$111.35
A2007 identifies Restrata, while A2019 identifies Kerecis MariGen. Select the code for the product supplied, not simply because both are measured by square centimeter.
On this page
CMS RVU26D · Effective 2026-10-01
A2019 Wound matrix Medicare reimbursement rates in Alabama
Reports Kerecis MariGen fish-skin wound matrix by square centimeter when supplied with a qualifying wound-application procedure. Compare A2019 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for A2019 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$111.35
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care supply
About A2019: Kerecis MariGen wound matrix supply
Reports Kerecis MariGen fish-skin wound matrix by square centimeter when supplied with a qualifying wound-application procedure.
A2019 represents Kerecis MariGen, a fish-skin wound matrix supplied by the square centimeter for application to a wound. Wound-care clinicians, surgeons, and other practitioners who treat wounds may use it as a wound covering in settings such as an office or outpatient department. The product supply is distinct from the procedure that prepares and applies a skin substitute to the wound.
Report A2019 only with a primary procedure that applies the product; it is not a standalone service. Document the product used, the treated wound, and the amount supplied so the reported units reflect the square centimeters involved. Select the primary application procedure based on the wound's site and area. CMS treats A2019 as an add-on paid within the primary procedure's global period. It is a technical-component-only code, with interpretation covered by a separate code.
CMS billing rules for A2019
- 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%
32.1K
Medicare services in 2024 · #947 by national volume
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.
A2019 compared with similar codes
Office rates for Alabama, from the same CMS release.
$111.35
A2008 identifies Theragenesis; A2019 is specific to Kerecis MariGen. The product used determines which supply code applies.
$111.35
A2018 identifies Permeaderm C, a different product. Use A2019 only when the supplied product is Kerecis MariGen.
Compare A2019 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$111.35
Facility
Unavailable
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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 A2019 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
13,240
- Code
- A2019
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.875 | 3.3338 |
| Malpractice | 0.00 | × 0.566 | 0.0000 |
| Total RVUs | 3.3338 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$111.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.875 |
| Malpractice | 0 | 0.566 |
(0 × 1 + 3.81 × 0.875 + 0 × 0.566) × $33.4009 = $111.35
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.
A2019 billing questions
Can A2019 be reported by itself?
No. CMS identifies it as an add-on code, so it must be reported with a primary procedure.
Which procedure is reported with A2019?
Pair it with the applicable wound skin-substitute application procedure, selected according to the wound's site and area.
How are units determined?
A2019 is measured per square centimeter. Document the product and the square-centimeter amount supplied.
Does A2019 include the wound application procedure?
No. A2019 represents the Kerecis MariGen product supply; report the primary procedure for applying the product separately.
How does the global-period rule affect billing?
A2019 is paid within the global period of its primary procedure and is not separately paid as a standalone service.
What does the technical-component designation mean?
CMS identifies A2019 as technical-component-only; a separate code covers interpretation.
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.
13,237A2016,,"Permeaderm b, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,238A2017,,"Permeaderm glove, each",C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,239A2018,,"Permeaderm c, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,240A2019,,Kerecis marigen shld sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,241A2020,,Ac5 wound system,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,3,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,242A2021,,Neomatrix per sq cm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,243A2022,,Innovabrn/innovamatx xl sqcm,A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515