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HCPCS code Q4133: Placental tissue product, grafix/Stravix Prime PL per square centimeter2026 Medicare rate & RVUs in New Mexico

Reports Grafix or Stravix Prime PL placental tissue by square centimeter when supplied for application to a treated wound.

CMS RVU26DEffective Oct 1, 2026One payment locality

In New Mexico, Medicare pays $116.70 for Q4133 in the office.

$116.70Office (non-facility)
Not available in this settingHospital or facility
−8.3%vs the national office rate ($127.26)

Check a contract rate as a % of Medicare · Q4133 nationwide

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

We’ll open Q4133 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What Q4133 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What Q4133 covers

Q4133 identifies Grafix or Stravix Prime PL, placental tissue products used as wound coverings in wound care. Clinicians such as podiatrists, surgeons, and wound-care practitioners may use these products when treating wounds including diabetic foot ulcers and venous leg ulcers. The code represents the product, not the work of assessing or preparing the wound or applying the tissue.

Report the product by the square centimeter and pair it with the applicable primary wound or skin-substitute application procedure. The record should identify the product used and support the quantity reported, such as the treated wound area and amount applied. CMS classifies Q4133 as an add-on paid within the primary procedure’s global period. It is also 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.

How New Mexico compares for Q4133

Across 109 of 109 payment localities, the office rate for Q4133 runs from $109.31 in Arkansas to $183.51 in Santa Clara County, CA. New Mexico pays $116.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

Q4133 in New Mexico vs other payment areas
  1. New Mexico · this page$116.70
  2. Los Angeles, CA · California$150.55+$33.85
  3. Washington, DC area · District of Columbia$149.91+$33.21
  4. Miami, FL · Florida$132.47+$15.77
  5. Chicago, IL · Illinois$127.89+$11.19
  6. Manhattan, NY · New York$147.87+$31.17
  7. Alaska · Alaska$135.53+$18.83

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

Q4133 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$111.35—
ArkansasArkansas$109.31—
ArizonaArizona$123.31—
Bakersfield, CACalifornia$139.47—
Chico, CACalifornia$139.47—
El Centro, CACalifornia$139.47—
Fresno, CACalifornia$139.47—
Hanford, CACalifornia$139.47—

Q4133 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.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
Q4133 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

See Q4133 in every payment locality

How the Q4133 rate is calculated

Each of Q4133’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 · Q4133

RVUs × geographic indexes × conversion factor

Office or facility?

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.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

18,227

Code
Q4133
Physician work
0.00
Practice expense
3.81
Malpractice
0.00

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for Q4133 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense3.81× 0.9173.4938
Malpractice0.00× 1.2010.0000
Total RVUs3.4938
Conversion factor× 33.4009

Office rate, New Mexico$116.70

Office: (0 × 1 + 3.81 × 0.917 + 0 × 1.201) × $33.4009 = $116.70

Open Q4133 in the RVU calculator

Payment rules and modifiers for Q4133

The CMS indicators that decide how Q4133 is paid alongside other services.

CMS payment indicators · Q4133

Placental tissue product, grafix/Stravix Prime PL per square centimeter

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

Codes related to Q4133

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

Codes related to Q4133
CodeHow it relatesOffice range, New Mexico
Primary code
15271Skin substitute graft, first 25 cm², trunk/limbsPrimary skin-substitute application procedure for qualifying trunk, arm, or leg wound sites and areas.$150.91
Same family
Q4132Wound matrix, grafix Core or GrafixPL CoreIdentifies Grafix Core or GrafixPL Core rather than the Prime PL products.$116.70
Used instead
Q4121Skin substitute, theraSkin per square centimeterIdentifies TheraSkin, a different wound tissue product.$116.70
Q4124Wound matrix, oasis tri-layer productIdentifies Oasis tri-layer wound matrix, a different wound product.$116.70

How Q4133 has changed in New Mexico

Q4133 · Office / nonfacility

$116.70

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    No ratechanged to$116.70

    Held through RVU26B, RVU26C, RVU26D.

  2. July 1, 2020

    RVU20C

    No ratechanged toNo rate

    Held through RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.

  3. April 1, 2020

    RVU20B

    No ratechanged toNo rate

  4. January 1, 2020

    RVU20A

    No ratechanged toNo rate

  5. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$116.70Not available in this settingRVU26D
2026-07-01$116.70Not available in this settingRVU26C
2026-04-01$116.70Not available in this settingRVU26B
2026-01-01$116.70Not available in this settingRVU26A
2025-10-01Separate payment rules applySeparate payment rules applyRVU25D
2025-07-01Separate payment rules applySeparate payment rules applyRVU25C
2025-04-01Separate payment rules applySeparate payment rules applyRVU25B
2025-01-01Separate payment rules applySeparate payment rules applyRVU25A
2024-10-01Separate payment rules applySeparate payment rules applyRVU24D
2024-07-01Separate payment rules applySeparate payment rules applyRVU24C
2024-04-01Separate payment rules applySeparate payment rules applyRVU24B
2024-03-09Separate payment rules applySeparate payment rules applyRVU24AR
2024-01-01Separate payment rules applySeparate payment rules applyRVU24A
2023-10-01Separate payment rules applySeparate payment rules applyRVU23D
2023-07-01Separate payment rules applySeparate payment rules applyRVU23C
2023-04-01Separate payment rules applySeparate payment rules applyRVU23B
2023-01-01Separate payment rules applySeparate payment rules applyRVU23A
2022-10-01Separate payment rules applySeparate payment rules applyRVU22D
2022-07-01Separate payment rules applySeparate payment rules applyRVU22C
2022-04-01Separate payment rules applySeparate payment rules applyRVU22B
2022-01-01Separate payment rules applySeparate payment rules applyRVU22A
2021-10-01Separate payment rules applySeparate payment rules applyRVU21D
2021-07-01Separate payment rules applySeparate payment rules applyRVU21C
2021-04-01Separate payment rules applySeparate payment rules applyRVU21B
2021-01-01Separate payment rules applySeparate payment rules applyRVU21A
2020-10-01Separate payment rules applySeparate payment rules applyRVU20D
2020-07-01Separate payment rules applySeparate payment rules applyRVU20C
2020-04-01Rate data unavailableRate data unavailableRVU20B
2020-01-01Separate payment rules applySeparate payment rules applyRVU20A
2019-10-01Rate data unavailableRate data unavailableRVU19D
2019-07-01Rate data unavailableRate data unavailableRVU19C
2019-04-01Rate data unavailableRate data unavailableRVU19B
2019-01-01Rate data unavailableRate data unavailableRVU19A
2018-10-01Rate data unavailableRate data unavailableRVU18D
2018-07-01Rate data unavailableRate data unavailableRVU18C
2018-04-01Rate data unavailableRate data unavailableRVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price Q4133 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

Q4133 billing questions

How is Q4133 different from Q4132?

Q4133 identifies Grafix or Stravix Prime PL. Q4132 identifies Grafix Core or GrafixPL Core, so select the code that matches the product documented.

Can Q4133 be billed by itself?

No. CMS identifies it as an add-on code, so report it with a primary procedure. Payment is within that procedure’s global period.

How many units should be reported?

The code is reported per square centimeter. Document the product quantity used and the wound area treated to support the units.

Does Q4133 include the wound application procedure?

No. Q4133 identifies the product; report the applicable primary procedure for the wound or skin-substitute application separately.

What does the technical-component designation mean for Q4133?

CMS classifies Q4133 as technical-component-only, with a separate code covering 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

Show the CMS file lines behind this rate
RVUs for Q4133PPRRVU2026_Oct_nonQPP.csv, line 18,227 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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