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HCPCS code Q4113: GraftJacket Xpress, per 1 cc2026 Medicare rate & RVUs

Q4113 identifies injectable GraftJacket Xpress, reported in 1-cc units when this specific graft product is furnished.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · Q4113

GraftJacket Xpress, per 1 cc

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for Q4113 →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 Q4113 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 Q4113 covers

Q4113 identifies GraftJacket Xpress in injectable form, with the product measured by volume. It distinguishes this named product from other HCPCS-coded graft products, including GraftJacket in another form and other injectable products. Report the code when GraftJacket Xpress is furnished, rather than selecting a code solely because another product is injectable. The quantity reported follows the volume of this product furnished.

Medicare assigns Q4113 carrier-priced status C: CMS publishes no national physician fee schedule payment amount, and the Medicare Administrative Contractor determines payment for each claim under the physician fee schedule. Coverage is left to the contractor’s judgment. One unit represents 1 cc, so report units based on the total volume furnished. CMS classifies Q4113 as technical-component-only; 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 Q4113 pays more and less

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

109 of 109 payment localities

Q4113 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

Q4113 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

View every state and territory as a table
Q4113 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the Q4113 rate is calculated

Each of Q4113’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 · Q4113

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for Q4113

The CMS indicators that decide how Q4113 is paid alongside other services.

CMS payment indicators · Q4113

GraftJacket Xpress, per 1 cc

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical3Technical component only.

Q4113 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • Q4113

    GraftJacket Xpress, per 1 cc0 wRVU

    Not priced

  • Q4107

    GraftJacket, per square centimeter0 wRVU

    $127.26

  • Q4112

    Cymetra injectable, per 1 cc0 wRVU

    Not priced

  • Q4114

    Integra flowable matrix, per 1 cc0 wRVU

    Not priced

How to choose

Q4107GraftJacketPer square centimeter
Use Q4113 for injectable GraftJacket Xpress. Q4107 identifies GraftJacket in a different form and is measured by square centimeters.
Q4112Cymetra injectablePer 1 cc
Q4112 identifies injectable Cymetra, not GraftJacket Xpress. Choose the code matching the product furnished.
Q4114Integra flowable matrixPer 1 cc
Q4114 identifies Integra flowable wound matrix. Q4113 is specific to injectable GraftJacket Xpress.

Codes related to Q4113

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

Codes related to Q4113
CodeHow it relatesNational office range
Used instead
Q4107GraftJacket, per square centimeterIdentifies GraftJacket in a different form; Q4113 identifies the injectable Xpress product.$109.31–$183.51
Q4112Cymetra injectable, per 1 ccIdentifies injectable Cymetra rather than injectable GraftJacket Xpress.No office rate
Q4114Integra flowable matrix, per 1 ccIdentifies Integra flowable wound matrix rather than GraftJacket Xpress.No office rate

Q4113 billing questions

How many units should be reported?

One unit represents 1 cc of GraftJacket Xpress. Report units based on the volume furnished.

How is Q4113 different from Q4107?

Q4113 identifies injectable GraftJacket Xpress. Q4107 identifies GraftJacket in a different form and is reported by square centimeter.

How is Q4113 different from Q4112?

Q4112 identifies injectable Cymetra, while Q4113 identifies injectable GraftJacket Xpress. Select the code for the product furnished.

Does Medicare set a national payment amount for Q4113?

No. Q4113 has carrier-priced status C, and the Medicare Administrative Contractor determines payment for each claim under the physician fee schedule.

Who decides whether Medicare covers Q4113?

Coverage is left to the Medicare contractor’s judgment.

What does technical-component-only mean for Q4113?

CMS classifies Q4113 as technical-component-only; a separate code covers interpretation.

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

Open CMS sourceHow we calculate rates

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