$127.38
Q4104 is for Integra Bilayer Matrix Wound Dressing. Use Q4108 for Integra Matrix, based on the product documented and supplied.
On this page
CMS RVU26D · Effective 2026-10-01
Q4108 Wound matrix Medicare reimbursement rates in Nevada
Report Integra Matrix for the wound-matrix product used with a primary wound procedure, with units reflecting the product area represented by the code. Compare Q4108 office and facility rates across CMS payment localities in Nevada.
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 Q4108 in Nevada?
Nevada 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
$127.38
1 of 1 localities have a supported rate.
Payment area: Nevada**
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.
Wound care
About Q4108: Integra wound matrix supply
Report Integra Matrix for the wound-matrix product used with a primary wound procedure, with units reflecting the product area represented by the code.
Q4108 identifies Integra Matrix, a wound-care matrix product used on a prepared wound bed. It may be encountered in wound-care services and surgical treatment of wounds; wound-care clinicians and surgeons typically document the wound treated and the product used. It is distinct from other Integra products, including bilayer matrix wound dressing, dermal regeneration template, and flowable wound matrix.
CMS classifies Q4108 as an add-on code, so report it only with a primary procedure; its payment falls within that procedure’s global period. The code is technical-component-only, with interpretation covered by a separate code. Documentation should identify Integra Matrix, the treated wound site, the primary procedure, and the quantity applied. Use the product’s square-centimeter unit when reporting the quantity, and ensure the primary procedure matches the service performed and wound location.
CMS billing rules for Q4108
- 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.
Q4108 compared with similar codes
Office rates for Nevada, from the same CMS release.
$127.38
Q4105 identifies Integra Dermal Regeneration Template or Omnigraft. It is not interchangeable with the Integra Matrix product reported under Q4108.
Q4114
No office rateIntegra flowable wound matri
Q4114 identifies Integra Flowable Wound Matrix. Select it for that flowable product, not for Integra Matrix reported under Q4108.
Compare Q4108 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
Nevada** →
Office / nonfacility
$127.38
Facility
Unavailable
Need rates for a whole code list?
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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 Q4108 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
18,207
- Code
- Q4108
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 1.001 | 3.8138 |
| Malpractice | 0.00 | × 0.833 | 0.0000 |
| Total RVUs | 3.8138 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$127.38
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 1.001 |
| Malpractice | 0 | 0.833 |
(0 × 1 + 3.81 × 1.001 + 0 × 0.833) × $33.4009 = $127.38
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.
Q4108 billing questions
How is Q4108 different from Q4104 or Q4105?
Q4108 identifies Integra Matrix. Q4104 identifies Integra Bilayer Matrix Wound Dressing, while Q4105 identifies Integra Dermal Regeneration Template or Omnigraft; report the product actually used.
Can Q4108 be billed by itself?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure and is paid within that procedure’s global period.
What should the record support?
Document the Integra Matrix product, wound site, primary procedure, and quantity applied. The reported units should reflect the product quantity represented in square centimeters.
Does Q4108 include interpretation?
CMS classifies Q4108 as technical-component-only; a separate code covers interpretation. The record and claim should distinguish the technical service from any separately coded interpretation.
Which application procedure may be reported with Q4108?
A skin-substitute application procedure may serve as the primary procedure, with the specific code selected according to the treated site and service. Q4108 is not reported without that primary procedure.
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.
18,204Q4104,,Integra bmwd,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
18,205Q4105,,Integra drt or omnigraft,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
18,206Q4107,,Graftjacket,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
18,207Q4108,,Integra matrix,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
18,208Q4110,,Primatrix,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
18,209Q4111,,Gammagraft,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
18,210Q4112,,Cymetra injectable,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
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097