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

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, 202629 payment localities

CMS doesn’t publish an office rate for A2026 in California.

—Office (non-facility)
—Hospital or facility

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 8 sections
  1. Rate in California
  2. What A2026 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Billing questions
  8. 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 in California

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

29 of 29 payment localities

A2026 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

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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