Q4117 HCPCS code: Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
Q4117 is the HCPCS Level II code for hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure). In 2023 Medicare paid an average of $13.64 per service for Q4117 across 1,524 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 44% from 2022 to 2023 (2,744 to 1,524 services). In 2023, about 15 clinicians billed Medicare for Q4117 for 32 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | O1E — Other drugs |
| Added | 2011-01-01 |
| Last action effective | 2026-01-01 |
Who bills Q4117 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 15 |
| Medicare beneficiaries | 32 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4117, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,744 | 57 | $29.81 | $23.78 |
| 2023 | 1,524 | 32 | $17.12 | $13.64 |
What changed for Q4117
- January 2026: Descriptor revised (Was: Hyalomatrix, per square centimeter)
- 2011-01-01: Q4117 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code Q4117?
Q4117 is the HCPCS Level II code for hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Hyalomatrix".
How much does Medicare pay for Q4117?
In 2023, the average Medicare payment was $13.64 per service (average allowed $17.12).
Does Medicare cover Q4117?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related Q41 codes
- Q4100 — Skin substitute, not otherwise specified
- Q4101 — Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4102 — Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4103 — Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4104 — Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
- Q4105 — Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4106 — Dermagraft, per square centimeter
- Q4107 — Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4108 — Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4110 — Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4111 — Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4112 — Cymetra, injectable, 1 cc
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under Q4117
- Watch Q4117 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4117
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.