$127.38
Q4128 identifies FlexHD and related products; Q4125 identifies ArthroFlex. Select the code matching the product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4125 Dermal allograft Medicare reimbursement rates in Nevada
Q4125 identifies ArthroFlex dermal allograft used to reinforce or reconstruct soft tissue, reported with a primary procedure and measured by area. Compare Q4125 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 Q4125 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.
Biologic graft material
About Q4125: ArthroFlex dermal allograft
Q4125 identifies ArthroFlex dermal allograft used to reinforce or reconstruct soft tissue, reported with a primary procedure and measured by area.
Q4125 identifies ArthroFlex, a human acellular dermal matrix used as graft material in soft-tissue repair or reinforcement. Orthopedic surgeons commonly use dermal grafts in procedures such as rotator cuff repair; other reconstructive procedures may use them to reinforce or replace deficient soft tissue. The code represents the product, not the surgeon’s operative work, and is reported by the treating facility or clinician furnishing the material according to the applicable claim setting.
Report the quantity in square centimeters and retain documentation showing the product used and the area applied. CMS classifies Q4125 as an add-on code: report it only with a primary procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only; a separate code covers interpretation. The CMS file assigns no physician work RVUs to Q4125, so the code represents the technical side rather than professional interpretation.
CMS billing rules for Q4125
- 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.
Q4125 compared with similar codes
Office rates for Nevada, from the same CMS release.
$127.38
Q4116 is the product-specific code for AlloDerm. It is not the code for ArthroFlex, even when both are used as dermal matrices.
$127.38
Q4122 identifies DermACELL AWM, while Q4125 identifies ArthroFlex. The product record determines which code applies.
Compare Q4125 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
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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 Q4125 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
18,221
- Code
- Q4125
- 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.
Q4125 billing questions
Can Q4125 be billed by itself?
No. CMS identifies Q4125 as an add-on code that must be reported with a primary procedure.
How should the quantity be reported?
Report the ArthroFlex material by square centimeter. Documentation should support the product used and the area applied.
Does Q4125 include the surgeon’s work?
No. The code identifies the graft material. CMS classifies it as technical-component-only, with interpretation covered by a separate code.
How does the global-period rule affect Q4125?
CMS places payment for this add-on within the primary procedure’s global period. Report Q4125 with that primary procedure, not as a standalone service.
Is Q4125 interchangeable with other dermal matrix codes?
No. Q4125 identifies ArthroFlex specifically. Other graft products have their own HCPCS codes and should not be substituted based only on a general similarity in material or use.
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.
18,218Q4122,,"Dermacell, awm, porous 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
18,219Q4123,,Alloskin,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
18,220Q4124,,Oasis tri-layer wound 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
18,221Q4125,,Arthroflex,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
18,222Q4126,,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
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