Q4132 HCPCS code: Grafix core and grafixpl core, per square centimeter
Q4132 is the HCPCS Level II code for grafix core and grafixpl core, per square centimeter. In 2024 Medicare paid an average of $118.47 per service for Q4132 across 9,734 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 68% from 2022 to 2024 (30,245 to 9,734 services). In 2024, about 116 clinicians billed Medicare for Q4132 for 170 beneficiaries; California, Arizona, Tennessee accounted for 60% of services.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 51 — Drug or biological (priced per ASP/average sales price rules) |
| BETOS category | O1E — Other drugs |
| Added | 2013-01-01 |
| Last action effective | 2018-01-01 |
Who bills Q4132 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 116 |
| Medicare beneficiaries | 170 |
| States with claims | 6 |
| Share of services in top 3 states (California, Arizona, Tennessee) | 60% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for Q4132, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 30,245 | 274 | $483.08 | $385.12 |
| 2023 | 67,242 | 854 | $294.23 | $234.41 |
| 2024 | 9,734 | 170 | $149.28 | $118.47 |
States with the most Q4132 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,228 | $122.76 |
| Arizona | 1,105 | $122.68 |
| Tennessee | 1,020 | $122.59 |
| Illinois | 943 | $122.88 |
| Texas | 664 | $123.72 |
What changed for Q4132
- 2013-01-01: Q4132 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 Q4132?
Q4132 is the HCPCS Level II code for grafix core and grafixpl core, per square centimeter. Short descriptor: "Grafix core, grafixpl core".
How much does Medicare pay for Q4132?
In 2024, the average Medicare payment was $118.47 per service (average allowed $149.28).
Does Medicare cover Q4132?
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
- Q4102 — Oasis wound matrix, per square centimeter
- Q4103 — Oasis burn matrix, per square centimeter
- Q4104 — Integra bilayer matrix wound dressing (bmwd), per square centimeter
- Q4105 — Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter
- Q4106 — Dermagraft, per square centimeter
- Q4107 — Graftjacket, per square centimeter
- Q4108 — Integra matrix, per square centimeter
- Q4110 — Primatrix, per square centimeter
- Q4111 — Gammagraft, per square centimeter
- 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 Q4132
- Watch Q4132 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q4132
Sources: CMS HCPCS Level II release October 2025; 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.