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HCPCS Q4317: VitograftMedicare rate & RVUs

Reports Vitograft skin substitute supplied for wound treatment, measured by square centimeter and billed with the related primary procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for Q4317 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · Q4317

Vitograft

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for Q4317 →Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What Q4317 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

Q4317 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska*$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta$129.29Unavailable
Austin$134.64Unavailable
Bakersfield$139.47Unavailable
Baltimore/Surr. Cntys$136.55Unavailable
Beaumont$115.80Unavailable
Brazoria$126.11Unavailable

Q4317 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
Q4317 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

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

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.

Q4317 compared with similar codes

Compare codes · National

5 codes, side by side

  • Q4317

    Vitograft0 wRVU

    $127.26

  • Q4316

    Wound graft0 wRVU

    $127.26+$0.00

  • Q4318

    Wound graft0 wRVU

    $127.26+$0.00

  • 15271

    Skin substitute graft1.46 wRVU

    $157.99+$30.73

  • 15275

    Skin substitute1.78 wRVU

    $160.32+$33.06

How to choose

Q4316Wound graft
Q4316 identifies Amchoplast; Q4317 identifies Vitograft. Select based on the product actually supplied, not the wound site.
Q4318Wound graft
Q4318 identifies E-graft, while Q4317 identifies Vitograft. These product codes are not interchangeable based solely on similar use or area measurement.
15271Skin substitute graft
billing code 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 substitute
billing code 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.

Codes related to Q4317

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

Codes related to Q4317
CodeHow it relatesNational office range
Primary code
15271Skin substitute graftPrimary skin-substitute application procedure for qualifying wounds on the trunk, arms, or legs.$140.17–$205.27
15275Skin substitutePrimary skin-substitute application procedure for qualifying wounds at specified other anatomic sites.$143.80–$205.40
Used instead
Q4316Wound graftAmchoplast is a different named wound product, reported when that product is supplied instead.$109.31–$183.51
Q4318Wound graftE-graft is a different named wound product, reported when that product is supplied instead.$109.31–$183.51
Q4319Wound graftSanograft is a different named wound product, reported when that product is supplied instead.$109.31–$183.51

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

Show the CMS file lines behind this rate
RVUs for Q4317PPRRVU2026_Oct_nonQPP.csv, line 18,404 (RVU26D)

Open CMS sourceHow we calculate rates

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