$125.09–$149.91
Q4360 identifies Amchoplast FD, while Q4361 identifies Epixpress. Use the product-specific supply code matching the material documented.
On this page
CMS RVU26D · Effective 2026-10-01
Q4361 Wound covering Medicare reimbursement rates in Virginia
Reports Epixpress wound-covering material by square centimeter when supplied for placement during a separately reported skin-substitute application procedure. Compare Q4361 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 Q4361 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 Q4361: Epixpress wound covering supply
Reports Epixpress wound-covering material by square centimeter when supplied for placement during a separately reported skin-substitute application procedure.
Q4361 identifies Epixpress wound-covering material supplied by square centimeter for placement over a wound during a skin-substitute application. It reports the product supply, not a separate debridement or wound-preparation service. Wound-care clinicians and surgeons may use it in outpatient wound clinics, offices, or hospital departments when the treatment plan calls for this material.
Report the quantity in square-centimeter units and identify the product, wound site, treated area, and corresponding application procedure in the record. CMS classifies Q4361 as an add-on, so it is billed only with a primary procedure and paid within that procedure’s global period. The code represents the technical component only; a separate code covers interpretation. Select the primary application procedure according to the wound’s site and area.
CMS billing rules for Q4361
- 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.
Q4361 compared with similar codes
Office rates for Virginia, from the same CMS release.
$125.09–$149.91
Q4362 identifies Cygnus disk, not Epixpress. Both are product-specific supply codes reported by square centimeter.
$154.19–$179.60
15271 reports the primary application service for its applicable site and area grouping; Q4361 reports the Epixpress material used with a primary procedure.
Compare Q4361 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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Q4361 billing questions
Can Q4361 be billed without an application procedure?
No. CMS identifies Q4361 as an add-on, so it must be billed with a primary procedure.
How should the units be reported?
Report the Epixpress quantity in square-centimeter units. The documentation should support the wound area treated and the quantity supplied.
Does Q4361 include the application service?
No. Q4361 reports the Epixpress supply; report the applicable primary skin-substitute application procedure separately.
Does Q4361 include interpretation?
No. CMS classifies Q4361 as technical-component-only; a separate code covers interpretation.
What documentation supports reporting Q4361?
Document Epixpress as the product used, the wound site and treated area, the quantity supplied, and the associated primary application 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.
18,445Q4358,,"Xwrap dual, 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
18,446Q4359,,"Choriply, 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
18,447Q4360,,Amchoplast fd 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
18,448Q4361,,"Epixpress, 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
18,449Q4362,,"Cygnus disk, 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
18,450Q4363,,Am bur mem hydro 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
18,451Q4364,,Am bur xp mem xpl hy p 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