2025 HCPCS code Q4309
Via Matrix, per square centimeter.
In simple words: This code covers the cost of a special wound covering called Via Matrix, which is made from placental tissue. It is billed for each square centimeter used on the wound.
Via Matrix is a wound covering made from placental tissue. This code is used for the supply of Via Matrix and is reported for each square centimeter used.
Example 1: A patient with a chronic diabetic foot ulcer measuring 5 cm x 5 cm requires Via Matrix as a wound covering. The code Q4309 is reported with 25 units (5cm x 5cm = 25 cm²)., A patient with a burn wound covering 10 cm² requires Via Matrix. The code Q4309 is reported with 10 units., A patient undergoes a surgical procedure resulting in a wound requiring 2 cm x 3 cm of Via Matrix as a biological dressing. 6 units of Q4309 are reported (2 cm x 3 cm = 6 cm²).
Documentation should include the size of the wound in square centimeters, the medical necessity for using Via Matrix, and the application of the product.
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Nursing Facility, Ambulatory Surgical Center, Military Treatment Facility, and other places of service where wound care is provided.