Surgraft tl, per sq cm
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 1Q24 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q4263
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $1,815.78 | +$102.781 | 1 SQ CM | Surgraft tl, per sq cm | v1, posted September 8, 2026 |
| 3Q25 | $1,712.999 | $0.00 | 1 SQ CM | Surgraft tl, per sq cm | v1, posted March 10, 2026 |
| 2Q25 | $1,712.999 | – | 1 SQ CM | Surgraft tl, per sq cm | v1, posted March 10, 2026 |
| 4Q24 | $531.779 | +$2.616 | 1 SQ CM | Surgraft tl, per sq cm | v1, posted June 11, 2025 |
| 3Q24 | $529.163 | −$474.967 | 1 SQ CM | Surgraft tl, per sq cm | v1, posted June 11, 2025 |
| 2Q24 | $1,004.13 | −$50.175 | 1 SQ CM | Surgraft tl, per sq cm | v1, posted March 11, 2025 |
| 1Q24 | $1,054.305 | – | 1 SQ CM | Surgraft tl, per sq cm | v1, posted December 19, 2024 |
“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.
CMS source files
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024