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HCPCS A2038: Wound matrixMedicare rate & RVUs

Reports each square centimeter of Marigen Pacto wound matrix furnished for application during a qualifying wound-treatment procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for A2038 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · A2038

Wound matrix

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for A2038 →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.

On this page 10 sections
  1. Medicare rate
  2. What A2038 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What A2038 covers

A2038 identifies Marigen Pacto, a fish-skin-derived wound matrix supplied by square centimeter for wound treatment. A wound-care clinician, surgeon, or podiatrist may apply it in an outpatient clinic or facility as part of treatment for a wound, including a chronic wound requiring a matrix product. The code represents the product, not the hands-on application service.

Report the quantity in square centimeters and retain documentation identifying the product and the area furnished for the wound. Submit A2038 only with a qualifying primary procedure; CMS treats it as an add-on paid within that procedure’s global period. It is a technical-component-only code, with a separate code covering interpretation. The primary procedure and product units should be supported by the treatment record.

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 A2038 pays more and less

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

109 payment localities

$109.31 to $183.51

$109.31$146.41$183.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

A2038 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$111.35Unavailable
Alaska*$135.53Unavailable
Arizona$123.31Unavailable
Arkansas$109.31Unavailable
Atlanta$129.29Unavailable
Austin$134.64Unavailable
Bakersfield$139.47Unavailable
Baltimore/Surr. Cntys$136.55Unavailable
Beaumont$115.80Unavailable
Brazoria$126.11Unavailable

A2038 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$109.31

$161.49

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
A2038 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.531
AL$111.351
AR$109.311
AZ$123.311
CA$139.47–$183.5129
CO$135.401
CT$137.061
DC$149.911
DE$125.731
FL$121.66–$132.473
GA$113.51–$129.292
GU$144.691
HI$144.691
IA$116.441
ID$117.081
IL$116.19–$130.694
IN$117.971
KS$115.041
KY$113.131
LA$112.62–$119.752
MA$134.00–$151.952
MD$128.78–$149.913
ME$117.08–$126.112
MI$116.19–$122.802
MN$130.951
MO$109.70–$121.153
MS$109.571
MT$127.261
NC$118.731
ND$127.261
NE$117.461
NH$132.471
NJ$138.97–$147.622
NM$116.701
NV$127.381
NY$120.89–$151.315
OH$116.191
OK$113.641
OR$126.75–$141.382
PA$116.82–$132.472
PR$128.661
RI$131.461
SC$117.591
SD$127.261
TN$115.681
TX$115.80–$134.648
UT$119.621
VA$125.09–$149.912
VI$128.661
VT$125.981
WA$134.00–$156.142
WI$121.911
WV$110.591
WY$127.261

How the A2038 rate is calculated

Each of A2038’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 · A2038

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 A2038

The CMS indicators that decide how A2038 is paid alongside other services.

CMS payment indicators · A2038

Wound matrix

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

A2038 compared with similar codes

Compare codes · National

4 codes, side by side

  • A2038

    Wound matrix0 wRVU

    $127.26

  • A2039

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2032

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2037

    Not on the physician fee schedule0 wRVU

    Not priced

How to choose

A2039Wound matrix
A2039 identifies InnovaMatrix FD, while A2038 identifies Marigen Pacto. Choose based on the product furnished, not the shared per-square-centimeter unit.
A2032Wound matrix
A2032 is specific to Myriad matrix; A2038 is specific to Marigen Pacto. The products have separate HCPCS codes despite sharing an area-based unit.
A2037G4derm plus/suprello, pr ml
A2037 identifies G4Derm Plus/Suprello and is measured per milliliter. A2038 identifies Marigen Pacto and is measured per square centimeter.

Codes related to A2038

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

Codes related to A2038
CodeHow it relatesNational office range
Primary code
15271Skin substitute graftApplication procedure for a skin substitute on qualifying trunk, arm, or leg areas.$140.17–$205.27
15273Skin substitute graftApplication procedure for larger qualifying trunk, arm, or leg treatment areas.$285.52–$407.73
15275Skin substituteApplication procedure for qualifying sites such as the face, hands, or feet.$143.80–$205.40
15277Skin substitute graftApplication procedure for larger qualifying areas at specified sites.$320.36–$455.92
Same family
A2039Wound matrixAnother wound matrix product code, for InnovaMatrix FD by square centimeter.$109.31–$183.51
A2032Wound matrixA separate product-specific code for Myriad matrix, also measured by square centimeter.$109.31–$183.51

A2038 billing questions

How is A2038 different from another wound matrix code?

A2038 identifies Marigen Pacto specifically. Do not select a neighboring matrix code just because it also represents a wound product measured by area; match the billed product to its HCPCS code.

What primary service must accompany A2038?

CMS classifies A2038 as an add-on, so it must be billed with a qualifying primary procedure. Skin-substitute application procedures such as the 15271–15278 series may be relevant, depending on the wound site and treated area.

How should the quantity be reported?

The unit is one square centimeter. Document the product and the area furnished so the reported quantity can be traced to the wound-treatment record.

Does A2038 include interpretation?

No. CMS identifies A2038 as technical-component-only; a separate code covers interpretation.

How does the global-period rule affect billing?

A2038 is paid within the global period of its primary procedure. It is not submitted as a stand-alone service.

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

Show the CMS file lines behind this rate
RVUs for A2038PPRRVU2026_Oct_nonQPP.csv, line 13,259 (RVU26D)

Open CMS sourceHow we calculate rates

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