HCPCS Q4353: Wound matrixMedicare rate & RVUs in Utah
Q4353 identifies the Xceed TL Matrix by square centimeter when this wound matrix is furnished with a primary procedure for wound treatment.
Medicare pays $119.62 for Q4353 in the office in Utah (Utah). 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 Q4353 covers
Q4353 identifies Xceed TL Matrix by the square centimeter for use as a wound matrix in wound treatment. Wound care clinicians and surgeons may use the product to cover a prepared wound bed, including wounds managed in outpatient wound clinics or surgical settings. The code identifies the product quantity, not the clinical service of preparing the wound or applying the matrix.
Report Q4353 only with a primary procedure; CMS treats it as an add-on code, with payment within that procedure’s global period. Document the product used and the square-centimeter quantity represented by the claim, along with the wound and treatment details supporting the primary procedure. CMS classifies this as a technical-component-only code, 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.
Q4353 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $119.62 | Unavailable |
How the Q4353 rate is calculated
Each of Q4353’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 · Q4353
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for Q4353
The CMS indicators that decide how Q4353 is paid alongside other services.
CMS payment indicators · Q4353
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. |
Q4353 compared with similar codes
Compare codes
Q4353 vs Q4351 vs Q4352 vs Q4343: national Medicare rates
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How to choose
- Q4351Wound matrix
- Q4351 identifies Enclose TL Matrix; use Q4353 for Xceed TL Matrix. Both are product-specific codes measured by square centimeter.
- Q4352Wound matrix
- Q4352 identifies Overlay SL Matrix rather than Xceed TL Matrix. Select the code matching the product furnished.
- Q4343Wound matrix
- Q4343 identifies Dermacyte AC Matrix, not Xceed TL Matrix. The product identity, rather than wound size alone, distinguishes these codes.
Q4353 billing questions
Can Q4353 be billed by itself?
No. CMS identifies Q4353 as an add-on code, so it must be billed with a primary procedure.
How are units determined?
The code is reported per square centimeter. Document the Xceed TL Matrix quantity represented on the claim and the treated wound area.
Is the matrix application included in Q4353?
Q4353 identifies the product quantity, while the required primary procedure represents the associated service. Do not treat the product code alone as the wound-preparation or application service.
What does the technical-component-only designation mean?
CMS classifies Q4353 as technical-component-only; a separate code covers interpretation.
What documentation supports reporting Q4353?
Record the wound treated, the Xceed TL Matrix product used, and its square-centimeter quantity, together with documentation for the 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 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
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