$156.92
This is an application procedure, not the Renograft product code. It applies to qualifying trunk, arm, or leg sites; Q4321 identifies the product furnished.
On this page
CMS RVU26D · Effective 2026-10-01
Q4321 Renograft graft Medicare reimbursement rates in Nevada
Q4321 reports Renograft by square centimeter when furnished with a primary wound procedure involving graft application. Compare Q4321 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 Q4321 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 supply
About Q4321: Renograft wound graft supply
Q4321 reports Renograft by square centimeter when furnished with a primary wound procedure involving graft application.
Q4321 identifies Renograft supplied by the square centimeter for use with a wound procedure. The product line is reported alongside the primary procedure that applies the graft; it is not a standalone service. The code is relevant to wound care encounters in which the documented product used is Renograft.
Report the quantity in square centimeters and retain documentation supporting the product used and the quantity furnished. CMS classifies Q4321 as an add-on code, so it must accompany a primary procedure and its payment is within that procedure’s global period. CMS also classifies it as technical-component-only; a separate code covers interpretation. The application procedure is selected separately according to the service performed and applicable site and area criteria.
CMS billing rules for Q4321
- 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.
Q4321 compared with similar codes
Office rates for Nevada, from the same CMS release.
$159.30
This is an application procedure for qualifying head, neck, hand, foot, or genital sites. Q4321 reports Renograft rather than the application service.
$127.38
Q4320 identifies Pellograft, while Q4321 identifies Renograft. Select the product code matching the material actually furnished.
Compare Q4321 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 Q4321 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
18,408
- Code
- Q4321
- 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.
Q4321 billing questions
Can Q4321 be reported by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
How is the Q4321 quantity reported?
The descriptor is per square centimeter. Document the Renograft quantity furnished in square centimeters.
Does Q4321 include interpretation?
No. CMS classifies Q4321 as technical-component-only; a separate code covers interpretation.
Which application code is paired with Q4321?
Pair it with the primary procedure that applies the graft. For example, the applicable wound-graft application code depends on the treated site and area.
What documentation supports Q4321?
Document that Renograft was used and the quantity furnished in square centimeters, along with the primary wound 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.
18,405Q4318,,"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
18,408Q4321,,"Renograft, 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
18,409Q4322,,"Caregraft, 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
18,410Q4323,,"Alloply, 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
18,411Q4324,,"Amniotx, 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
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