All ASC CPT codes
ASC Ancillary · CPT/HCPCS

HCPCS Q4105

Integra drt or omnigraft

Last reviewed August 2026 · DataLily AI data team

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HCPCS Q4105 at a glance

Code
Q4105
Code type
CPT/HCPCS
Short descriptor
Integra drt or omnigraft
Category
ASC Ancillary
ASC eligibility
ASC-eligible (ancillary)
Typical setting
Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).
Medicare ASC rate
$127.14 national · 2026Q2

What is HCPCS code Q4105?

HCPCS Q4105 is a CPT/HCPCS procedure code for integra drt or omnigraft. Its official short descriptor is "Integra drt or omnigraft". In the ASC context it is grouped under ASC Ancillary.

Is HCPCS Q4105 eligible in an ambulatory surgery center (ASC)?

HCPCS Q4105 is an ancillary service that can be provided in the ASC setting when it supports a surgical procedure.

Where is HCPCS Q4105 typically performed?

Ambulatory surgery center (POS 24) or hospital outpatient department (POS 22).

What is the Medicare ASC payment rate for HCPCS Q4105?

The national Medicare ASC payment rate for HCPCS Q4105 is $127.14 (Medicare ASC Payment System, 2026Q2). This is the national, unadjusted Medicare amount; the amount an individual ambulatory surgery center is paid is adjusted for local wage index and may differ. It reflects Medicare's facility payment only and does not include the surgeon's professional fee.

Reference information about ASC eligibility and typical procedure setting. Codes, descriptors, and ASC-eligibility status change over time. This is a coding reference, not billing, coding, or legal advice. Always verify against current guidance and individual payer policy before scheduling or billing. CPT is a registered trademark of the American Medical Association. Read the DataLily AI data methodology.

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