$116.19–$122.80
Q4316 identifies Amchoplast; Q4317 identifies Vitograft. Select based on the product actually supplied, not the wound site.
On this page
CMS RVU26D · Effective 2026-10-01
Q4317 Vitograft Medicare reimbursement rates in Michigan
Reports Vitograft skin substitute supplied for wound treatment, measured by square centimeter and billed with the related primary procedure. Compare Q4317 office and facility rates across CMS payment localities in Michigan.
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 Q4317 in Michigan?
Michigan 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
$116.19–$122.80
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 supplies
About Q4317: Vitograft skin substitute supply by area
Reports Vitograft skin substitute supplied for wound treatment, measured by square centimeter and billed with the related primary procedure.
Q4317 identifies Vitograft, a skin substitute product supplied for wound treatment, with reporting based on square centimeters. It may be used during treatment of wounds such as chronic diabetic foot or venous leg ulcers. A physician or other qualified clinician typically applies the product as part of a wound procedure in an office or outpatient setting.
Report the product quantity in square centimeters and document the product used, the wound area treated, and the related primary procedure. CMS classifies Q4317 as an add-on code: bill it only with a primary procedure, and its payment is within that procedure’s global period. CMS also identifies it as technical-component-only; a separate code covers interpretation.
CMS billing rules for Q4317
- 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.
Q4317 compared with similar codes
Office rates for Michigan, from the same CMS release.
$116.19–$122.80
Q4318 identifies E-graft, while Q4317 identifies Vitograft. These product codes are not interchangeable based solely on similar use or area measurement.
$150.00–$159.22
CPT 15271 reports the qualifying wound application procedure for specified sites and wound area. Q4317 identifies the Vitograft product and is billed only with a primary procedure.
$152.99–$161.61
CPT 15275 reports a qualifying application procedure at its specified anatomic sites and wound area. Q4317 reports the Vitograft product supplied for use with the primary procedure.
Compare Q4317 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
Detroit →
Office / nonfacility
$122.80
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$116.19
Facility
Unavailable
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Q4317 billing questions
When should Q4317 be chosen over another skin substitute product code?
Use Q4317 when the product supplied is Vitograft. Codes for other named products represent different products, even when used for a similar wound.
Can Q4317 be submitted by itself?
No. CMS identifies it as an add-on code, so it must be billed with a primary procedure.
How are units reported?
The code is measured per square centimeter. Document the Vitograft quantity and the wound area treated to support the units reported.
Is interpretation included in Q4317?
No. CMS classifies Q4317 as technical-component-only; a separate code covers interpretation.
What documentation supports Q4317?
Document the Vitograft product, the amount used in square centimeters, the treated wound, and the primary procedure reported with it.
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.
18,401Q4314,,"Reeva, 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
18,402Q4315,,Regenelink amniotic mem allo,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
18,403Q4316,,"Amchoplast, 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
18,404Q4317,,"Vitograft, 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
18,405Q4318,,"E-graft, 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
18,406Q4319,,"Sanograft, 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
18,407Q4320,,"Pellograft, 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