$119.62
Q4342 identifies Theramend; Q4343 identifies Dermacyte AC. Select the code for the product actually furnished, not by wound location alone.
On this page
CMS RVU26D · Effective 2026-10-01
Q4343 Wound matrix Medicare reimbursement rates in Utah
Reports Dermacyte AC wound matrix by square centimeter when the product is furnished for application to an open wound with a primary procedure. Compare Q4343 office and facility rates across CMS payment localities in Utah.
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 Q4343 in Utah?
Utah has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$119.62
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
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 Q4343: Dermacyte AC wound matrix supply
Reports Dermacyte AC wound matrix by square centimeter when the product is furnished for application to an open wound with a primary procedure.
Dermacyte AC is a wound matrix supplied and measured by square centimeter. A clinician may use it as a wound coverage product during treatment of an open wound, such as a chronic ulcer managed in an outpatient wound clinic or a wound treated in a surgical setting. The product identity—not simply the use of a biologic wound covering—distinguishes this code from other matrix and graft supply codes.
Report Q4343 for the Dermacyte AC product furnished with an appropriate primary wound procedure. CMS treats it as an add-on code, so it is billed only with a primary procedure and its payment falls within that procedure’s global period. Documentation should identify the product, wound site, amount furnished or applied in square centimeters, and associated primary procedure. CMS classifies Q4343 as technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4343
- 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.
Q4343 compared with similar codes
Office rates for Utah, from the same CMS release.
$119.62
Q4344 identifies Tri membrane wrap rather than Dermacyte AC. The product supplied determines which HCPCS code is reported.
$119.62
Q4345 identifies Matrix HD allograft. It is not interchangeable with Q4343 solely because both are reported per square centimeter.
Compare Q4343 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.
1 of 1 payment localities
Utah →
Office / nonfacility
$119.62
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4343 in Utah.
PPRRVU2026_Oct_nonQPP.csv
18,430
- Code
- Q4343
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.940 | 3.5814 |
| Malpractice | 0.00 | × 0.898 | 0.0000 |
| Total RVUs | 3.5814 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$119.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.94 |
| Malpractice | 0 | 0.898 |
(0 × 1 + 3.81 × 0.94 + 0 × 0.898) × $33.4009 = $119.62
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4343 billing questions
How is Q4343 distinguished from other wound matrix supply codes?
Use Q4343 when the product furnished is Dermacyte AC. Other matrix or graft products have their own HCPCS codes, even when used for a similar wound.
What primary procedure must accompany Q4343?
CMS identifies Q4343 as an add-on that must be billed with a primary procedure. The primary procedure should represent the wound treatment or application performed.
How should the quantity be reported?
The code is measured per square centimeter. Documentation should support the Dermacyte AC amount furnished or applied.
Is interpretation included in Q4343?
No. CMS classifies Q4343 as technical-component-only and identifies a separate code for interpretation.
What documentation supports reporting Q4343?
Record Dermacyte AC as the product used, the wound site, the quantity in square centimeters, and the associated primary procedure.
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.
18,427Q4340,,"Simpligraft, 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
18,428Q4341,,"Simplimax, 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
18,429Q4342,,"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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985