Q4104 HCPCS Level II code: Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Q4104 is the HCPCS code for “Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
Q4104Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Short description: Integra bmwd
HCPCS · United States
Medicare details
The indicators CMS publishes with Q4104 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Physician fee schedule – Price established using national RVUs
- ASC
- Approved for ambulatory surgical centers
- Type of service
- Medical care
- BETOS category
- Other drugs
- Added
- Jan 1, 2009
Where Q4104 sits
- 1Q codesTemporary codes
- 2Active code Q4104Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code Q4104 mean?
Q4104 is the HCPCS code for “Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover Q4104?
CMS lists Q4104’s Medicare coverage as “Carrier judgment” and its pricing as “Physician fee schedule – Price established using national RVUs”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Q4104
All Q codesQ4081Injection, epoetin alfa, 100 units (for esrd on dialysis)Q4082Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)Q4100Skin substitute, not otherwise specifiedQ4101Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)Q4102Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4103Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4105Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4106Dermagraft, per square centimeterQ4107Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)Q4108Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4110Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)Q4111Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)