HCPCS code A2019: Wound matrix, kerecis MariGen, per square centimeter2026 Medicare rate & RVUs

Medicare pays $127.26 for A2019 nationally in the office. Local office rates run $109.31–$183.51.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What A2019 covers

A2019 represents Kerecis MariGen, a fish-skin wound matrix supplied by the square centimeter for application to a wound. Wound-care clinicians, surgeons, and other practitioners who treat wounds may use it as a wound covering in settings such as an office or outpatient department. The product supply is distinct from the procedure that prepares and applies a skin substitute to the wound.

Report A2019 only with a primary procedure that applies the product; it is not a standalone service. Document the product used, the treated wound, and the amount supplied so the reported units reflect the square centimeters involved. Select the primary application procedure based on the wound's site and area. CMS treats A2019 as an add-on paid within the primary procedure's global period. It is a technical-component-only code, with interpretation covered by a separate code.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where A2019 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

A2019 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the A2019 rate is calculated

Each of A2019’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for A2019

The CMS indicators that decide how A2019 is paid alongside other services.

A2019 compared with similar codes

How to choose

A2007Wound matrixRestrata, per square centimeter

A2007 identifies Restrata, while A2019 identifies Kerecis MariGen. Select the code for the product supplied, not simply because both are measured by square centimeter.

A2008Wound matrixTheraGenesis, per square centimeter

A2008 identifies Theragenesis; A2019 is specific to Kerecis MariGen. The product used determines which supply code applies.

A2018Wound matrixPermeaderm C, per square centimeter

A2018 identifies Permeaderm C, a different product. Use A2019 only when the supplied product is Kerecis MariGen.

Codes related to A2019

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates