$125.98
Q4402 identifies Xwrap 2.0; Q4404 identifies Xwrap Hydro Plus. Choose the code matching the product actually supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4404 Wound product Medicare reimbursement rates in Vermont
Report Q4404 for each square centimeter of Xwrap Hydro Plus supplied for a wound, alongside the applicable wound application procedure. Compare Q4404 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 Q4404 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 supplies
About Q4404: Xwrap Hydro Plus wound covering
Report Q4404 for each square centimeter of Xwrap Hydro Plus supplied for a wound, alongside the applicable wound application procedure.
Q4404 represents the Xwrap Hydro Plus wound-care product, measured by the square centimeter. It is a supply code, not the clinician’s work to prepare the wound or apply the material. Clinicians may use the product to cover a wound, including a chronic lower-extremity ulcer, in an office or facility wound-care setting. The product amount and the application service are accounted for separately.
Report units based on the documented area of Xwrap Hydro Plus used, and pair the product code with the primary procedure for its application, selected for the wound site and service performed. The record should identify the product, treatment site, area treated, and amount used. CMS classifies Q4404 as an add-on code: it must be billed with a primary procedure and is paid within that procedure’s global period. CMS also classifies it as technical-component-only, with a separate code covering interpretation.
CMS billing rules for Q4404
- 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.
Q4404 compared with similar codes
Office rates for Vermont, from the same CMS release.
$125.98
Q4403 is for Xwrap Dual Plus, not Xwrap Hydro Plus. The product name, rather than the wound’s size, distinguishes the codes.
$125.98
Q4408 identifies Xwrap Hydro, while Q4404 identifies Xwrap Hydro Plus. Verify the exact product supplied before selecting the code.
Compare Q4404 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
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Q4404 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
18,489
- Code
- Q4404
- 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.
Q4404 billing questions
How is Q4404 different from Q4402, Q4403, or Q4408?
These codes identify different named Xwrap products. Select Q4404 only when the product used is Xwrap Hydro Plus; the wound area alone does not determine which product code applies.
What procedure should accompany Q4404?
Report it with the applicable primary wound application procedure, such as a code in the 15271–15278 family when that service and site qualify. Q4404 represents the product, not the application work.
How many units should be reported?
The descriptor is per square centimeter. Base units on the documented area of Xwrap Hydro Plus used, and retain records that support the amount reported.
Can Q4404 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure; payment is within that procedure’s global period.
Does Q4404 include interpretation?
CMS classifies Q4404 as technical-component-only and states 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 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.
18,486Q4401,,Absolv3 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
18,487Q4402,,Xwrap 2.0 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
18,488Q4403,,Xwrap dual plus 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
18,489Q4404,,Xwrap hydro plus 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
18,490Q4405,,Xwrap fenestra plus 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
18,491Q4406,,Xwrap fenestra 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
18,492Q4407,,Xwrap tribus 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