HCPCS code Q4114: Integra flowable matrix, per 1 cc2026 Medicare rate & RVUs

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

What Q4114 covers

Q4114 identifies an injectable, flowable wound matrix supplied as an Integra product. It distinguishes this item from other products in the wound-matrix code series: Q4105 identifies Integra DRT or Omnigraft, Q4108 identifies another Integra matrix, and Q4112 identifies injectable Cymetra. Product identity—not the manufacturer alone—distinguishes Q4114 from those codes. Each unit represents 1 cc of matrix, so report the quantity in cubic-centimeter units. The code is classified as technical-component-only, with interpretation covered by a separate code.

Medicare assigns Q4114 status C: there is no national physician fee schedule payment, and the Medicare Administrative Contractor sets payment for each claim. The HCPCS pricing method places it under the physician fee schedule, with contractor pricing. Coverage is left to the contractor's judgment.

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 Q4114 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

Q4114 rates by state

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

How the Q4114 rate is calculated

Each of Q4114’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 Q4114

The CMS indicators that decide how Q4114 is paid alongside other services.

Q4114 compared with similar codes

How to choose

Q4108Wound matrixIntegra Matrix

Q4114 identifies injectable Integra flowable wound matrix. Q4108 identifies a different Integra matrix product.

Q4105Skin substituteIntegra DRT or Omnigraft

Q4105 identifies Integra DRT or Omnigraft, rather than the injectable flowable matrix identified by Q4114.

Q4112Cymetra injectablePer 1 cc

Q4112 identifies injectable Cymetra. Q4114 identifies Integra flowable wound matrix; choose based on the specific product.

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