$117.97
Q4116 identifies AlloDerm; Q4130 identifies Strattice. Choose by the product actually furnished, not by treating the product codes as interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
Q4130 Tissue matrix Medicare reimbursement rates in Indiana
Report Q4130 for Strattice acellular dermal matrix implanted during a primary surgical procedure, using the quantity in square centimeters. Compare Q4130 office and facility rates across CMS payment localities in Indiana.
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 Q4130 in Indiana?
Indiana 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
$117.97
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Biologic tissue product
About Q4130: Strattice biologic tissue matrix
Report Q4130 for Strattice acellular dermal matrix implanted during a primary surgical procedure, using the quantity in square centimeters.
Q4130 identifies Strattice, a porcine-derived acellular dermal matrix used as implanted tissue reinforcement. Surgeons may use it in procedures such as abdominal wall reconstruction or breast reconstruction. The code represents the product, not the surgeon’s operative work, and is distinct from codes for other biologic matrices or wound products.
Report the quantity of Strattice furnished in square centimeters, supported by the operative record and product documentation. CMS classifies Q4130 as an add-on code: bill it only with a primary procedure, and its payment falls within that procedure’s global period. It is also a technical-component-only code; any separately reportable interpretation is captured with a separate code.
CMS billing rules for Q4130
- 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.
Q4130 compared with similar codes
Office rates for Indiana, from the same CMS release.
$117.97
Q4122 identifies DermACELL AWM, a wound-associated matrix product. Q4130 is specific to Strattice used as an implanted matrix.
$117.97
Q4125 identifies ArthroFlex rather than Strattice. Report the code matching the tissue product documented for the procedure.
Compare Q4130 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
Indiana →
Office / nonfacility
$117.97
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Q4130 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
18,225
- Code
- Q4130
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.927 | 3.5319 |
| Malpractice | 0.00 | × 0.486 | 0.0000 |
| Total RVUs | 3.5319 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$117.97
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.927 |
| Malpractice | 0 | 0.486 |
(0 × 1 + 3.81 × 0.927 + 0 × 0.486) × $33.4009 = $117.97
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.
Q4130 billing questions
What quantity should be reported?
Q4130 is reported per square centimeter. Document the amount of Strattice used for the procedure.
Can Q4130 be billed by itself?
No. CMS identifies it as an add-on code, so report it with a primary procedure. Payment falls within that procedure’s global period.
Is Q4130 the code for the surgeon’s work?
No. It identifies the Strattice product. Report the applicable primary procedure separately for the surgical service.
How is the interpretation reported?
CMS classifies Q4130 as technical-component-only; a separately reportable interpretation is represented by a separate code.
Should another biologic matrix code be used if a different product was implanted?
Yes. Select the HCPCS code that identifies the product actually furnished; Q4130 is specific to Strattice.
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.
18,222Q4126,,Memoderm/derma/tranz/integup,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
18,223Q4127,,Talymed,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
18,224Q4128,,Flexhd/allopatchhd/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
18,225Q4130,,Strattice tm,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
18,226Q4132,,"Grafix core, grafixpl core",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
18,227Q4133,,Grafix stravix prime pl sqcm,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
18,228Q4134,,Hmatrix,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915