HCPCS code Q4322: Caregraft2026 Medicare rate & RVUs
Q4322 reports Caregraft by square centimeter when this wound product is used with a primary wound procedure.
Medicare pays $127.26 for Q4322 nationally in the office. Local office rates run $109.31–$183.51.
Medicare rate · Q4322
Caregraft
- Work RVUs
- 0
- Total RVUs
- 3.81
- Global days
- ZZZ
National rate · 2026
$127.26
Office setting, before claim adjustments.
See every locality for Q4322 →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.
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On this page 10 sections
What Q4322 covers
Q4322 identifies Caregraft, a wound product reported by square centimeter when used in wound treatment. It may be used in settings where clinicians apply wound products, such as outpatient wound clinics or hospital departments. The code represents the product, not the clinician’s wound assessment or the procedure that places it. The treating clinician’s procedure documentation should identify the product and the treated wound area.
Report Q4322 only with a primary procedure; CMS treats it as an add-on and pays it within that procedure’s global period. The application procedure is selected separately according to the treated site and wound area. Document the Caregraft used and the square-centimeter quantity reported. CMS classifies Q4322 as technical-component-only, with a separate code covering 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 Q4322 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 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $111.35 | Unavailable |
| Alaska | $135.53 | Unavailable |
| Arizona | $123.31 | Unavailable |
| Arkansas | $109.31 | Unavailable |
| Atlanta, GA | $129.29 | Unavailable |
| Austin, TX | $134.64 | Unavailable |
| Bakersfield, CA | $139.47 | Unavailable |
| Baltimore area, MD | $136.55 | Unavailable |
| Beaumont, TX | $115.80 | Unavailable |
| Brazoria, TX | $126.11 | Unavailable |
| Chicago, IL | $127.89 | Unavailable |
| Chico, CA | $139.47 | Unavailable |
| Colorado | $135.40 | Unavailable |
| Connecticut | $137.06 | Unavailable |
| Dallas, TX | $126.75 | Unavailable |
| Delaware | $125.73 | Unavailable |
| Detroit, MI | $122.80 | Unavailable |
| East St. Louis, IL | $117.08 | Unavailable |
| El Centro, CA | $139.47 | Unavailable |
| Fort Lauderdale, FL | $128.91 | Unavailable |
| Fort Worth, TX | $125.48 | Unavailable |
| Fresno, CA | $139.47 | Unavailable |
| Galveston, TX | $126.37 | Unavailable |
| Hanford, CA | $139.47 | Unavailable |
| Hawaii, Guam, HI | $144.69 | Unavailable |
| Houston, TX | $126.37 | Unavailable |
| Idaho | $117.08 | Unavailable |
| Indiana | $117.97 | Unavailable |
| Iowa | $116.44 | Unavailable |
| Kansas | $115.04 | Unavailable |
| Kentucky | $113.13 | Unavailable |
| King County, WA | $156.14 | Unavailable |
| Los Angeles, CA | $150.55 | Unavailable |
| Madera, CA | $139.47 | Unavailable |
| Manhattan, NY | $147.87 | Unavailable |
| Marin County, CA | $179.43 | Unavailable |
| Merced, CA | $139.47 | Unavailable |
| Metropolitan Boston, MA | $151.95 | Unavailable |
| Metropolitan Kansas City, MO | $119.49 | Unavailable |
| Metropolitan Philadelphia, PA | $132.47 | Unavailable |
| Metropolitan St. Louis, MO | $121.15 | Unavailable |
| Miami, FL | $132.47 | Unavailable |
| Minnesota | $130.95 | Unavailable |
| Mississippi | $109.57 | Unavailable |
| Modesto, CA | $139.47 | Unavailable |
| Montana | $127.26 | Unavailable |
| Napa, CA | $167.73 | Unavailable |
| Nebraska | $117.46 | Unavailable |
| Nevada | $127.38 | Unavailable |
| New Hampshire | $132.47 | Unavailable |
| New Mexico | $116.70 | Unavailable |
| New Orleans, LA | $119.75 | Unavailable |
| North Carolina | $118.73 | Unavailable |
| North Dakota | $127.26 | Unavailable |
| Northern New Jersey | $147.62 | Unavailable |
| NYC suburbs and Long Island, NY | $151.31 | Unavailable |
| Ohio | $116.19 | Unavailable |
| Oklahoma | $113.64 | Unavailable |
| Oxnard, CA | $150.42 | Unavailable |
| Portland, OR | $141.38 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $139.35 | Unavailable |
| Puerto Rico | $128.66 | Unavailable |
| Queens, NY | $150.42 | Unavailable |
| Redding, CA | $139.47 | Unavailable |
| Rest of California | $139.47 | Unavailable |
| Rest of Florida | $121.66 | Unavailable |
| Rest of Georgia | $113.51 | Unavailable |
| Rest of Illinois | $116.19 | Unavailable |
| Rest of Louisiana | $112.62 | Unavailable |
| Rest of Maine | $117.08 | Unavailable |
| Rest of Maryland | $128.78 | Unavailable |
| Rest of Massachusetts | $134.00 | Unavailable |
| Rest of Michigan | $116.19 | Unavailable |
| Rest of Missouri | $109.70 | Unavailable |
| Rest of New Jersey | $138.97 | Unavailable |
| Rest of New York | $120.89 | Unavailable |
| Rest of Oregon | $126.75 | Unavailable |
| Rest of Pennsylvania | $116.82 | Unavailable |
| Rest of Texas | $120.77 | Unavailable |
| Rest of Washington | $134.00 | Unavailable |
| Rhode Island | $131.46 | Unavailable |
| Riverside, CA | $139.47 | Unavailable |
| Sacramento, CA | $148.00 | Unavailable |
| Salinas, CA | $147.49 | Unavailable |
| San Benito County, CA | $183.51 | Unavailable |
| San Diego, CA | $152.20 | Unavailable |
| San Francisco, CA | $179.43 | Unavailable |
| San Luis Obispo, CA | $144.95 | Unavailable |
| Santa Clara County, CA | $183.51 | Unavailable |
| Santa Cruz, CA | $154.62 | Unavailable |
| Santa Maria, CA | $148.38 | Unavailable |
| Santa Rosa, CA | $156.27 | Unavailable |
| South Carolina | $117.59 | Unavailable |
| South Dakota | $127.26 | Unavailable |
| Southern Maine, ME | $126.11 | Unavailable |
| Stockton, CA | $139.47 | Unavailable |
| Suburban Chicago, IL | $130.69 | Unavailable |
| Tennessee | $115.68 | Unavailable |
| Utah | $119.62 | Unavailable |
| Vallejo, CA | $167.73 | Unavailable |
| Vermont | $125.98 | Unavailable |
| Virgin Islands, VI | $128.66 | Unavailable |
| Virginia | $125.09 | Unavailable |
| Visalia, CA | $139.47 | Unavailable |
| Washington, DC area | $149.91 | Unavailable |
| West Virginia | $110.59 | Unavailable |
| Wisconsin | $121.91 | Unavailable |
| Wyoming | $127.26 | Unavailable |
| Yuba City, CA | $139.47 | Unavailable |
Q4322 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 1 |
How the Q4322 rate is calculated
Each of Q4322’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 · Q4322
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 Q4322
The CMS indicators that decide how Q4322 is paid alongside other services.
CMS payment indicators · Q4322
Caregraft
| 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. |
Q4322 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports the application procedure for qualifying trunk, arm, or leg sites; Q4322 reports the Caregraft product used with a primary procedure.
- 15275Skin substitute
- 15275 reports the application procedure for specified sites such as the face, scalp, or digits. Q4322 identifies the Caregraft product, not the site-specific procedure.
- Q4323AlloPly
- Q4323 identifies Alloply, while Q4322 identifies Caregraft. Use the product code matching the product documented as used.
Q4322 billing questions
Is Q4322 the code for applying Caregraft?
No. Q4322 identifies the Caregraft product by square centimeter. Report the primary procedure for the wound service separately.
Can Q4322 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How is the application procedure selected?
Select the primary procedure based on the treated body site and wound area. For example, 15271 is used for qualifying sites on the trunk, arms, or legs, while 15275 covers specified other sites.
What should the record support?
Document the Caregraft product used, the wound treated, the treated area, and the square-centimeter quantity reported, along with the primary procedure.
Does Q4322 include interpretation?
No. CMS classifies Q4322 as technical-component-only; a separate code covers 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
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