$125.98
Q4349 identifies Mantle DL Matrix, while Q4347 identifies Rampart DL Matrix. Select the code for the product documented as used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4347 Wound matrix Medicare reimbursement rates in Vermont
Report Q4347 for the Rampart DL Matrix product supplied for wound treatment, measured by the number of square centimeters furnished with the primary procedure. Compare Q4347 office and facility rates across CMS payment localities in Vermont.
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 Q4347 in Vermont?
Vermont 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
$125.98
1 of 1 localities have a supported rate.
Payment area: Vermont
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 products
About Q4347: Rampart DL Matrix wound product
Report Q4347 for the Rampart DL Matrix product supplied for wound treatment, measured by the number of square centimeters furnished with the primary procedure.
Q4347 identifies the Rampart DL Matrix wound product by name and bills its quantity in square centimeters. It represents the product used during wound treatment, rather than the clinician’s work to prepare or treat the wound. Wound-care clinicians and surgeons may use wound matrices during treatment of wounds; the product code alone does not identify a particular wound site or establish the clinical reason for use.
Report the quantity supported by the record of the product used, and pair Q4347 with the primary procedure. CMS classifies it as an add-on code, paid within the primary procedure’s global period, so it is not submitted by itself. CMS also classifies it as technical-component-only; a separate code covers interpretation. Documentation should identify Rampart DL Matrix and record the square centimeters used, alongside the primary procedure and its supporting documentation.
CMS billing rules for Q4347
- 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.
Q4347 compared with similar codes
Office rates for Vermont, from the same CMS release.
$125.98
Q4346 identifies Shelter DM Matrix. Its similar matrix wording does not make it interchangeable with the Rampart DL Matrix code.
$153.50
15271 reports a primary wound-treatment application for qualifying trunk, arm, or leg sites; Q4347 identifies the Rampart DL Matrix product used with a primary procedure.
$156.08
15275 is a primary application code for qualifying specialized sites such as hands or feet. Q4347 reports the product, not the application service.
Compare Q4347 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
Vermont →
Office / nonfacility
$125.98
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 Q4347 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,434
- Code
- Q4347
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.990 | 3.7719 |
| Malpractice | 0.00 | × 0.506 | 0.0000 |
| Total RVUs | 3.7719 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$125.98
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.99 |
| Malpractice | 0 | 0.506 |
(0 × 1 + 3.81 × 0.99 + 0 × 0.506) × $33.4009 = $125.98
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.
Q4347 billing questions
Can Q4347 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How should the quantity be reported?
The code is measured per square centimeter. Document the Rampart DL Matrix product and the square centimeters used.
Is Q4347 the wound application procedure?
No. Q4347 identifies the product; report the applicable primary procedure for the wound treatment.
How does the global period affect Q4347?
CMS pays this add-on within the primary procedure’s global period. It is not a separate procedure payment outside that pairing.
Does Q4347 include interpretation?
CMS classifies Q4347 as technical-component-only, with a separate code covering interpretation.
How is Q4347 distinguished from other matrix product codes?
Use Q4347 only when the product used is Rampart DL Matrix. Other product-specific codes identify different products, even when their descriptors also say matrix.
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.
18,431Q4344,,"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
18,436Q4349,,Mantle 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
18,437Q4350,,Palisade 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
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817