$125.09–$149.91
Q4346 identifies Shelter DM Matrix, while Q4350 identifies Palisade DM. Select the code for the specific matrix product used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4350 Wound matrix Medicare reimbursement rates in Virginia
Reports Palisade DM matrix by square centimeter when the material is used with a primary wound procedure, such as skin substitute application. Compare Q4350 office and facility rates across CMS payment localities in Virginia.
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 Q4350 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$125.09–$149.91
2 of 2 localities have a supported rate.
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 Q4350: Palisade DM wound matrix supply
Reports Palisade DM matrix by square centimeter when the material is used with a primary wound procedure, such as skin substitute application.
Q4350 identifies Palisade DM matrix used as wound-care graft material. A physician or other qualified practitioner may apply the matrix in an outpatient wound clinic or surgical setting as part of treatment for a wound. The code identifies the specific product and measures it by square centimeter; it is not a general code for any wound covering or matrix product.
Report Q4350 only with a primary procedure, using the square-centimeter quantity supported by the product used and the wound-care record. Documentation should identify Palisade DM, the wound treated, the amount applied, and the related procedure. CMS classifies this as an add-on code and pays it within the primary procedure's global period. It is technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4350
- 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.
Q4350 compared with similar codes
Office rates for Virginia, from the same CMS release.
$125.09–$149.91
Q4351 identifies Enclose TL Matrix, not Palisade DM. These are product-specific codes, not different wound-size levels.
$154.19–$179.60
15271 reports the primary skin substitute application for qualifying wounds on the trunk, arms, or legs; Q4350 reports the Palisade DM material by square centimeter.
$156.76–$181.06
15275 reports a primary skin substitute application at its specified anatomic sites; Q4350 identifies the Palisade DM material used with a primary procedure.
Compare Q4350 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$149.91
Facility
Unavailable
Virginia →
Office / nonfacility
$125.09
Facility
Unavailable
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Q4350 billing questions
Can Q4350 be reported by itself?
No. CMS identifies Q4350 as an add-on code, so report it with a primary procedure. Its payment is within that procedure's global period.
How should the units be determined?
The code is measured per square centimeter. Support the reported quantity with documentation of the Palisade DM product used and the amount applied.
Can Q4350 be used for another wound matrix product?
No. Q4350 identifies Palisade DM. Use the HCPCS code that identifies the actual product applied.
Does Q4350 include interpretation?
No. CMS classifies Q4350 as technical-component-only; a separate code covers interpretation.
What documentation supports Q4350?
Record the product name, wound treated, quantity in square centimeters, and the primary procedure performed.
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.
18,434Q4347,,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
18,438Q4351,,"Enclose tl 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
18,439Q4352,,"Overlay 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
18,440Q4353,,Xceed tl 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