HCPCS Q4195: Wound matrixMedicare rate & RVUs in Texas
Report Q4195 for PuraPly wound matrix supplied by the square centimeter with a related wound application procedure.
Medicare pays $115.80–$134.64 for Q4195 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What Q4195 covers
Q4195 represents the PuraPly wound matrix product, measured in square centimeters, rather than the clinician’s work applying it. It may be used in wound care for conditions such as diabetic foot ulcers and venous leg ulcers. A physician or other qualified clinician typically prepares the wound bed and applies the product in an office or outpatient setting; the application procedure is reported separately when appropriate.
Report the number of square-centimeter units supported by the product amount used, with documentation of the wound dimensions, product applied, and related application service. CMS designates Q4195 as an add-on code, so it must be reported with a primary procedure and is paid within that procedure’s global period. CMS classifies it as technical-component-only; a separate code represents any interpretation. CMS assigns no physician work or malpractice RVUs to Q4195; its listed RVUs are for practice expense.
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 Q4195 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$115.80 to $134.64
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $134.64 | Unavailable |
| Beaumont | $115.80 | Unavailable |
| Brazoria | $126.11 | Unavailable |
| Dallas | $126.75 | Unavailable |
| Fort Worth | $125.48 | Unavailable |
| Galveston | $126.37 | Unavailable |
| Houston | $126.37 | Unavailable |
| Rest Of Texas | $120.77 | Unavailable |
How the Q4195 rate is calculated
Each of Q4195’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 · Q4195
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4195
The CMS indicators that decide how Q4195 is paid alongside other services.
CMS payment indicators · Q4195
Wound matrix
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4195 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4196Wound matrix
- Q4196 identifies PuraPly AM, whereas Q4195 identifies PuraPly. Select the code for the product actually supplied.
- Q4197PuraPly XT
- Q4197 identifies PuraPly XT, not the PuraPly product represented by Q4195.
- Q4186EpiFix material
- Q4186 represents EpiFix, a different wound product. Q4195 is specific to PuraPly.
Q4195 billing questions
Is Q4195 the wound application procedure?
No. Q4195 reports the PuraPly product by the square centimeter. Report the wound application procedure separately when appropriate.
Can Q4195 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, and payment falls within that procedure’s global period.
How should units be supported?
Document wound dimensions and the amount of PuraPly applied so the billed square-centimeter units are supported.
How does Q4195 differ from Q4196?
Q4195 identifies PuraPly, while Q4196 identifies PuraPly AM. Use the code matching the product supplied.
Does Q4195 include interpretation?
No. CMS classifies Q4195 as technical-component-only and indicates that a separate code covers interpretation.
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
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