HCPCS Q4219: Wound graft productMedicare rate & RVUs

Medicare pays $127.26 for Q4219 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 Q4219 covers

Q4219 identifies the SurgiGraft Dual product supplied for a wound graft application. It is reported by clinicians or facilities applying the product as part of wound treatment, such as in a wound care clinic or surgical setting. The code represents the product quantity, not the work of evaluating or treating the wound or performing the application procedure.

Report Q4219 with the required primary procedure; it is an add-on and is paid within that procedure’s global period. The product name and the square centimeters used should be supported by the supply and procedure documentation. CMS classifies Q4219 as technical-component-only, with interpretation covered by a separate code. The application procedure is selected separately according to the service performed and applicable wound-site and area criteria.

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 Q4219 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

Q4219 rates by state

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

How the Q4219 rate is calculated

Each of Q4219’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 Q4219

The CMS indicators that decide how Q4219 is paid alongside other services.

Q4219 compared with similar codes

How to choose

15271Skin substitute graft

15271 reports a primary skin-substitute application procedure for qualifying trunk, arm, or leg wounds. Q4219 identifies the SurgiGraft Dual product quantity used with a primary procedure.

Q4218Wound graft

Q4218 identifies Surgicord, while Q4219 identifies SurgiGraft Dual. Select the product code based on the graft actually supplied.

Q4209Surgraft

Q4209 identifies Surgraft, not SurgiGraft Dual. The products have separate HCPCS codes even though both descriptors use square-centimeter units.

Codes related to Q4219

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