Large language models (LLMs) have achieved remarkable success, but their rapidly growing scale imposes prohibitive costs in memory, computation, and energy. Post-training quantization (PTQ) is a promising solution for efficient deployment, yet achieving accurate W4A4 quantization remains an open challenge. While most existing methods are designed for INT4 formats, the emergence of MXFP4 -- a new FP4 format with various hardware support (NVIDIA, AMD, Intel)-- raises questions about the applicability of current techniques. In this work, we establish a comprehensive benchmark of PTQ methods under the MXFP4 format. Through systematic evaluation, we find that methods like GPTQ consistently deliver strong performance, whereas rotation-based approaches, which are almost used by all state-of-the-art approaches, suffer from severe incompatibility with MXFP4. We further provide the first in-depth analysis of this conflict, tracing its root to a fundamental mismatch between MXFP4's PoT (power-of-two) block scaling and the redistribution of outlier energy via global rotation. Building on this insight, we propose a simple yet effective block rotation strategy that adapts rotation-based methods to MXFP4, leading to substantial accuracy improvements across diverse LLMs. Our findings not only offer clear guidance for practitioners but also set a foundation for advancing PTQ research under emerging low-precision formats.