{"id":170759,"date":"2026-07-31T13:51:50","date_gmt":"2026-07-31T13:51:50","guid":{"rendered":"https:\/\/pabau.com\/?p=170759"},"modified":"2026-08-17T12:10:31","modified_gmt":"2026-08-17T12:10:31","slug":"hcpcs-code-q4107","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/","title":{"rendered":"HCPCS Code Q4107: Graftjacket billing, fee schedule and Medicare coverage"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code Q4107: Graftjacket billing, fee schedule and coverage guide\",\"description\":\"Complete reference for HCPCS Code Q4107 (Graftjacket, per square centimeter). Covers 2026 Medicare fee schedule, add-on billing rules, ICD-10 crosswalk, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-q4107\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-30\",\"dateModified\":\"2026-08-03\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS Code Q4107 describes Graftjacket, an acellular dermal matrix billed per square centimeter of graft applied.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Q4107 is a temporary Q-series HCPCS Level II code maintained by CMS, and it cannot be submitted on its own.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicare coverage for Q4107 is set by each Medicare Administrative Contractor, not by a single national or numbered LCD.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Payers still expect documented wound chronicity, failed conservative treatment, and wound measurements recorded at every visit.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau links Q4107 to the correct primary codes, calculates per-square-centimeter units, and keeps the wound record audit-ready.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\"><strong>HCPCS Code Q4107<\/strong> is the billing code for Graftjacket, an acellular dermal matrix applied to chronic wounds. It is reported per square centimeter of graft used, and only alongside a primary wound care procedure code. This reference covers the 2026 fee schedule, add-on billing rules, the ICD-10 crosswalk, current Medicare coverage, and the documentation payers ask for.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One thing has changed for 2026. Skin substitute coverage is no longer anchored to a single long-standing Local Coverage Determination. The policy that decides your claim now depends on your Medicare Administrative Contractor (MAC).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">HCPCS Code Q4107: code description and key details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>HCPCS Code Q4107<\/strong> describes Graftjacket, per square centimeter. It is a temporary HCPCS Level II Q-series code assigned and maintained by the Centers for Medicare and Medicaid Services (<a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">CMS<\/a>). The code identifies the application of Graftjacket Regenerative Tissue Matrix during a wound care encounter.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Q4107<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Graftjacket, per square centimeter<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">HCPCS Level II, Q-series temporary code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Add-on code (list separately in addition to primary wound care code)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Product<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Graftjacket Regenerative Tissue Matrix (acellular human dermis, Wright Medical \/ Stryker)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Unit of measure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Per square centimeter (cm\u00b2) of graft applied<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Maintained by<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS (Centers for Medicare and Medicaid Services)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Graftjacket is an acellular dermal matrix derived from human dermis. Processing removes the cellular material while preserving the extracellular collagen scaffold that supports tissue regeneration. Because it comes from human dermal tissue, it sits in the bioengineered skin and soft tissue substitute category that payers review most closely. Practices using <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\" rel=\"noopener\">claims management software<\/a> can flag Q4107 as a product code that needs a paired primary code, which prevents standalone submission.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-q4107\/automate-claims-through-healthcode.webp\" alt=\"Pabau claims management dashboard showing submitted claims\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims management tools flag a Q4107 line with no paired primary code before the claim leaves your practice.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Clinical applications: when Q4107 is used<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Graftjacket is applied to chronic wounds that have failed standard conservative treatment. The two indications payers cover most consistently are diabetic foot ulcers (DFU) and venous leg ulcers (VLU). Both require documented wound chronicity before a skin substitute claim is payable.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Diabetic foot ulcers (DFU):<\/strong> Full-thickness wounds on the plantar or dorsal surface of the foot in patients with diabetes. Most contractor policies expect the wound to have been present for at least four weeks. Standard wound care must also have been tried and failed before Graftjacket is covered.<\/li><li><strong>Venous leg ulcers (VLU):<\/strong> Wounds of venous origin on the lower leg. Standard care failure documentation must accompany the claim, including evidence of compression therapy compliance.<\/li><li><strong>Pressure injuries (limited coverage):<\/strong> Some payers cover Graftjacket for Stage III or IV pressure injuries where conservative measures have failed. Medicare coverage for this indication varies by contractor, so verify with your MAC before billing.<\/li><li><strong>Surgical wounds with tissue deficit:<\/strong> Selected post-operative wounds that need dermal reconstruction. Coverage is case-specific and often requires prior authorization outside routine wound care billing.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Wound care practices managing these patient populations benefit from structured clinical documentation workflows that capture wound type, duration, and prior treatment at every visit. Each of those data points feeds the Q4107 coverage decision.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to bill Q4107: add-on code rules and billing guidelines<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Two mistakes drive most Q4107 rejections. The code is submitted without a primary procedure, or the unit count is calculated incorrectly. The rules below follow <a href=\"https:\/\/www.aapc.com\/codes\/hcpcs-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC coding guidance<\/a> and CMS claims processing requirements.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Primary codes that must accompany Q4107<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Q4107 cannot be billed as a standalone code. It must appear on the same claim as a qualifying primary wound care procedure code. Commonly paired primary codes include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>97597:<\/strong> Debridement, open wound; first 20 cm\u00b2 or less<\/li><li><strong>97598:<\/strong> Debridement, open wound; each additional 20 cm\u00b2 (add-on to 97597)<\/li><li><strong>97602:<\/strong> Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia, per session<\/li><li><strong>15271:<\/strong> Application of skin substitute graft to trunk, arms, or legs; first 25 cm\u00b2<\/li><li><strong>15272:<\/strong> Application of skin substitute graft; each additional 25 cm\u00b2 (add-on to 15271)<\/li><li><strong>15273:<\/strong> Application of skin substitute graft to trunk, arms, or legs, total wound area 100 cm\u00b2 or greater; first 100 cm\u00b2<\/li><li><strong>15275:<\/strong> Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, or multiple digits; first 25 cm\u00b2<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Surgical preparation of the wound bed is reported separately. When the provider excises or debrides the site to receive the graft, that work is coded on its own. Use the 15002 to 15005 range rather than folding it into the application code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Unit calculation: per square centimeter<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Bill one unit of Q4107 for each square centimeter of Graftjacket applied. Measure the wound surface area at the time of application and record it in the clinical note. Round to the nearest whole square centimeter. Overbilling units relative to the documented wound size is a common audit trigger.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Example:<\/strong> A wound measures 4 cm x 3 cm (12 cm\u00b2). Bill Q4107 x 12 units alongside the appropriate primary application code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Modifier usage<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Modifier 59:<\/strong> Distinct procedural service. Use it when Q4107 is billed on the same date as another skin substitute code for a different wound site.<\/li><li><strong>Modifier KX:<\/strong> Required by some MACs to confirm that the coverage criteria have been met. Check your contractor&#8217;s current policy before appending it.<\/li><li><strong>Modifier GY:<\/strong> Item or service statutorily excluded. Use it when billing a non-covered indication, so Medicare issues a formal denial for the secondary payer.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices that run regular medical chart audits should build a pre-submission checklist. It flags any Q4107 claim missing a primary code or a unit entry before that claim reaches the clearinghouse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Q4107 fee schedule 2026: Medicare reimbursement rates<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare Part B reimburses Q4107 per square centimeter under the Physician Fee Schedule (PFS). Rates differ between facility and non-facility settings, and CMS updates them every year. Check current rates with the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS fee schedule lookup<\/a> for your locality, since Geographic Practice Cost Index (GPCI) adjustments apply.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Setting<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">2026 Medicare rate (per cm\u00b2)<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Non-facility (office)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify via CMS PFS lookup<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Higher rate; product and professional work included<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Facility (hospital\/ASC)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Verify via CMS PFS lookup<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lower rate; facility overhead reimbursed separately<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial payers<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Contracted rate (varies)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Negotiate per payer contract; not CMS-governed<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">CMS does not publish a single national allowable for Q4107, because rates vary by locality. Third-party rate aggregators list per-cm\u00b2 figures, but those are estimates rather than your contractor&#8217;s allowable. Pull the rate directly from the CMS PFS search tool using your practice&#8217;s locality code. Commercial payer rates are set by contract and are not bound by the Medicare PFS.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Download the CMS Physician Fee Schedule file for your locality at the start of each calendar year and load it into your billing system. Per-cm\u00b2 rates for Q-series skin substitute codes often change with the annual PFS update. Relying on last year&#8217;s figures leads to underbilling or claims adjusted at payment.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Medicare coverage criteria for Q4107<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Q4107 coverage is decided by your Medicare Administrative Contractor, not by a single national or numbered Local Coverage Determination. CMS and the MACs finalized a unified set of skin substitute LCDs with an effective date of January 1, 2026. Several contractors then withdrew those policies on December 24, 2025.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That leaves coverage in a number of jurisdictions determined case by case, under the standard reasonable and necessary review. Before you bill, check the currently active LCD or billing and coding article for your contractor in the CMS <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/\" target=\"_blank\" rel=\"nofollow noopener\">Medicare Coverage Database<\/a>. Contractor policies differ in wording, but the clinical criteria below are the ones payers look for consistently.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Wound type:<\/strong> Full-thickness diabetic foot ulcer or venous leg ulcer, or another wound type named in your contractor&#8217;s active policy.<\/li><li><strong>Wound duration:<\/strong> The wound has typically been present for at least four weeks before skin substitute application.<\/li><li><strong>Conservative treatment failure:<\/strong> Standard wound care has been tried without an adequate healing response. That includes debridement such as 11042, moisture-retentive dressings, off-loading for DFU, and compression for VLU.<\/li><li><strong>Off-loading compliance (DFU):<\/strong> Documented evidence that the patient used appropriate off-loading during the conservative treatment period.<\/li><li><strong>Compression compliance (VLU):<\/strong> Documented evidence of compression therapy before and during skin substitute application.<\/li><li><strong>Wound measurements:<\/strong> Wound length, width, and depth recorded at each visit, with progress toward healing tracked over time.<\/li><li><strong>No active infection:<\/strong> The wound must be free of active infection at the time of application. Treat the infection first.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices billing wound care across multiple patient populations benefit from HIPAA-compliant documentation tools that capture each coverage criterion at the point of care. Reconstructing that record during an audit takes far longer and often falls short.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Documentation requirements for Q4107 claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Missing or inadequate documentation is the leading cause of Q4107 denial and recoupment. Medicare and most commercial payers expect the clinical record to demonstrate medical necessity at the time of each application. The checklist below reflects the fields most commonly requested in post-payment audits.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Documentation element<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">What to capture<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wound measurements<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Length x width x depth (cm) at the application visit, used to calculate Q4107 units<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Wound chronicity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Date of wound onset, date conservative treatment began, minimum four-week duration documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Conservative treatment record<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Type of dressing, frequency of change, debridement performed, off-loading or compression used and duration<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Response to treatment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound healing trajectory, percentage change in wound area across visits, failure to progress<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Product application details<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Product name (Graftjacket), lot number, total area applied (cm\u00b2), placement technique<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Diagnosis and comorbidities<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active ICD-10-CM diagnosis codes supporting medical necessity, plus diabetes status for DFU claims<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Absence of active infection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Clinical assessment confirming the wound is infection-free at the time of application<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Structured wound care note templates in digital clinical forms pre-populate the measurement fields and prompt for conservative treatment entries. They also flag incomplete notes before those notes reach billing. Practices using wound measurement tracking produce a longitudinal wound area trend, which satisfies the healing-trajectory documentation payers request during audits.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-q4107\/digital-forms.webp\" alt=\"Pabau digital clinical forms builder\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s digital forms capture wound measurements and conservative treatment notes at every visit, so the Q4107 record is complete before billing.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">ICD-10 codes commonly billed with Q4107<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The ICD-10-CM diagnosis codes submitted with Q4107 must match the covered wound type and be supported by the clinical record. The table below lists the codes most often paired with Q4107, organized by wound category. Use the most specific code available, including laterality and severity where the tabular list requires it.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Laterality note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E11.621<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Type 2 diabetes with foot ulcer<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use with L97.4xx (right) or L97.5xx (left) for site\/severity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E11.622<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Type 2 diabetes with other skin ulcer<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Code also non-foot ulcer site using L97 or L98 category<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E10.621<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Type 1 diabetes with foot ulcer<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Code also site with L97.4xx or L97.5xx<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I83.009<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varicose veins of lower extremity with ulcer, unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Specify laterality: I83.001 (right), I83.002 (left)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I83.209<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Varicose veins with both ulcer and inflammation, unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Specify laterality: I83.201 (right), I83.202 (left)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L97.419<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Non-pressure chronic ulcer of right heel and midfoot, unspecified severity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Required secondary code for DFU; use with E11.621 or E10.621<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">L97.519<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Non-pressure chronic ulcer of left heel and midfoot, unspecified severity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Required secondary code for left-sided DFU<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">For DFU claims, sequence the diabetic etiology code (E11.621 or E10.621) first. The wound site code (L97.4xx or L97.5xx) is a required secondary code. Submitting the etiology code alone is a common error that triggers a request for additional information. Verify every code against the current <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS ICD-10-CM code list<\/a> for the applicable fiscal year.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Related HCPCS codes: Q4100 series skin substitute codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Q4107 belongs to the Q4100 series of temporary HCPCS codes assigned by CMS to identify individual skin substitute products. Each code in the series identifies a specific product billed per square centimeter. Selecting the correct code means matching the product actually applied to the patient. The codes are not interchangeable.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">HCPCS code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Product descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Source<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4101<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apligraf, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bovine collagen \/ human neonatal cells<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4102<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Oasis wound matrix, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Porcine small intestine submucosa<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4103<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Oasis burn matrix, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Porcine SIS, burn-specific formulation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4104<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Integra bilayer matrix, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bovine collagen \/ shark chondroitin sulfate<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4105<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Integra dermal regen template, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Collagen scaffold with silicone layer<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4106<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dermagraft, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Human neonatal dermal fibroblasts<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\"><strong>Q4107<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Graftjacket, per square centimeter<\/strong><\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>Acellular human dermis (Wright Medical \/ Stryker)<\/strong><\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q4108<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Integra matrix, per square centimeter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Wound matrix, single layer<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Using the wrong Q-code for the product applied is an upcoding or downcoding error with audit and recoupment consequences. Graftjacket Xpress, the injectable flowable form, is a separate product with its own code, Q4113, billed per cubic centimeter. Practices managing several skin substitute products should use a billing-integrated EHR that links product selection at documentation to the matching HCPCS code at submission.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Q4107 code history and 2026 status<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Q4107 is an active HCPCS Level II code for the 2026 code year. CMS maintains the Q4100 series and revises it through the annual HCPCS Level II update process. Confirm the current status of Q4107 against the CMS HCPCS annual code file before your first claim of the year.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Item<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Status<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">2026 code year<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No descriptor change reported for 2026; confirm via the CMS HCPCS annual file<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q-series review<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Annual<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS reviews temporary Q-codes annually; codes can be revised, replaced, or deleted<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Coverage policy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Set by each MAC<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unified skin substitute LCDs were finalized for January 1, 2026, then withdrawn by several contractors on December 24, 2025<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Because Q-series codes are temporary by design, run a code review at the start of each fiscal year. Confirm that Q4107 and every other Q-series skin substitute code you use is still active and unchanged. A code deleted or reassigned mid-year creates rejections that take weeks to resolve. The best EMR software for wound care supports annual code library updates, so your billing team is not relying on memory.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Set a calendar reminder for January of each year to cross-check your active Q-series skin substitute code list against the CMS HCPCS annual update file. Products in the Q4100 series are reviewed annually and can be deleted, renumbered, or have their descriptors revised. Catching a change before you submit the first claim of the year prevents a billing disruption that takes weeks to unwind.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">How practice management software supports Q4107 billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Code lookup tools tell you what Q4107 means. They cannot tell you whether your practice applies it consistently, catches unit errors, and keeps the wound record that survives a post-payment audit.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three workflow problems drive most Q4107 billing errors in wound care practices:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Disconnected documentation and billing:<\/strong> The clinician records wound measurements in one system, and the biller enters units by hand in another. Transcription between those two steps is where unit mismatches start. Practice management software like Pabau passes the wound area straight to the billing module, so the unit count matches the note every time.<\/li><li><strong>Missing primary code linkage:<\/strong> Add-on codes need a primary code on the same claim. When scheduling, documentation, and billing sit in separate systems, that primary code is sometimes dropped at submission. Rules-based claim scrubbing flags an orphan Q4107 before it reaches the payer.<\/li><li><strong>Incomplete longitudinal wound records:<\/strong> One clean note at the application visit is rarely enough. Payers reviewing a Q4107 claim want measurements from several preceding visits, conservative treatment notes, and off-loading or compression records. Pabau&#8217;s digital forms capture all of it at each encounter, without asking the clinician to remember every required field.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Wound care practices billing Q-series codes at volume benefit from skin clinic software that connects documentation, billing rules, and audit readiness. For dermatology and wound care settings.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Related HCPCS codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-q9966\/\">HCPCS code Q9966 \u2014 Low Osmolar Contrast Material<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-q4131\/\">HCPCS code Q4131 \u2014 Epifix or Epicord, now Q4186\/Q4187<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-q4205-membrane-graft-or-wrap\/\">HCPCS code Q4205 \u2014 Membrane Graft or Wrap<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-q5101\/\">HCPCS Code Q5101 \u2014 Zarxio billing, reimbursement, and modifiers<\/a><\/li>\n<\/ul>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce skin substitute billing errors with integrated documentation                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects wound measurement, clinical notes, and billing in one platform. Link Q4107 add-on codes to primary procedures, auto-populate unit counts from documented wound area, and keep the longitudinal wound records Medicare auditors expect.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management software for wound care billing\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Treat Q4107 as a documentation code first and a billing code second. The unit count, the primary code pairing, and the wound history all come from the clinical note. A weak note guarantees a weak claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coverage is the part worth rechecking this year. With the unified skin substitute LCDs withdrawn in several jurisdictions, your contractor&#8217;s active policy is the only answer that counts. Build that check into your annual code review rather than trusting a policy number you have used for years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s integrated documentation and practice management platform connects wound measurement, clinical notes, and claim scrubbing. Q4107 billing then stays accurate from the exam room through to submission. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how it handles skin substitute claims.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Grafting the face, hands, or feet?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-15276\/\" rel=\"noopener\">15276<\/a> covers the additional-area units for skin substitute application at those sites.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Debriding down to bone before the graft?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11044\/\" rel=\"noopener\">11044<\/a> sets out how deep debridement is documented and billed at the same encounter.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Treating a necrotizing soft tissue infection?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-11005\/\" rel=\"noopener\">11005<\/a> covers abdominal wall debridement and the documentation payers expect with it.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Closing a wound with tissue adhesive instead?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-g0168\/\" rel=\"noopener\">G0168<\/a> explains when adhesive-only wound closure is billable and how to record it.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding a traumatic open wound rather than a chronic ulcer?<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-s41021a\/\" rel=\"noopener\">S41.021A<\/a> shows how laceration diagnoses are specified for laterality and encounter type.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1785497302179\"><h3 class=\"schema-faq-question\">What is HCPCS Code Q4107 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code Q4107 is used to bill for the application of Graftjacket, an acellular human dermis skin substitute, per square centimeter. It is reported when Graftjacket is applied to a chronic wound, such as a diabetic foot ulcer or venous leg ulcer. The claim must also carry a qualifying primary wound care procedure code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302180\"><h3 class=\"schema-faq-question\">Is Q4107 an add-on code?<\/h3> <p class=\"schema-faq-answer\">Yes. Q4107 is an add-on code and cannot be billed alone. It must appear on the same claim as a primary wound care or skin substitute application code. Examples include CPT 97597, 97602, and 15271. Submitting Q4107 without a primary code will result in claim rejection.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302181\"><h3 class=\"schema-faq-question\">What documentation is required to bill Q4107?<\/h3> <p class=\"schema-faq-answer\">Record the wound measurements (length x width x depth) at the application visit. Document wound chronicity with the onset date and a minimum four-week duration. Add notes on failed conservative treatment, the product lot number, and the total area applied. Confirm that no active infection was present. For Medicare, the record must also satisfy the medical necessity criteria in your contractor&#8217;s active coverage policy.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302182\"><h3 class=\"schema-faq-question\">What ICD-10 diagnosis codes are used with Q4107?<\/h3> <p class=\"schema-faq-answer\">The most common ICD-10-CM codes paired with Q4107 are E11.621 and E10.621, for type 2 and type 1 diabetes with foot ulcer. Each one needs a secondary wound site code from the L97 category for laterality and severity. For venous leg ulcers, I83.009 and I83.209 are common, with laterality specified at the fifth or sixth character.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302183\"><h3 class=\"schema-faq-question\">Does Medicare cover Q4107 Graftjacket?<\/h3> <p class=\"schema-faq-answer\">Yes, but the terms depend on your contractor. Medicare covers Q4107 when the wound is a full-thickness DFU or VLU present for at least four weeks. Conservative care must have failed, and off-loading or compression compliance must be documented. Coverage is set by each Medicare Administrative Contractor rather than one national policy. Check your contractor&#8217;s active LCD in the CMS Medicare Coverage Database before billing.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302184\"><h3 class=\"schema-faq-question\">What is the difference between Q4107 and other skin substitute codes?<\/h3> <p class=\"schema-faq-answer\">Each code in the Q4100 series identifies a specific commercial skin substitute product. Q4107 identifies Graftjacket, an acellular human dermis product from Wright Medical and Stryker. Adjacent codes such as Q4101 (Apligraf) and Q4106 (Dermagraft) identify different products with different biological sources. Using the wrong Q-code is a coding error with audit and recoupment consequences, so always match the code to the product used.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1785497302185\"><h3 class=\"schema-faq-question\">What primary procedure codes must be billed with Q4107?<\/h3> <p class=\"schema-faq-answer\">Q4107 is typically billed alongside CPT 15271 for the trunk, arms, or legs, or CPT 15275 for the face, hands, and feet. Debridement codes such as 97597 or 97602 apply when debridement is the primary procedure at the same encounter. The correct primary code depends on the procedure performed and the wound location. Confirm it against current CPT guidelines and your payer&#8217;s coverage policy.<\/p> <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS Code Q4107 is the billing code for Graftjacket, an acellular dermal matrix applied to chronic wounds. It is reported per square centimeter of graft used, and only alongside a primary wound care procedure code. This reference covers the 2026 fee schedule, add-on billing rules, the ICD-10 crosswalk, current Medicare coverage, and the documentation payers [&hellip;]<\/p>\n","protected":false},"author":81,"featured_media":170758,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[1619,2278,2535],"class_list":["post-170759","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","tag-hcpcs-billing","tag-wound-care","tag-wound-care-documentation"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code Q4107: Graftjacket billing and 2026 Medicare coverage<\/title>\n<meta name=\"description\" content=\"Q4107 bills Graftjacket per square centimeter, always with a primary wound care code. Coverage now follows your MAC, not one LCD.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS Code Q4107: Graftjacket billing and 2026 Medicare coverage\" \/>\n<meta property=\"og:description\" content=\"Q4107 bills Graftjacket per square centimeter, always with a primary wound care code. Coverage now follows your MAC, not one LCD.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-31T13:51:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-17T12:10:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/hcpcs-code-q4107.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Aleksandar Kochovski\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Aleksandar Kochovski\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/\"},\"author\":{\"name\":\"Aleksandar Kochovski\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/73b672a49e20bfba8161e3c17ee3dda2\"},\"headline\":\"HCPCS Code Q4107: Graftjacket billing, fee schedule and Medicare coverage\",\"datePublished\":\"2026-07-31T13:51:50+00:00\",\"dateModified\":\"2026-08-17T12:10:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/\"},\"wordCount\":3039,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-q4107.webp\",\"keywords\":[\"Hcpcs Billing\",\"Wound care\",\"Wound care documentation\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/\",\"name\":\"HCPCS Code Q4107: Graftjacket billing and 2026 Medicare coverage\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/hcpcs-code-q4107\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/hcpcs-code-q4107.webp\",\"datePublished\":\"2026-07-31T13:51:50+00:00\",\"dateModified\":\"2026-08-17T12:10:31+00:00\",\"description\":\"Q4107 bills Graftjacket per square centimeter, always with a primary wound care code. 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The claim must also carry a qualifying primary wound care procedure code.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302180","position":2,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302180","name":"Is Q4107 an add-on code?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes. Q4107 is an add-on code and cannot be billed alone. It must appear on the same claim as a primary wound care or skin substitute application code. Examples include CPT 97597, 97602, and 15271. Submitting Q4107 without a primary code will result in claim rejection.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302181","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302181","name":"What documentation is required to bill Q4107?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Record the wound measurements (length x width x depth) at the application visit. Document wound chronicity with the onset date and a minimum four-week duration. Add notes on failed conservative treatment, the product lot number, and the total area applied. Confirm that no active infection was present. For Medicare, the record must also satisfy the medical necessity criteria in your contractor's active coverage policy.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302182","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302182","name":"What ICD-10 diagnosis codes are used with Q4107?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The most common ICD-10-CM codes paired with Q4107 are E11.621 and E10.621, for type 2 and type 1 diabetes with foot ulcer. Each one needs a secondary wound site code from the L97 category for laterality and severity. For venous leg ulcers, I83.009 and I83.209 are common, with laterality specified at the fifth or sixth character.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302183","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302183","name":"Does Medicare cover Q4107 Graftjacket?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Yes, but the terms depend on your contractor. Medicare covers Q4107 when the wound is a full-thickness DFU or VLU present for at least four weeks. Conservative care must have failed, and off-loading or compression compliance must be documented. Coverage is set by each Medicare Administrative Contractor rather than one national policy. Check your contractor's active LCD in the CMS Medicare Coverage Database before billing.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302184","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302184","name":"What is the difference between Q4107 and other skin substitute codes?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Each code in the Q4100 series identifies a specific commercial skin substitute product. Q4107 identifies Graftjacket, an acellular human dermis product from Wright Medical and Stryker. Adjacent codes such as Q4101 (Apligraf) and Q4106 (Dermagraft) identify different products with different biological sources. Using the wrong Q-code is a coding error with audit and recoupment consequences, so always match the code to the product used.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302185","position":7,"url":"https:\/\/pabau.com\/es\/procedure-codes\/hcpcs-code-q4107\/#faq-question-1785497302185","name":"What primary procedure codes must be billed with Q4107?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Q4107 is typically billed alongside CPT 15271 for the trunk, arms, or legs, or CPT 15275 for the face, hands, and feet. Debridement codes such as 97597 or 97602 apply when debridement is the primary procedure at the same encounter. The correct primary code depends on the procedure performed and the wound location. Confirm it against current CPT guidelines and your payer's coverage policy.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"HCPCS Code Q4107","seo_title":"HCPCS Code Q4107: Graftjacket billing and 2026 Medicare coverage","meta_description":"Q4107 bills Graftjacket per square centimeter, always with a primary wound care code. Coverage now follows your MAC, not one LCD.","content_score":"90","is_cornerstone":"","related_keyphrases":[{"keyword":"Q4107 fee schedule 2026","score":61},{"keyword":"Q4107 Medicare reimbursement","score":61},{"keyword":"skin substitute HCPCS codes","score":61},{"keyword":"diabetic foot ulcer billing code","score":56},{"keyword":"wound care HCPCS","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/170759","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/81"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=170759"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/170759\/revisions"}],"predecessor-version":[{"id":182842,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/170759\/revisions\/182842"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/170758"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=170759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=170759"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=170759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}