HCPCS code Q4317: Vitograft, per square centimeter2026 Medicare rate & RVUs in Texas
Reports Vitograft skin substitute supplied for wound treatment, measured by square centimeter and billed with the related primary procedure.
Medicare pays $115.80–$134.64 for Q4317 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 Q4317 covers
Q4317 identifies Vitograft, a skin substitute product supplied for wound treatment, with reporting based on square centimeters. It may be used during treatment of wounds such as chronic diabetic foot or venous leg ulcers. A physician or other qualified clinician typically applies the product as part of a wound procedure in an office or outpatient setting.
Report the product quantity in square centimeters and document the product used, the wound area treated, and the related primary procedure. CMS classifies Q4317 as an add-on code: bill it only with a primary procedure, and its payment is within that procedure’s global period. CMS also identifies it 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 Q4317 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 Q4317 rate is calculated
Each of Q4317’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 · Q4317
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 Q4317
The CMS indicators that decide how Q4317 is paid alongside other services.
CMS payment indicators · Q4317
Vitograft, 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. |
Q4317 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- Q4316Wound graftAmchoplast, per square centimeter
- Q4316 identifies Amchoplast; Q4317 identifies Vitograft. Select based on the product actually supplied, not the wound site.
- Q4318Wound graftPer square centimeter
- Q4318 identifies E-graft, while Q4317 identifies Vitograft. These product codes are not interchangeable based solely on similar use or area measurement.
- 15271Skin substitute graftFirst 25 cm², trunk/limbs
- CPT 15271 reports the qualifying wound application procedure for specified sites and wound area. Q4317 identifies the Vitograft product and is billed only with a primary procedure.
- 15275Skin substituteFace and other specified sites
- CPT 15275 reports a qualifying application procedure at its specified anatomic sites and wound area. Q4317 reports the Vitograft product supplied for use with the primary procedure.
Q4317 billing questions
When should Q4317 be chosen over another skin substitute product code?
Use Q4317 when the product supplied is Vitograft. Codes for other named products represent different products, even when used for a similar wound.
Can Q4317 be submitted by itself?
No. CMS identifies it as an add-on code, so it must be billed with a primary procedure.
How are units reported?
The code is measured per square centimeter. Document the Vitograft quantity and the wound area treated to support the units reported.
Is interpretation included in Q4317?
No. CMS classifies Q4317 as technical-component-only; a separate code covers interpretation.
What documentation supports Q4317?
Document the Vitograft product, the amount used in square centimeters, the treated wound, and the primary procedure reported with it.
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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