$134.00–$151.95
Q4186 identifies EpiFix, while Q4183 identifies SurgiGraft. Select the code for the product actually used.
On this page
CMS RVU26D · Effective 2026-10-01
Q4183 SurgiGraft Medicare reimbursement rates in Massachusetts
Q4183 reports SurgiGraft by the square centimeter when the material is used with a primary wound graft procedure. Compare Q4183 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 Q4183 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 supply
About Q4183: SurgiGraft wound graft material
Q4183 reports SurgiGraft by the square centimeter when the material is used with a primary wound graft procedure.
Q4183 represents SurgiGraft material measured by the square centimeter for use in wound care. It is reported for the product used with a primary procedure to apply a skin substitute graft, such as treatment of a wound in a wound-care clinic or other setting where the graft application is performed. The code identifies the material, not the clinician’s work of applying it.
Report the quantity in square centimeters and document the product used, the wound site and area treated, and the associated primary application procedure. CMS classifies Q4183 as an add-on: it is billed only with a primary procedure and paid within that procedure’s global period. Its PFS valuation contains practice expense but no physician work or malpractice value. CMS identifies it as technical-component-only, with interpretation covered by a separate code.
CMS billing rules for Q4183
- 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.
Q4183 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$134.00–$151.95
Q4187 identifies EpiCord; it is not the product code for SurgiGraft. Choose based on the material applied.
$134.00–$151.95
Q4195 identifies PuraPly rather than SurgiGraft. The product used, not the wound location, distinguishes these codes.
Compare Q4183 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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Q4183 billing questions
Does Q4183 describe applying the graft or the material?
It identifies SurgiGraft material by square centimeter. Report the primary procedure for the graft application separately.
Can Q4183 be billed by itself?
No. CMS identifies it as an add-on that must be reported with a primary procedure and is paid within that procedure’s global period.
How should units be determined?
Use the square-centimeter quantity for the SurgiGraft material. Documentation should support the amount used and the wound area treated.
What documentation supports Q4183?
Record the SurgiGraft product, quantity, wound site and treated area, and the primary procedure performed to apply the graft.
Does Q4183 include interpretation?
No. CMS identifies this as a technical-component-only code; 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.
18,272Q4180,,"Revita, 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
18,273Q4181,,"Amnio wound, per square 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
18,274Q4182,,"Transcyte, per sq centimeter",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
18,275Q4183,,"Surgigraft, 1 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
18,276Q4184,,Cellesta or duo 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
18,277Q4185,,Cellesta flowab amnion 0.5cc,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
18,278Q4186,,Epifix 1 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