HCPCS code Q4113: GraftJacket Xpress, per 1 cc2026 Medicare rate & RVUs in Maine
Q4113 identifies injectable GraftJacket Xpress, reported in 1-cc units when this specific graft product is furnished.
CMS doesn’t publish an office rate for Q4113 in Maine.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 Maine
| Payment locality | Office | Facility |
|---|---|---|
| Rest of Maine | Unavailable | Unavailable |
| Southern Maine, ME | Unavailable | Unavailable |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
Q4113 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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