HCPCS Q4209: SurgraftMedicare rate & RVUs

Medicare pays $127.26 for Q4209 nationally in the office. Local office rates run $109.31–$183.51.

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

What Q4209 covers

Q4209 identifies the Surgraft material used during a graft placement, measured in square centimeters. It is a product code rather than a code for the clinician’s work of placing the graft. The clinician performing the placement may use Surgraft to cover a wound or operative site; the record should identify Surgraft as the product used.

Report the material with its primary procedure, using the documented square centimeters to support the units billed. The placement note and product record should make clear which material was used and how much was used. CMS classifies Q4209 as an add-on, so it is billed only with a primary procedure and paid within that procedure’s global period. CMS also designates it as technical-component-only: it accounts for the material rather than professional interpretation. A separate code covers interpretation when that service is performed and reportable.

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 Q4209 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

Q4209 rates by state

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

How the Q4209 rate is calculated

Each of Q4209’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 Q4209

The CMS indicators that decide how Q4209 is paid alongside other services.

Q4209 compared with similar codes

How to choose

Q4219Wound graft product

Use Q4209 for documented Surgraft material. Q4219 is for Surgigraft Dual, despite the similar product names and square-centimeter units.

Q4218Wound graft

Q4218 identifies Surgicord. Use Q4209 only when the product record identifies Surgraft.

Q4208Wound product

Both codes are measured per square centimeter, but Q4208 identifies Novafix and Q4209 identifies Surgraft.

Codes related to Q4209

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

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