HCPCS Q4407: Wound matrixMedicare rate & RVUs in Texas
Report Q4407 for the square-centimeter quantity of XWrap Tribus supplied for wound coverage alongside the applicable wound-application procedure.
Medicare pays $115.80–$134.64 for Q4407 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 Q4407 covers
Q4407 identifies XWrap Tribus, a wound product reported by the area supplied in square centimeters. Wound-care clinicians, surgeons, and other practitioners who treat ulcers may use it as part of a wound-coverage service. The product code represents the material; the clinical service that applies it is reported separately. Select Q4407 only when the product used is XWrap Tribus, rather than another XWrap variant or a different wound product.
Report the documented square-centimeter quantity with the applicable primary wound-application procedure. The record should identify XWrap Tribus and support the area represented by the units billed. CMS treats Q4407 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, with a separate code covering interpretation.
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 Q4407 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 Q4407 rate is calculated
Each of Q4407’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 · Q4407
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 Q4407
The CMS indicators that decide how Q4407 is paid alongside other services.
CMS payment indicators · Q4407
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. |
Q4407 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4402Wound product
- Q4402 identifies XWrap 2.0, while Q4407 identifies XWrap Tribus. Choose according to the specific product supplied.
- Q4403Wound product
- Q4403 is the code for XWrap Dual Plus; Q4407 is for XWrap Tribus. The product name determines which code to report.
- Q4408Wound product
- Q4408 identifies XWrap Hydro rather than XWrap Tribus. These product codes are not interchangeable based only on wound size or location.
Q4407 billing questions
When should Q4407 be chosen over another XWrap code?
Use Q4407 when the product supplied is specifically XWrap Tribus. Other XWrap variants, such as XWrap 2.0 or XWrap Hydro, have separate codes.
What primary service is reported with Q4407?
Report it with the applicable primary wound-application procedure. Q4407 is an add-on code and is paid within that procedure’s global period.
How are units determined?
The code is reported per square centimeter. Document the XWrap Tribus product and the area represented by the units billed.
Does Q4407 include the wound application?
No. Q4407 identifies the product quantity; report the applicable primary procedure for the wound-application service.
How is the interpretation component handled?
CMS classifies Q4407 as technical-component-only. 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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