$116.82–$132.47
Q4346 identifies Shelter DM Matrix, while Q4345 identifies Matrix HD allograft. Select the product code matching the material furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4345 Allograft matrix Medicare reimbursement rates in Pennsylvania
Reports Matrix HD human allograft matrix by square centimeter when supplied for wound treatment alongside a qualifying skin-substitute application procedure. Compare Q4345 office and facility rates across CMS payment localities in Pennsylvania.
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 Q4345 in Pennsylvania?
Pennsylvania 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
$116.82–$132.47
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 product
About Q4345: Matrix HD allograft supply
Reports Matrix HD human allograft matrix by square centimeter when supplied for wound treatment alongside a qualifying skin-substitute application procedure.
Q4345 identifies Matrix HD allograft matrix supplied for wound treatment, with units tied to square centimeters. Wound-care clinicians and surgeons may use the product to cover a prepared wound bed. The code represents the product rather than the clinical work of preparing the site or applying the matrix, which is reported with the appropriate application procedure. The product may be furnished in an office or an outpatient facility, depending on the treatment setting.
Report Q4345 only with a primary procedure, such as the applicable skin-substitute application code selected for the treated site and wound area. Document the product used, treated site, application procedure, and square centimeters represented by the claim units. CMS treats Q4345 as an add-on paid within the primary procedure’s global period. CMS also classifies it as a technical-component-only code, with interpretation covered by a separate code.
CMS billing rules for Q4345
- 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.
Q4345 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$116.82–$132.47
Q4340 identifies Simpligraft rather than Matrix HD. Both are reported by square centimeter, so product identity distinguishes the supply codes.
$149.22–$164.41
15271 reports the skin-substitute application service for its applicable sites and area; Q4345 reports the Matrix HD product supplied with that service.
Compare Q4345 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
Metropolitan Philadelphia →
Office / nonfacility
$132.47
Facility
Unavailable
Rest Of Pennsylvania →
Office / nonfacility
$116.82
Facility
Unavailable
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Q4345 billing questions
Which application procedure should accompany Q4345?
Pair it with the application code appropriate to the wound location and area, such as 15271 or 15275. Q4345 reports the Matrix HD product, not the application service.
How should units be reported?
The code is based on square centimeters. Document the amount represented by the billed units and the treated wound area.
Can Q4345 be billed by itself?
No. CMS identifies it as an add-on that must be billed with a primary procedure.
What does the global-period rule mean for billing?
Payment for Q4345 is handled within the primary procedure’s global period. Link the product claim to the qualifying primary procedure.
Does Q4345 include the wound application work?
No. Q4345 identifies the Matrix HD product; report the appropriate application procedure separately as the primary service.
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.
18,429Q4342,,"Theramend, 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
18,430Q4343,,Dermacyte ac matrx 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
18,431Q4344,,"Tri membrane wrap, 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
18,432Q4345,,Matrix hd allogrft 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
18,433Q4346,,Shelter dm 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
18,434Q4347,,Rampart dl 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
18,435Q4348,,Sentry 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