HCPCS A2043: BiobraneMedicare rate & RVUs in Florida
Reports Biobrane by treated surface area when supplied for wound coverage, commonly in burn care or selected donor-site wounds.
Medicare pays $121.66–$132.47 for A2043 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
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 9 sections
What A2043 covers
A2043 identifies Biobrane supplied by treated surface area. This biosynthetic wound covering is used particularly in burn care and for selected donor-site wounds. It is generally associated with clinician application in a burn, wound-care, or surgical setting, where it protects the wound bed during healing. Report the measured area of Biobrane used, rather than the number of sheets.
Report A2043 only with an applicable primary wound-treatment or application procedure; it is not a standalone service. Select the primary procedure based on the treated site and service performed, and document the wound location, product, treated area, and quantity in square centimeters. CMS classifies A2043 as an add-on paid within the primary procedure’s global period. It is also technical-component-only, with interpretation covered by a separate code.
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 A2043 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$121.66 to $132.47
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $128.91 | Unavailable |
| Miami | $132.47 | Unavailable |
| Rest Of Florida | $121.66 | Unavailable |
How the A2043 rate is calculated
Each of A2043’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 · A2043
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 3.81Malpractice 0.00
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for A2043
The CMS indicators that decide how A2043 is paid alongside other services.
CMS payment indicators · A2043
Biobrane
| 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. |
A2043 compared with similar codes
Compare codes
A2043 vs 15271 vs 15275 vs A2044: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 15271Skin substitute graft
- 15271 reports the application service for the specified body sites; A2043 reports the Biobrane product by area and is an add-on.
- 15275Skin substitute
- Use 15275 for the application service at its designated body sites. A2043 identifies the Biobrane product quantity, not the application service.
- A2044Biobraneglove, each
- A2044 identifies Biobrane in glove form and is counted per item. A2043 is the Biobrane product code reported by square centimeter.
A2043 billing questions
Can A2043 be reported by itself?
No. CMS identifies it as an add-on code, so report it only with an applicable primary procedure.
How is the quantity determined?
Report the Biobrane quantity by the treated surface area in square centimeters. Keep documentation that supports the area used.
Which application code should accompany A2043?
Choose the primary procedure based on the service performed and the treated body site. For skin-substitute application, codes such as 15271 or 15275 may be relevant depending on site.
Does A2043 include interpretation?
No. CMS classifies A2043 as technical-component-only and states that a separate code covers interpretation.
How does A2043 differ from A2044?
A2043 is reported by square centimeter for Biobrane; A2044 identifies the Biobrane glove and is reported per item.
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
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