$125.73
Use Q4209 for documented Surgraft material. Q4219 is for Surgigraft Dual, despite the similar product names and square-centimeter units.
On this page
CMS RVU26D · Effective 2026-10-01
Q4209 Surgraft Medicare reimbursement rates in Delaware
Report Q4209 for Surgraft material measured per square centimeter when it is used with a separately reported primary placement procedure. Compare Q4209 office and facility rates across CMS payment localities in Delaware.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for Q4209 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$125.73
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Graft supplies
About Q4209: Surgraft material, per square centimeter
Report Q4209 for Surgraft material measured per square centimeter when it is used with a separately reported primary placement procedure.
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.
CMS billing rules for Q4209
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
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.
Q4209 compared with similar codes
Office rates for Delaware, from the same CMS release.
$125.73
Q4218 identifies Surgicord. Use Q4209 only when the product record identifies Surgraft.
$125.73
Both codes are measured per square centimeter, but Q4208 identifies Novafix and Q4209 identifies Surgraft.
Compare Q4209 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
$125.73
Facility
Unavailable
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for Q4209 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
18,301
- Code
- Q4209
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 3.81 | × 0.988 | 3.7643 |
| Malpractice | 0.00 | × 0.899 | 0.0000 |
| Total RVUs | 3.7643 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$125.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.005 |
| Practice expense | 3.81 | 0.988 |
| Malpractice | 0 | 0.899 |
(0 × 1.005 + 3.81 × 0.988 + 0 × 0.899) × $33.4009 = $125.73
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
Q4209 billing questions
Does Q4209 include placing Surgraft?
No. Q4209 identifies the Surgraft material; report the placement using the appropriate primary procedure.
Can Q4209 be billed by itself?
No. CMS designates it an add-on code that must be billed with a primary procedure.
How are units determined for Q4209?
The code is measured per square centimeter. Support the reported units with the documented amount of Surgraft used.
Does Q4209 include professional interpretation?
No. CMS designates Q4209 as technical-component-only; a separate code covers interpretation when that service is performed and reportable.
When should Q4219 be used instead of Q4209?
Q4219 identifies Surgigraft Dual, while Q4209 identifies Surgraft. Select the code that matches the documented product.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
18,298Q4206,,Fluid flow or fluid gf 1 cc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,299Q4207,,"Carbon life, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,300Q4208,,Novafix per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,301Q4209,,Surgraft per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,302Q4211,,Amnion bio or axobio sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
18,303Q4212,,"Allogen, per cc",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
18,304Q4213,,"Ascent, 0.5 mg",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503