A2046 identifies Dermisphere HDRT, not Novashield/Novogen. Choose the product-specific code matching the material used; the shared per-square-centimeter unit does not make the codes interchangeable.
On this page
CMS RVU26D · Effective 2026-10-01
A2045 in Delaware
Office / nonfacility
$125.73
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Wound care supply
About A2045: Novashield or Novogen wound product
Reports the Novashield/Novogen wound product by square centimeter when applied during a qualifying wound procedure.
A2045 identifies Novashield/Novogen product used in wound treatment, measured in square centimeters. It represents the material, not the clinician’s wound preparation or application work. Wound care physicians, surgeons, podiatrists, and other practitioners treating acute or chronic wounds may use it in office or facility settings. The product name and surface area distinguish this supply from other wound matrices.
Report A2045 as an add-on only with the primary procedure for the same treatment, and count the product in square centimeters. Documentation should identify the product, wound site and size, and amount used. CMS places payment within the primary procedure’s global period. A2045 is technical-component-only; a separate code covers interpretation. The area of product used does not replace the site and size criteria for selecting the primary procedure.
CMS billing rules for A2045
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU3.81 · 100%
- Malpractice RVU0.00 · 0%
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.
A2045 compared with similar codes
Office rates for Delaware, from the same CMS release.
A2047 identifies Lacertamatrix. A2045 is specific to Novashield/Novogen, so select based on the product documented for the wound treatment.
A2049 identifies Theracor rather than Novashield/Novogen. Both are measured per square centimeter, but the reported code follows the product used.
The same code, a different location
How does Delaware compare?
A2045 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
$125.73
$24.82 higher than Delaware
$149.91
$24.18 higher than Delaware
$132.47
$6.74 higher than Delaware
$127.89
$2.16 higher than Delaware
$147.87
$22.14 higher than Delaware
$135.53
$9.80 higher than Delaware
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, A2045 ranges from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · A2045
Office
$111.35
Facility
Unavailable
$14.38 lower than Delaware for the office setting.
Arkansas
Arkansas · A2045
Office
$109.31
Facility
Unavailable
$16.42 lower than Delaware for the office setting.
Arizona
Arizona · A2045
Office
$123.31
Facility
Unavailable
$2.42 lower than Delaware for the office setting.
Bakersfield
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Chico
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
El Centro
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Fresno
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Hanford-Corcoran
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Madera
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Merced
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Modesto
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Napa
California · A2045
Office
$167.73
Facility
Unavailable
$42.00 higher than Delaware for the office setting.
Oxnard-Thousand Oaks-Ventura
California · A2045
Office
$150.42
Facility
Unavailable
$24.69 higher than Delaware for the office setting.
Redding
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Rest Of California
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Riverside-San Bernardino-Ontario
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Sacramento-Roseville-Folsom
California · A2045
Office
$148.00
Facility
Unavailable
$22.27 higher than Delaware for the office setting.
Salinas
California · A2045
Office
$147.49
Facility
Unavailable
$21.76 higher than Delaware for the office setting.
San Diego-Chula Vista-Carlsbad
California · A2045
Office
$152.20
Facility
Unavailable
$26.47 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · A2045
Office
$179.43
Facility
Unavailable
$53.70 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · A2045
Office
$179.43
Facility
Unavailable
$53.70 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · A2045
Office
$183.51
Facility
Unavailable
$57.78 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · A2045
Office
$183.51
Facility
Unavailable
$57.78 higher than Delaware for the office setting.
San Luis Obispo-Paso Robles
California · A2045
Office
$144.95
Facility
Unavailable
$19.22 higher than Delaware for the office setting.
Santa Cruz-Watsonville
California · A2045
Office
$154.62
Facility
Unavailable
$28.89 higher than Delaware for the office setting.
Santa Maria-Santa Barbara
California · A2045
Office
$148.38
Facility
Unavailable
$22.65 higher than Delaware for the office setting.
Santa Rosa-Petaluma
California · A2045
Office
$156.27
Facility
Unavailable
$30.54 higher than Delaware for the office setting.
Stockton
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Vallejo
California · A2045
Office
$167.73
Facility
Unavailable
$42.00 higher than Delaware for the office setting.
Visalia
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Yuba City
California · A2045
Office
$139.47
Facility
Unavailable
$13.74 higher than Delaware for the office setting.
Colorado
Colorado · A2045
Office
$135.40
Facility
Unavailable
$9.67 higher than Delaware for the office setting.
Connecticut
Connecticut · A2045
Office
$137.06
Facility
Unavailable
$11.33 higher than Delaware for the office setting.
Fort Lauderdale
Florida · A2045
Office
$128.91
Facility
Unavailable
$3.18 higher than Delaware for the office setting.
Rest Of Florida
Florida · A2045
Office
$121.66
Facility
Unavailable
$4.07 lower than Delaware for the office setting.
Atlanta
Georgia · A2045
Office
$129.29
Facility
Unavailable
$3.56 higher than Delaware for the office setting.
Rest Of Georgia
Georgia · A2045
Office
$113.51
Facility
Unavailable
$12.22 lower than Delaware for the office setting.
Hawaii, Guam
Hawaii · A2045
Office
$144.69
Facility
Unavailable
$18.96 higher than Delaware for the office setting.
Iowa
Iowa · A2045
Office
$116.44
Facility
Unavailable
$9.29 lower than Delaware for the office setting.
Idaho
Idaho · A2045
Office
$117.08
Facility
Unavailable
$8.65 lower than Delaware for the office setting.
East St. Louis
Illinois · A2045
Office
$117.08
Facility
Unavailable
$8.65 lower than Delaware for the office setting.
Rest Of Illinois
Illinois · A2045
Office
$116.19
Facility
Unavailable
$9.54 lower than Delaware for the office setting.
Suburban Chicago
Illinois · A2045
Office
$130.69
Facility
Unavailable
$4.96 higher than Delaware for the office setting.
Indiana
Indiana · A2045
Office
$117.97
Facility
Unavailable
$7.76 lower than Delaware for the office setting.
Kansas
Kansas · A2045
Office
$115.04
Facility
Unavailable
$10.69 lower than Delaware for the office setting.
Kentucky
Kentucky · A2045
Office
$113.13
Facility
Unavailable
$12.60 lower than Delaware for the office setting.
New Orleans
Louisiana · A2045
Office
$119.75
Facility
Unavailable
$5.98 lower than Delaware for the office setting.
Rest Of Louisiana
Louisiana · A2045
Office
$112.62
Facility
Unavailable
$13.11 lower than Delaware for the office setting.
Metropolitan Boston
Massachusetts · A2045
Office
$151.95
Facility
Unavailable
$26.22 higher than Delaware for the office setting.
Rest Of Massachusetts
Massachusetts · A2045
Office
$134.00
Facility
Unavailable
$8.27 higher than Delaware for the office setting.
Baltimore/Surr. Cntys
Maryland · A2045
Office
$136.55
Facility
Unavailable
$10.82 higher than Delaware for the office setting.
Rest Of Maryland
Maryland · A2045
Office
$128.78
Facility
Unavailable
$3.05 higher than Delaware for the office setting.
Rest Of Maine
Maine · A2045
Office
$117.08
Facility
Unavailable
$8.65 lower than Delaware for the office setting.
Southern Maine
Maine · A2045
Office
$126.11
Facility
Unavailable
$0.38 higher than Delaware for the office setting.
Detroit
Michigan · A2045
Office
$122.80
Facility
Unavailable
$2.93 lower than Delaware for the office setting.
Rest Of Michigan
Michigan · A2045
Office
$116.19
Facility
Unavailable
$9.54 lower than Delaware for the office setting.
Minnesota
Minnesota · A2045
Office
$130.95
Facility
Unavailable
$5.22 higher than Delaware for the office setting.
Metropolitan Kansas City
Missouri · A2045
Office
$119.49
Facility
Unavailable
$6.24 lower than Delaware for the office setting.
Metropolitan St. Louis
Missouri · A2045
Office
$121.15
Facility
Unavailable
$4.58 lower than Delaware for the office setting.
Rest Of Missouri
Missouri · A2045
Office
$109.70
Facility
Unavailable
$16.03 lower than Delaware for the office setting.
Mississippi
Mississippi · A2045
Office
$109.57
Facility
Unavailable
$16.16 lower than Delaware for the office setting.
Montana**
Montana · A2045
Office
$127.26
Facility
Unavailable
$1.53 higher than Delaware for the office setting.
North Carolina
North Carolina · A2045
Office
$118.73
Facility
Unavailable
$7.00 lower than Delaware for the office setting.
North Dakota**
North Dakota · A2045
Office
$127.26
Facility
Unavailable
$1.53 higher than Delaware for the office setting.
Nebraska
Nebraska · A2045
Office
$117.46
Facility
Unavailable
$8.27 lower than Delaware for the office setting.
New Hampshire
New Hampshire · A2045
Office
$132.47
Facility
Unavailable
$6.74 higher than Delaware for the office setting.
Northern Nj
New Jersey · A2045
Office
$147.62
Facility
Unavailable
$21.89 higher than Delaware for the office setting.
Rest Of New Jersey
New Jersey · A2045
Office
$138.97
Facility
Unavailable
$13.24 higher than Delaware for the office setting.
New Mexico
New Mexico · A2045
Office
$116.70
Facility
Unavailable
$9.03 lower than Delaware for the office setting.
Nevada**
Nevada · A2045
Office
$127.38
Facility
Unavailable
$1.65 higher than Delaware for the office setting.
Nyc Suburbs/Long Island
New York · A2045
Office
$151.31
Facility
Unavailable
$25.58 higher than Delaware for the office setting.
Poughkpsie/N Nyc Suburbs
New York · A2045
Office
$139.35
Facility
Unavailable
$13.62 higher than Delaware for the office setting.
Queens
New York · A2045
Office
$150.42
Facility
Unavailable
$24.69 higher than Delaware for the office setting.
Rest Of New York
New York · A2045
Office
$120.89
Facility
Unavailable
$4.84 lower than Delaware for the office setting.
Ohio
Ohio · A2045
Office
$116.19
Facility
Unavailable
$9.54 lower than Delaware for the office setting.
Oklahoma
Oklahoma · A2045
Office
$113.64
Facility
Unavailable
$12.09 lower than Delaware for the office setting.
Portland
Oregon · A2045
Office
$141.38
Facility
Unavailable
$15.65 higher than Delaware for the office setting.
Rest Of Oregon
Oregon · A2045
Office
$126.75
Facility
Unavailable
$1.02 higher than Delaware for the office setting.
Metropolitan Philadelphia
Pennsylvania · A2045
Office
$132.47
Facility
Unavailable
$6.74 higher than Delaware for the office setting.
Rest Of Pennsylvania
Pennsylvania · A2045
Office
$116.82
Facility
Unavailable
$8.91 lower than Delaware for the office setting.
Puerto Rico
Puerto Rico · A2045
Office
$128.66
Facility
Unavailable
$2.93 higher than Delaware for the office setting.
Rhode Island
Rhode Island · A2045
Office
$131.46
Facility
Unavailable
$5.73 higher than Delaware for the office setting.
South Carolina
South Carolina · A2045
Office
$117.59
Facility
Unavailable
$8.14 lower than Delaware for the office setting.
South Dakota**
South Dakota · A2045
Office
$127.26
Facility
Unavailable
$1.53 higher than Delaware for the office setting.
Tennessee
Tennessee · A2045
Office
$115.68
Facility
Unavailable
$10.05 lower than Delaware for the office setting.
Austin
Texas · A2045
Office
$134.64
Facility
Unavailable
$8.91 higher than Delaware for the office setting.
Beaumont
Texas · A2045
Office
$115.80
Facility
Unavailable
$9.93 lower than Delaware for the office setting.
Brazoria
Texas · A2045
Office
$126.11
Facility
Unavailable
$0.38 higher than Delaware for the office setting.
Dallas
Texas · A2045
Office
$126.75
Facility
Unavailable
$1.02 higher than Delaware for the office setting.
Fort Worth
Texas · A2045
Office
$125.48
Facility
Unavailable
$0.25 lower than Delaware for the office setting.
Galveston
Texas · A2045
Office
$126.37
Facility
Unavailable
$0.64 higher than Delaware for the office setting.
Houston
Texas · A2045
Office
$126.37
Facility
Unavailable
$0.64 higher than Delaware for the office setting.
Rest Of Texas
Texas · A2045
Office
$120.77
Facility
Unavailable
$4.96 lower than Delaware for the office setting.
Utah
Utah · A2045
Office
$119.62
Facility
Unavailable
$6.11 lower than Delaware for the office setting.
Virginia
Virginia · A2045
Office
$125.09
Facility
Unavailable
$0.64 lower than Delaware for the office setting.
Virgin Islands
United States Virgin Islands · A2045
Office
$128.66
Facility
Unavailable
$2.93 higher than Delaware for the office setting.
Vermont
Vermont · A2045
Office
$125.98
Facility
Unavailable
$0.25 higher than Delaware for the office setting.
Rest Of Washington
Washington · A2045
Office
$134.00
Facility
Unavailable
$8.27 higher than Delaware for the office setting.
Seattle (King Cnty)
Washington · A2045
Office
$156.14
Facility
Unavailable
$30.41 higher than Delaware for the office setting.
Wisconsin
Wisconsin · A2045
Office
$121.91
Facility
Unavailable
$3.82 lower than Delaware for the office setting.
West Virginia
West Virginia · A2045
Office
$110.59
Facility
Unavailable
$15.14 lower than Delaware for the office setting.
Wyoming**
Wyoming · A2045
Office
$127.26
Facility
Unavailable
$1.53 higher than Delaware for the office setting.
See how rates vary across the country
A2045 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $135.53 | 1 |
| AL | $111.35 | 1 |
| AR | $109.31 | 1 |
| AZ | $123.31 | 1 |
| CA | $139.47–$183.51 | 29 |
| CO | $135.40 | 1 |
| CT | $137.06 | 1 |
| DC | $149.91 | 1 |
| DE | $125.73 | 1 |
| FL | $121.66–$132.47 | 3 |
| GA | $113.51–$129.29 | 2 |
| GU | $144.69 | 1 |
| HI | $144.69 | 1 |
| IA | $116.44 | 1 |
| ID | $117.08 | 1 |
| IL | $116.19–$130.69 | 4 |
| IN | $117.97 | 1 |
| KS | $115.04 | 1 |
| KY | $113.13 | 1 |
| LA | $112.62–$119.75 | 2 |
| MA | $134.00–$151.95 | 2 |
| MD | $128.78–$149.91 | 3 |
| ME | $117.08–$126.11 | 2 |
| MI | $116.19–$122.80 | 2 |
| MN | $130.95 | 1 |
| MO | $109.70–$121.15 | 3 |
| MS | $109.57 | 1 |
| MT | $127.26 | 1 |
| NC | $118.73 | 1 |
| ND | $127.26 | 1 |
| NE | $117.46 | 1 |
| NH | $132.47 | 1 |
| NJ | $138.97–$147.62 | 2 |
| NM | $116.70 | 1 |
| NV | $127.38 | 1 |
| NY | $120.89–$151.31 | 5 |
| OH | $116.19 | 1 |
| OK | $113.64 | 1 |
| OR | $126.75–$141.38 | 2 |
| PA | $116.82–$132.47 | 2 |
| PR | $128.66 | 1 |
| RI | $131.46 | 1 |
| SC | $117.59 | 1 |
| SD | $127.26 | 1 |
| TN | $115.68 | 1 |
| TX | $115.80–$134.64 | 8 |
| UT | $119.62 | 1 |
| VA | $125.09–$149.91 | 2 |
| VI | $128.66 | 1 |
| VT | $125.98 | 1 |
| WA | $134.00–$156.14 | 2 |
| WI | $121.91 | 1 |
| WV | $110.59 | 1 |
| WY | $127.26 | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for A2045 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$138.30
$125.73 × 110% = $138.30
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for A2045 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
13,266
- Code
- A2045
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 3.81 | × 0.988 | 3.7643 |
| Malpractice | 0.00 | × 0.899 | 0.0000 |
| Total RVUs | 3.7643 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$125.73
Open A2045 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1.005 |
| Practice expense | 3.81 | 0.988 |
| Malpractice | 0 | 0.899 |
(0 × 1.005 + 3.81 × 0.988 + 0 × 0.899) × $33.4009 = $125.73
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
A2045 · Office / nonfacility
$125.73
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
April 1, 2026
RVU26B
No ratechanged to$125.73
Held through RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: No rate
Held through RVU25B, RVU25C, RVU25D, RVU26A.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $125.73 | Not available in this setting | RVU26D |
| 2026-07-01 | $125.73 | Not available in this setting | RVU26C |
| 2026-04-01 | $125.73 | Not available in this setting | RVU26B |
| 2026-01-01 | Not in this release | Not in this release | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
A2045 billing questions
What procedure should A2045 be paired with?
Report it only with the primary wound procedure for the same treatment. For skin-substitute application, the primary code is selected according to the treated site and area.
How should the units be counted?
A2045 is measured per square centimeter. Document the amount of Novashield/Novogen product used rather than substituting the wound’s total area for the quantity applied.
Does A2045 include the product application work?
No. A2045 identifies the product; the primary procedure represents the wound treatment or application service.
Is interpretation included in A2045?
No. CMS classifies A2045 as technical-component-only, with interpretation covered by a separate code.
What documentation supports reporting A2045?
Record the Novashield/Novogen product, wound location and size, quantity used in square centimeters, and the associated 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
