$134.00–$151.95
Use Q4132 for Grafix Core or GrafixPL Core; Q4133 identifies other named Grafix and Stravix products. Choose according to the product supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4132 Wound matrix Medicare reimbursement rates in Massachusetts
Reports Grafix Core or GrafixPL Core placental membrane product by square centimeter when supplied for application to a wound with a primary procedure. Compare Q4132 office and facility rates across CMS payment localities in Massachusetts.
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 Q4132 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$134.00–$151.95
2 of 2 localities have a supported rate.
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.
Wound care product
About Q4132: Grafix Core wound matrix product
Reports Grafix Core or GrafixPL Core placental membrane product by square centimeter when supplied for application to a wound with a primary procedure.
Q4132 identifies the Grafix Core or GrafixPL Core placental membrane product supplied for wound treatment. Clinicians such as surgeons, podiatrists, and wound-care providers may use these products during treatment of chronic or other open wounds in office, outpatient, or hospital settings. The code represents the product, not the clinician’s wound assessment or application service.
Report the product with the applicable primary wound-application procedure, using the documented product and square centimeters supplied. The record should identify the Grafix product and support the quantity reported. CMS treats Q4132 as an add-on code: it is billed with a primary procedure and paid within that procedure’s global period. CMS also identifies it as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4132
- 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.
Q4132 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
Compare Q4132 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$151.95
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$134.00
Facility
Unavailable
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Q4132 billing questions
Can Q4132 be billed by itself?
No. CMS identifies it as an add-on code, so report it with the applicable primary wound-application procedure.
How should the quantity be reported?
Q4132 is reported per square centimeter. Keep documentation of the Grafix product and the quantity supplied to support the units.
Is Q4132 the wound-application service?
No. It identifies the Grafix Core or GrafixPL Core product; the wound-application service is reported separately with the appropriate primary procedure.
How does Q4132 differ from Q4133?
Q4132 identifies Grafix Core or GrafixPL Core. Q4133 identifies other named products in the Grafix and Stravix family, so select based on the product actually supplied.
Does Q4132 include interpretation?
CMS classifies Q4132 as technical-component-only and states that 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 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.
18,223Q4127,,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
18,229Q4135,,Mediskin,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