HCPCS code Q4130: Tissue matrix, strattice per square centimeter2026 Medicare rate & RVUs in Texas
Report Q4130 for Strattice acellular dermal matrix implanted during a primary surgical procedure, using the quantity in square centimeters.
Medicare pays $115.80–$134.64 for Q4130 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
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 Q4130 covers
Q4130 identifies Strattice, a porcine-derived acellular dermal matrix used as implanted tissue reinforcement. Surgeons may use it in procedures such as abdominal wall reconstruction or breast reconstruction. The code represents the product, not the surgeon’s operative work, and is distinct from codes for other biologic matrices or wound products.
Report the quantity of Strattice furnished in square centimeters, supported by the operative record and product documentation. CMS classifies Q4130 as an add-on code: bill it only with a primary procedure, and its payment falls within that procedure’s global period. It is also a technical-component-only code; any separately reportable interpretation is captured with a separate code.
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 Q4130 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$115.80 to $134.64
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $134.64 | Unavailable |
| Beaumont, TX | $115.80 | Unavailable |
| Brazoria, TX | $126.11 | Unavailable |
| Dallas, TX | $126.75 | Unavailable |
| Fort Worth, TX | $125.48 | Unavailable |
| Galveston, TX | $126.37 | Unavailable |
| Houston, TX | $126.37 | Unavailable |
| Rest of Texas | $120.77 | Unavailable |
How the Q4130 rate is calculated
Each of Q4130’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 · Q4130
RVUs × geographic indexes × conversion factor
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 Q4130
The CMS indicators that decide how Q4130 is paid alongside other services.
CMS payment indicators · Q4130
Tissue matrix, strattice per square centimeter
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
Q4130 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- Q4116Dermal matrixAlloDerm per square centimeter
- Q4116 identifies AlloDerm; Q4130 identifies Strattice. Choose by the product actually furnished, not by treating the product codes as interchangeable.
- Q4122Wound matrixDermACELL AWM, per sq cm
- Q4122 identifies DermACELL AWM, a wound-associated matrix product. Q4130 is specific to Strattice used as an implanted matrix.
- Q4125Dermal allograftArthroFlex, per square centimeter
- Q4125 identifies ArthroFlex rather than Strattice. Report the code matching the tissue product documented for the procedure.
Q4130 billing questions
What quantity should be reported?
Q4130 is reported per square centimeter. Document the amount of Strattice used for the procedure.
Can Q4130 be billed by itself?
No. CMS identifies it as an add-on code, so report it with a primary procedure. Payment falls within that procedure’s global period.
Is Q4130 the code for the surgeon’s work?
No. It identifies the Strattice product. Report the applicable primary procedure separately for the surgical service.
How is the interpretation reported?
CMS classifies Q4130 as technical-component-only; a separately reportable interpretation is represented by a separate code.
Should another biologic matrix code be used if a different product was implanted?
Yes. Select the HCPCS code that identifies the product actually furnished; Q4130 is specific to Strattice.
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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