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HCPCS code Q4103: Burn matrix, oasis product2026 Medicare rate & RVUs

Q4103 identifies Oasis matrix supplied for burn-wound coverage and is reported with the primary procedure used to apply the product.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4103 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4103

Burn matrix, oasis product

Office or facility?

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4103 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What Q4103 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What Q4103 covers

Q4103 represents the Oasis biologic matrix intended for burn-wound coverage; it reports the product, not the clinician’s work to prepare the wound or place the matrix. Burn surgeons, plastic surgeons, and wound-care clinicians may use it during burn treatment in an operating room or outpatient wound-care setting. The application service is represented separately by the applicable procedure code.

Report the product with the primary procedure, using documentation that identifies the product, the treated burn site, the quantity used, and the associated application service. CMS classifies Q4103 as an add-on code: it is billed only with a primary procedure and paid within that procedure’s global period. It is also a technical-component-only code; a separate code covers interpretation.

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.

Where Q4103 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

Q4103 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta, GA$129.29Unavailable
Austin, TX$134.64Unavailable
Bakersfield, CA$139.47Unavailable
Baltimore area, MD$136.55Unavailable
Beaumont, TX$115.80Unavailable
Brazoria, TX$126.11Unavailable

Q4103 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
Q4103 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

How the Q4103 rate is calculated

Each of Q4103’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · Q4103

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense3.81

3.81 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

3.8100

Conversion factor

$33.4009

Medicare rate

$127.26

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for Q4103

The CMS indicators that decide how Q4103 is paid alongside other services.

CMS payment indicators · Q4103

Burn matrix, oasis product

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Q4103 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4103

    Burn matrix, oasis product0 wRVU

    $127.26

  • Q4102

    Wound matrix, oasis wound matrix0 wRVU

    $127.26+$0.00

  • Q4124

    Wound matrix, oasis tri-layer product0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft, first 25 cm², trunk/limbs1.46 wRVU

    $157.99+$30.73

How to choose

Q4102Wound matrixOasis wound matrix
Q4102 identifies Oasis wound matrix, while Q4103 identifies the Oasis product intended for burn wounds. Use the product actually supplied and documented.
Q4124Wound matrixOasis tri-layer product
Q4124 identifies Oasis tri-layer wound matrix. It is a different product code, not another way to report Q4103.
15271Skin substitute graftFirst 25 cm², trunk/limbs
CPT 15271 reports an application service for qualifying skin substitute grafts on smaller trunk or limb wound areas; Q4103 identifies the Oasis burn matrix product used with a primary procedure.

Codes related to Q4103

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to Q4103
CodeHow it relatesNational office range
Primary code
15271Skin substitute graft, first 25 cm², trunk/limbsPrimary application procedure for skin substitute grafts on qualifying smaller wound areas of the trunk or limbs.$140.17–$205.27
15273Skin substitute graft, large trunk or limb wound areaPrimary application procedure for skin substitute grafts on larger wound areas of the trunk or limbs.$285.52–$407.73
Same family
Q4102Wound matrix, oasis wound matrixOasis wound matrix product code; distinct from the Oasis product designated for burn wounds.$109.31–$183.51
Used instead
Q4124Wound matrix, oasis tri-layer productOasis tri-layer wound matrix product for a different wound-matrix product selection.$109.31–$183.51

Q4103 billing questions

Is Q4103 the code for applying the matrix?

No. Q4103 identifies the Oasis burn matrix product. Report the applicable primary procedure code for the clinician’s application service.

Can Q4103 be billed by itself?

No. CMS classifies it as an add-on code, so it must be billed with a primary procedure. Its payment falls within that procedure’s global period.

How is Q4103 different from Q4102?

Q4103 identifies Oasis matrix intended for burn wounds; Q4102 identifies Oasis wound matrix. Select the product code that matches the specific product used and its documented clinical purpose.

Does Q4103 include interpretation?

No. CMS identifies Q4103 as technical-component-only and indicates that a separate code covers interpretation.

What documentation supports reporting Q4103?

Document the Oasis product used, the burn site treated, the quantity supplied, and the primary procedure with which it was applied.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for Q4103PPRRVU2026_Oct_nonQPP.csv, line 18,203 (RVU26D)

Open CMS sourceHow we calculate rates

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