Home › Drug Codes › Q Codes › Q4105 · Integra Omnigraft Dermal Regeneration Matrix
Updated July 1st, 2026

Integra Omnigraft Dermal Regeneration Matrix Q Code: Q4105

Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$127.14
/ HCPCS billing unit · APC 6000
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
11
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Drug & Product Overview

HCPCS Descriptor Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
HCPCS Added Date January 1, 2009
Manufacturer Multiple Manufacturers
Route of Administration Topical
Generic Status Single-Source; Branded

About Integra Omnigraft Dermal Regeneration Matrix

Integra Omnigraft Dermal Regeneration Matrix is a medication aligned to the HCPCS Q Code: Q4105 for billing, pricing, and reimbursement purposes in the United States. Classified under Wound Care, it is administered via the topical route and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

11 NDC packages are crosswalked to Q4105. Package detail is available to logged-in subscribers.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
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Integra Omnigraft Dermal Regeneration Matrix
Integra Omnigraft Dermal Regeneration Matrix
Integra Omnigraft Dermal Regeneration Matrix
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Not on the CMS JW / JZ list

CMS does not include Integra Omnigraft Dermal Regeneration Matrix (Q4105) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q4105. Wastage billing guide →

Integra Omnigraft Dermal Regeneration Matrix Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Neuropathic diabetic foot ulcers (partial- & full-thickness, >6 weeks) Postexcisional treatment of life-threatening deep partial- or full-thickness thermal injuries (burns) Repair of scar contractures

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Frequently Asked Questions

Is there an available Integra Omnigraft Dermal Regeneration Matrix billing and coding guide?
We have not yet identified a manufacturer source of Integra Omnigraft Dermal Regeneration Matrix billing and coding information.
Are there any available Integra Omnigraft Dermal Regeneration Matrix patient assistance programs?
Our team did not identify a source for Integra Omnigraft Dermal Regeneration Matrix patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Integra Omnigraft Dermal Regeneration Matrix prescribing information?
Our team is still working to identify a prescribing information source for Integra Omnigraft Dermal Regeneration Matrix
Where can I find Integra Omnigraft Dermal Regeneration Matrix side effect information?
Our team has not yet identified a source of side effects information for Integra Omnigraft Dermal Regeneration Matrix. Please check back in a few weeks.
Does billing Integra Omnigraft Dermal Regeneration Matrix require JZ/JW wastage modifiers?
CMS does not include Integra Omnigraft Dermal Regeneration Matrix (Q4105) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q4105. For more information, visit the link below.

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