HCPCS code A2027: Matriderm, per square centimeter2026 Medicare rate & RVUs in California
Report A2027 for each square centimeter of MatriDerm dermal matrix supplied with a qualifying primary procedure for wound or burn reconstruction.
Medicare pays $139.47–$183.51 for A2027 in the office in California, from Bakersfield, CA to Santa Clara County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What A2027 covers
A2027 identifies MatriDerm, a collagen-and-elastin dermal matrix used in wound and burn reconstruction, including as a scaffold in procedures that may also use a skin graft. The product is measured by surface area. It may be used in surgical settings by clinicians treating complex wounds or burns; the associated application or reconstruction procedure is reported separately as the primary service.
Report A2027 only with a primary procedure, and count units according to the documented square centimeters of MatriDerm supplied. The record should identify the product, treatment site, amount used, and the primary procedure performed. CMS treats A2027 as an add-on paid within the primary procedure’s global period. It is technical-component-only; a separate code represents interpretation, when applicable.
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 A2027 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 payment localities
$139.47 to $183.51
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $139.47 | Unavailable |
| Chico, CA | $139.47 | Unavailable |
| El Centro, CA | $139.47 | Unavailable |
| Fresno, CA | $139.47 | Unavailable |
| Hanford, CA | $139.47 | Unavailable |
| Los Angeles, CA | $150.55 | Unavailable |
| Madera, CA | $139.47 | Unavailable |
| Marin County, CA | $179.43 | Unavailable |
| Merced, CA | $139.47 | Unavailable |
| Modesto, CA | $139.47 | Unavailable |
| Napa, CA | $167.73 | Unavailable |
| Oxnard, CA | $150.42 | Unavailable |
| Redding, CA | $139.47 | Unavailable |
| Rest of California | $139.47 | Unavailable |
| Riverside, CA | $139.47 | Unavailable |
| Sacramento, CA | $148.00 | Unavailable |
| Salinas, CA | $147.49 | Unavailable |
| San Benito County, CA | $183.51 | Unavailable |
| San Diego, CA | $152.20 | Unavailable |
| San Francisco, CA | $179.43 | Unavailable |
| San Luis Obispo, CA | $144.95 | Unavailable |
| Santa Clara County, CA | $183.51 | Unavailable |
| Santa Cruz, CA | $154.62 | Unavailable |
| Santa Maria, CA | $148.38 | Unavailable |
| Santa Rosa, CA | $156.27 | Unavailable |
| Stockton, CA | $139.47 | Unavailable |
| Vallejo, CA | $167.73 | Unavailable |
| Visalia, CA | $139.47 | Unavailable |
| Yuba City, CA | $139.47 | Unavailable |
How the A2027 rate is calculated
Each of A2027’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 · A2027
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
3.8100
Conversion factor
$33.4009
Medicare rate
$127.26
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for A2027
The CMS indicators that decide how A2027 is paid alongside other services.
CMS payment indicators · A2027
Matriderm, per square centimeter
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
A2027 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graftFirst 25 cm², trunk/limbs
- 15271 reports a skin-substitute application service for qualifying sites and areas; A2027 identifies the MatriDerm product by square centimeter.
- 15272Skin substitute graftAdditional trunk, arm, or leg area
- 15272 reports additional qualifying application area under the skin-substitute procedure family. It does not represent the MatriDerm supply itself.
- A2021Wound matrixNeomatrix, per square centimeter
- A2021 identifies Neomatrix, a different named product. Use the product-specific supply code rather than choosing by the shared per-square-centimeter unit.
A2027 billing questions
Is A2027 reported by wound area or product area?
The code is measured per square centimeter of MatriDerm. Document the amount of product used and support the units billed.
Can A2027 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure.
Which application code should accompany A2027?
Select the primary procedure based on the service performed, treatment site, and applicable procedure criteria. A2027 does not replace the application or reconstruction procedure.
How does the global-period rule affect A2027?
Payment for A2027 is included within the global period of the primary procedure with which it is billed.
What does technical-component-only mean for this code?
A2027 represents the technical component; a separate code represents interpretation when applicable.
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
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