Q4410 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oregon
  2. What Q4410 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What Q4410 covers

Q4410 represents the AmchoMatrix DL wound matrix supplied for application to a wound. The product may be used in wound care settings such as an outpatient wound clinic, podiatry practice, or surgical office, with application performed by the treating clinician. The code identifies the product, not the clinician’s wound assessment or application service. Wound care clinicians, podiatrists, and surgeons may encounter it in treatment of chronic or hard-to-heal wounds.

Report the product by the documented square-centimeter quantity and identify the exact product used; the record should support the treated wound, product, area, and amount furnished. CMS classifies Q4410 as an add-on code: bill it only with the applicable primary procedure, and payment falls within that procedure’s global period. It is technical-component-only; a separate code covers interpretation. The primary procedure and any interpretation must be supported and reported separately as applicable.

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.

Where Q4410 pays more and less in Oregon

Q4410 office and facility rates by payment locality
Payment localityOfficeFacility
Portland$141.38Unavailable
Rest Of Oregon$126.75Unavailable

How the Q4410 rate is calculated

Each of Q4410’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · Q4410

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4410

The CMS indicators that decide how Q4410 is paid alongside other services.

CMS payment indicators · Q4410

Wound matrix

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4410 compared with similar codes

Compare codes

Q4410 vs Q4409 vs Q4411 vs Q4412: national Medicare rates

Swap in your local Medicare rate.

  • Q4410
    Wound matrix · 0 wRVU
    $127.26
  • Q4409
    Wound matrix · 0 wRVU
    $127.26+$0.00
  • Q4411
    Wound matrix · 0 wRVU
    $127.26+$0.00
  • Q4412
    Wound product · 0 wRVU
    $127.26+$0.00

How to choose

Q4409Wound matrix
Q4409 identifies Amniomatrix F3X, not AmchoMatrix DL. Match the supply code to the product record.
Q4411Wound matrix
Q4411 identifies Amniomatrix F4X. It is not interchangeable with Q4410 based solely on the shared Amniomatrix name.
Q4412Wound product
Q4412 identifies Choriofix, a different wound matrix product; Q4410 is specific to AmchoMatrix DL.

Q4410 billing questions

When should Q4410 be selected instead of a nearby wound matrix code?

Use Q4410 when the product furnished is AmchoMatrix DL. Neighboring Q codes identify other products, so select the code matching the product documentation rather than choosing by wound size or appearance.

Can Q4410 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with the applicable primary procedure; its payment is within that procedure’s global period.

How is the quantity reported?

The descriptor is per square centimeter. Document the product area and quantity furnished so the reported units can be supported.

Does Q4410 include wound assessment or product application?

Q4410 identifies the product supply, not the clinician’s assessment or application service. Report the applicable primary procedure separately when supported.

Does Q4410 include professional interpretation?

No. CMS classifies Q4410 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for Q4410PPRRVU2026_Oct_nonQPP.csv, line 18,495 (RVU26D)

Open CMS sourceHow we calculate rates

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