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

CMS doesn’t publish an office rate for Q4113 in California.

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

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 in California

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

29 of 29 payment localities

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.

Payment rules and modifiers for Q4113

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

Q4113 compared with similar codes

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.

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