HCPCS A2016: Wound productMedicare rate & RVUs in Merced
Report A2016 for each square centimeter of Permeaderm B supplied for wound coverage, alongside the primary procedure applying the product.
In Merced, Medicare pays $139.47 for A2016 in the office.
Check a contract rate as a % of Medicare · A2016 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 A2016 covers
A2016 represents the Permeaderm B wound product measured by surface area. It identifies the product supplied for coverage of a treated wound; it is not the clinician’s application service. Wound-care clinicians and surgeons may use the product during a wound-treatment procedure, with the application performed in an outpatient or facility setting.
Report the product quantity in square centimeters and pair A2016 with the appropriate primary procedure for applying a skin substitute or graft, selected for the treated site and area. Documentation should identify Permeaderm B, the wound treated, the quantity used, and the related application procedure. CMS treats A2016 as an add-on, payable only with a primary procedure and within that procedure’s global period. CMS also classifies it as technical-component-only; a separate code represents interpretation.
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 Merced compares for A2016
Across 109 of 109 payment localities, the office rate for A2016 runs from $109.31 in Arkansas to $183.51 in San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty). Merced pays $139.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Merced · this page$139.47
- Bakersfield · California$139.47
- Chico · California$139.47
- El Centro · 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
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $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 | — |
A2016 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 A2016 rate is calculated
Each of A2016’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 · A2016
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 Merced inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,237
- Code
- A2016
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.017 | 0.0000 |
| Practice expense | 3.81 | × 1.096 | 4.1758 |
| Malpractice | 0.00 | × 0.536 | 0.0000 |
| Total RVUs | 4.1758 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Merced$139.47
Office: (0 × 1.017 + 3.81 × 1.096 + 0 × 0.536) × $33.4009 = $139.47
Payment rules and modifiers for A2016
The CMS indicators that decide how A2016 is paid alongside other services.
CMS payment indicators · A2016
Wound product
| 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 A2016 has changed in Merced
A2016 · 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.
October 1, 2024
RVU24D
No ratechanged toNo rate
Held through 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, RVU22C.
| 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 | Not in this release | Not in this release | 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 Merced rate applies
Merced is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
A2016 billing questions
Can A2016 be submitted by itself?
No. CMS identifies A2016 as an add-on code, so it must be billed with a primary procedure.
How is the quantity reported?
The code is measured per square centimeter. Record the Permeaderm B quantity used and the wound area treated in the supporting documentation.
Which application procedure should accompany A2016?
Choose the primary skin-substitute application procedure according to the treated anatomical site and area. For example, billing code 15271 is a primary application code for its defined site and area group.
Does A2016 include the clinician's application work?
No. A2016 identifies the product; report the appropriate primary procedure for the application service. The product code is classified by CMS as technical-component-only, with interpretation represented separately.
How does A2016 differ from A2017?
A2016 identifies Permeaderm B by square centimeter. A2017 identifies Permeaderm glove by each.
How does A2016 differ from A2018?
Both are measured per square centimeter, but A2016 identifies Permeaderm B and A2018 identifies Permeaderm C.
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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