HCPCS code A2026: Restrata MinimatriX, per 5 mg2026 Medicare rate & RVUs

Identifies Restrata MinimatriX for reporting the product in 5 mg units, distinguishing it from wound products billed by different quantity measures.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · A2026

Restrata MinimatriX, per 5 mg

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for A2026 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Medicare rate
  2. What A2026 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Billing questions
  9. Sources

What A2026 covers

A2026 identifies Restrata MinimatriX, a wound matrix product, using a 5 mg billing increment. It distinguishes this named product from other wound products with separate HCPCS codes and different quantity bases. Each unit represents 5 mg, so the billed unit count follows the total milligrams of Restrata MinimatriX furnished. The code is not expressed by wound area; its quantity basis is product mass. The code also carries a technical-component-only classification, with interpretation covered by a separate code.

Medicare assigns A2026 physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. HCPCS pricing directs the contractor to price it under the physician fee schedule, while Medicare coverage is left to the contractor’s judgment. Status C describes national payment publication and claim pricing, while the coverage code leaves coverage judgment to the contractor. For claim reporting, identify Restrata MinimatriX and calculate units in 5 mg increments; do not substitute a neighboring matrix code with a different product identity or unit basis.

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 A2026 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

A2026 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

A2026 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
A2026 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the A2026 rate is calculated

Each of A2026’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.

How the rate is built · A2026

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for A2026

The CMS indicators that decide how A2026 is paid alongside other services.

CMS payment indicators · A2026

Restrata MinimatriX, per 5 mg

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical3Technical component only.

A2026 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • A2026

    Restrata MinimatriX, per 5 mg0 wRVU

    Not priced

  • A2021

    Wound matrix, neomatrix, per square centimeter0 wRVU

    $127.26

  • A2023

    InnovaMatrix PD, per 1 mg0 wRVU

    Not priced

  • A2028

    Micromatrix Flex, per milligram0 wRVU

    Not priced

How to choose

A2021Wound matrixNeomatrix, per square centimeter
A2021 identifies Neomatrix and uses square-centimeter units. A2026 identifies Restrata MinimatriX and uses 5 mg units.
A2023InnovaMatrix PDPer 1 mg
A2023 identifies Innovamatrix PD in 1 mg units. A2026 identifies Restrata MinimatriX in 5 mg units.
A2028Micromatrix FlexPer milligram
A2028 identifies Micromatrix Flex per milligram; A2026 identifies Restrata MinimatriX in 5 mg units.

A2026 billing questions

What does one billing unit represent?

One unit represents 5 mg of Restrata MinimatriX. Calculate the reported units from the milligrams furnished.

How is A2026 different from A2021?

A2021 identifies Neomatrix in square-centimeter units; A2026 identifies Restrata MinimatriX in 5 mg units.

Does A2026 include interpretation?

No. A2026 is classified as technical-component-only, and a separate code covers interpretation.

How does Medicare determine payment and coverage?

The physician fee schedule status is C, so the Medicare Administrative Contractor sets payment for each claim. Coverage is left to the contractor’s judgment.

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

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