HCPCS A2047: Wound matrixMedicare rate & RVUs

Reports LacertaMatrix by square centimeter when furnished with a qualifying primary wound procedure for placement on a prepared wound.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $127.26 for A2047 nationally in the office. Local office rates run $109.31–$183.51.

Medicare rate · A2047

Wound matrix

Swap in your local Medicare rate.

Work RVUs
0
Total RVUs
3.81
Global days
ZZZ

National rate · 2026

$127.26

Office setting, before claim adjustments.

See every locality for A2047 → · 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 A2047 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 A2047 covers

A2047 identifies LacertaMatrix, a wound matrix supplied and reported by square centimeter. It is used in wound care when the product is placed on a prepared wound. Wound-care clinicians, surgeons, and podiatrists may furnish it in office, clinic, or hospital settings. The code represents the product rather than a separate physician evaluation of the wound; the primary procedure describes the qualifying wound service.

Report units based on the square centimeters of LacertaMatrix furnished, supported by the product record and documentation of the treated wound and amount used. CMS classifies A2047 as an add-on code: submit it only with a qualifying primary procedure, and its payment falls within that procedure’s global period. CMS also classifies it as technical-component-only, with interpretation covered by a separate code. The code has no physician work value, so the wound assessment and treatment decisions are not represented by A2047 itself.

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 A2047 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

A2047 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

A2047 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.

$109.31

$161.49

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

View every state and territory as a table
A2047 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 A2047 rate is calculated

Each of A2047’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 · A2047

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 3.81Malpractice 0.00

3.8100 adjusted RVUs×$33.4009 conversion factor=$127.26

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for A2047

The CMS indicators that decide how A2047 is paid alongside other services.

CMS payment indicators · A2047

Wound matrix

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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.

A2047 compared with similar codes

Compare codes

A2047 vs 15271 vs 15275 vs A2027 vs A2046: national Medicare rates

Swap in your local Medicare rate.

  • A2047
    Wound matrix · 0 wRVU
    $127.26
  • 15271
    Skin substitute graft · 1.46 wRVU
    $157.99+$30.73
  • 15275
    Skin substitute · 1.78 wRVU
    $160.32+$33.06
  • A2027
    Matriderm · 0 wRVU
    $127.26+$0.00
  • A2046
    Wound matrix · 0 wRVU
    $127.26+$0.00

How to choose

15271Skin substitute graft
15271 reports the primary wound application service for qualifying body sites; A2047 reports the LacertaMatrix product by area and is an add-on.
15275Skin substitute
15275 is a primary wound application code for other specified body sites. Choose the primary procedure by site; report A2047 separately for LacertaMatrix furnished.
A2027Matriderm
A2027 identifies Matriderm, not LacertaMatrix. Use the HCPCS code matching the specific product furnished, even when both are measured by square centimeter.
A2046Wound matrix
A2046 identifies Dermisphere HDRT. A2047 is specific to LacertaMatrix; square-centimeter billing does not make the product codes interchangeable.

A2047 billing questions

Can A2047 be billed by itself?

No. CMS identifies it as an add-on code, so report it only with a qualifying primary procedure for the wound service.

How are A2047 units calculated?

Use the square centimeters of LacertaMatrix furnished. Document the wound treated and the product amount supporting the units reported.

Does A2047 include the wound application procedure?

A2047 identifies the product, not the primary wound procedure. Report the qualifying primary procedure separately; payment for A2047 falls within that procedure’s global period.

Does A2047 include a professional interpretation?

CMS classifies A2047 as technical-component-only and assigns interpretation to a separate code. The code itself carries no physician work value.

What documentation supports A2047?

Keep the product record, the treated wound location, and the square centimeters furnished, along with documentation supporting the primary procedure.

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 A2047PPRRVU2026_Oct_nonQPP.csv, line 13,268 (RVU26D)

Open CMS sourceHow we calculate rates

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