Integra matrix
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 1Q23 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 1Q23 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $38.543 | −$10.574 | 1 SQ CM | Integra matrix | v1, posted September 8, 2026 |
| 3Q25 | $49.117 | −$1.36 | 1 SQ CM | Integra matrix | v1, posted March 10, 2026 |
| 2Q25 | $50.477 | +$5.636 | 1 SQ CM | Integra matrix | v1, posted March 10, 2026 |
| 1Q25 | $44.841 | −$2.061 | 1 SQ CM | Integra matrix | v1, posted December 19, 2025 |
| 4Q24 | $46.902 | −$5.022 | 1 SQ CM | Integra matrix | v1, posted June 11, 2025 |
| 3Q24 | $51.924 | +$2.243 | 1 SQ CM | Integra matrix | v1, posted June 11, 2025 |
| 2Q24 | $49.681 | +$5.321 | 1 SQ CM | Integra matrix | v1, posted March 11, 2025 |
| 1Q24 | $44.36 | −$0.267 | 1 SQ CM | Integra matrix | v1, posted December 19, 2024 |
| 4Q23 | $44.627 | −$2.872 | 1 SQ CM | Integra matrix | v1, posted October 10, 2024 |
| 3Q23 | $47.499 | +$5.478 | 1 SQ CM | Integra matrix | v1, posted June 5, 2024 |
| 2Q23 | $42.021 | −$4.898 | 1 SQ CM | Integra matrix | v1, posted February 23, 2024 |
| 1Q23 | $46.919 | – | 1 SQ CM | Integra matrix | v1, posted December 6, 2023 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.