HCPCS A2002: Wound matrixMedicare rate & RVUs in El Centro
Reports Mirragen advanced wound matrix by square centimeter when the material is furnished for wound treatment alongside a qualifying primary procedure.
In El Centro, Medicare pays $139.47 for A2002 in the office.
Check a contract rate as a % of Medicare · A2002 nationwide
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 11 sections
What A2002 covers
A2002 represents Mirragen, a bioactive glass-fiber wound matrix used as a material in wound treatment. Wound-care clinicians and surgeons may apply it to a chronic or hard-to-heal wound during care in an office wound clinic or another outpatient setting. The code identifies the product quantity, rather than the clinician’s wound evaluation or a separate debridement service.
Report units based on the documented square centimeters of Mirragen furnished, and retain the product and treated-area details in the record. A2002 is an add-on: submit it only with a primary procedure, and its payment falls within that procedure’s global period. CMS classifies it as technical-component-only; a separate code accounts for interpretation. The record should support the specific product used and the quantity reported.
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.
How El Centro compares for A2002
Across 109 of 109 payment localities, the office rate for A2002 runs from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). El Centro pays $139.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro · this page$139.47
- Bakersfield · California$139.47
- Chico · California$139.47
- Fresno · California$139.47
- Hanford-Corcoran · California$139.47
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$150.55+$11.08
- Madera · California$139.47
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MercedCalifornia | $139.47 | — |
| ModestoCalifornia | $139.47 | — |
| NapaCalifornia | $167.73 | — |
| Oxnard-Thousand Oaks-VenturaCalifornia | $150.42 | — |
| ReddingCalifornia | $139.47 | — |
| Rest Of CaliforniaCalifornia | $139.47 | — |
| Riverside-San Bernardino-OntarioCalifornia | $139.47 | — |
| Sacramento-Roseville-FolsomCalifornia | $148.00 | — |
| SalinasCalifornia | $147.49 | — |
| San Diego-Chula Vista-CarlsbadCalifornia | $152.20 | — |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $179.43 | — |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $179.43 | — |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $183.51 | — |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $183.51 | — |
| San Luis Obispo-Paso RoblesCalifornia | $144.95 | — |
| Santa Cruz-WatsonvilleCalifornia | $154.62 | — |
| Santa Maria-Santa BarbaraCalifornia | $148.38 | — |
| Santa Rosa-PetalumaCalifornia | $156.27 | — |
| StocktonCalifornia | $139.47 | — |
| VallejoCalifornia | $167.73 | — |
| VisaliaCalifornia | $139.47 | — |
| Yuba CityCalifornia | $139.47 | — |
| Dc + Md/Va SuburbsDistrict of Columbia | $149.91 | — |
| MiamiFlorida | $132.47 | — |
| ChicagoIllinois | $127.89 | — |
| ManhattanNew York | $147.87 | — |
| Alaska*Alaska | $135.53 | — |
| AlabamaAlabama | $111.35 | — |
| ArkansasArkansas | $109.31 | — |
| ArizonaArizona | $123.31 | — |
| ColoradoColorado | $135.40 | — |
| ConnecticutConnecticut | $137.06 | — |
| DelawareDelaware | $125.73 | — |
| Fort LauderdaleFlorida | $128.91 | — |
| Rest Of FloridaFlorida | $121.66 | — |
| AtlantaGeorgia | $129.29 | — |
| Rest Of GeorgiaGeorgia | $113.51 | — |
| Hawaii, GuamHawaii | $144.69 | — |
| IowaIowa | $116.44 | — |
| IdahoIdaho | $117.08 | — |
| East St. LouisIllinois | $117.08 | — |
| Rest Of IllinoisIllinois | $116.19 | — |
| Suburban ChicagoIllinois | $130.69 | — |
| IndianaIndiana | $117.97 | — |
| KansasKansas | $115.04 | — |
| KentuckyKentucky | $113.13 | — |
| New OrleansLouisiana | $119.75 | — |
| Rest Of LouisianaLouisiana | $112.62 | — |
| Metropolitan BostonMassachusetts | $151.95 | — |
| Rest Of MassachusettsMassachusetts | $134.00 | — |
| Baltimore/Surr. CntysMaryland | $136.55 | — |
| Rest Of MarylandMaryland | $128.78 | — |
| Rest Of MaineMaine | $117.08 | — |
| Southern MaineMaine | $126.11 | — |
| DetroitMichigan | $122.80 | — |
| Rest Of MichiganMichigan | $116.19 | — |
| MinnesotaMinnesota | $130.95 | — |
| Metropolitan Kansas CityMissouri | $119.49 | — |
| Metropolitan St. LouisMissouri | $121.15 | — |
| Rest Of MissouriMissouri | $109.70 | — |
| MississippiMississippi | $109.57 | — |
| Montana**Montana | $127.26 | — |
| North CarolinaNorth Carolina | $118.73 | — |
| North Dakota**North Dakota | $127.26 | — |
| NebraskaNebraska | $117.46 | — |
| New HampshireNew Hampshire | $132.47 | — |
| Northern NjNew Jersey | $147.62 | — |
| Rest Of New JerseyNew Jersey | $138.97 | — |
| New MexicoNew Mexico | $116.70 | — |
| Nevada**Nevada | $127.38 | — |
| Nyc Suburbs/Long IslandNew York | $151.31 | — |
| Poughkpsie/N Nyc SuburbsNew York | $139.35 | — |
| QueensNew York | $150.42 | — |
| Rest Of New YorkNew York | $120.89 | — |
| OhioOhio | $116.19 | — |
| OklahomaOklahoma | $113.64 | — |
| PortlandOregon | $141.38 | — |
| Rest Of OregonOregon | $126.75 | — |
| Metropolitan PhiladelphiaPennsylvania | $132.47 | — |
| Rest Of PennsylvaniaPennsylvania | $116.82 | — |
| Puerto RicoPuerto Rico | $128.66 | — |
| Rhode IslandRhode Island | $131.46 | — |
| South CarolinaSouth Carolina | $117.59 | — |
| South Dakota**South Dakota | $127.26 | — |
| TennesseeTennessee | $115.68 | — |
| AustinTexas | $134.64 | — |
| BeaumontTexas | $115.80 | — |
| BrazoriaTexas | $126.11 | — |
| DallasTexas | $126.75 | — |
| Fort WorthTexas | $125.48 | — |
| GalvestonTexas | $126.37 | — |
| HoustonTexas | $126.37 | — |
| Rest Of TexasTexas | $120.77 | — |
| UtahUtah | $119.62 | — |
| VirginiaVirginia | $125.09 | — |
| Virgin IslandsUnited States Virgin Islands | $128.66 | — |
| VermontVermont | $125.98 | — |
| Rest Of WashingtonWashington | $134.00 | — |
| Seattle (King Cnty)Washington | $156.14 | — |
| WisconsinWisconsin | $121.91 | — |
| West VirginiaWest Virginia | $110.59 | — |
| Wyoming**Wyoming | $127.26 | — |
A2002 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
| State / territory | Office 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 |
How the A2002 rate is calculated
Each of A2002’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 · A2002
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.
The exact El Centro inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,224
- Code
- A2002
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 3.81 | × 1.096 | 4.1758 |
| Malpractice | 0.00 | × 0.541 | 0.0000 |
| Total RVUs | 4.1758 | ||
| Conversion factor | × 33.4009 | ||
Office rate, El Centro$139.47
Office: (0 × 1.017 + 3.81 × 1.096 + 0 × 0.541) × $33.4009 = $139.47
Payment rules and modifiers for A2002
The CMS indicators that decide how A2002 is paid alongside other services.
CMS payment indicators · A2002
Wound matrix
| 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. |
How A2002 has changed in El Centro
A2002 · Office / nonfacility
$139.47
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
January 1, 2026
RVU26A
No ratechanged to$139.47
Held through RVU26B, RVU26C, RVU26D.
July 1, 2022
RVU22C
No ratechanged toNo rate
Held through RVU24D, RVU25A, RVU25B, RVU25C, RVU25D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $139.47 | Not available in this setting | RVU26D |
| 2026-07-01 | $139.47 | Not available in this setting | RVU26C |
| 2026-04-01 | $139.47 | Not available in this setting | RVU26B |
| 2026-01-01 | $139.47 | Not available in this setting | RVU26A |
| 2025-10-01 | Contractor-priced | Contractor-priced | RVU25D |
| 2025-07-01 | Contractor-priced | Contractor-priced | RVU25C |
| 2025-04-01 | Contractor-priced | Contractor-priced | RVU25B |
| 2025-01-01 | Contractor-priced | Contractor-priced | RVU25A |
| 2024-10-01 | Contractor-priced | Contractor-priced | RVU24D |
| 2022-07-01 | Contractor-priced | Contractor-priced | RVU22C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the El Centro rate applies
El Centro is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
A2002 billing questions
Can A2002 be billed by itself?
No. CMS identifies A2002 as an add-on code, so it must be billed with a primary procedure.
How are units determined?
The code is measured per square centimeter. Document the amount of Mirragen furnished and the wound area treated to support the units.
Does A2002 include wound assessment or debridement?
A2002 identifies the Mirragen product, not the wound assessment or a debridement service. Report separately performed services under their applicable codes.
Does the code include an interpretation component?
No. CMS classifies A2002 as technical-component-only, with interpretation covered by a separate code.
Can A2002 be reported outside the primary procedure's global period?
The add-on is paid within the primary procedure's global period. It is not 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
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