$150.00–$159.22
15271 reports the application service for the specified body sites; A2043 reports the Biobrane product by area and is an add-on.
On this page
CMS RVU26D · Effective 2026-10-01
A2043 Biobrane Medicare reimbursement rates in Michigan
Reports Biobrane by treated surface area when supplied for wound coverage, commonly in burn care or selected donor-site wounds. Compare A2043 office and facility rates across CMS payment localities in Michigan.
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 A2043 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$116.19–$122.80
2 of 2 localities have a supported rate.
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
About A2043: Biobrane wound coverage by area
Reports Biobrane by treated surface area when supplied for wound coverage, commonly in burn care or selected donor-site wounds.
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.
CMS billing rules for A2043
- 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.
A2043 compared with similar codes
Office rates for Michigan, from the same CMS release.
$152.99–$161.61
Use 15275 for the application service at its designated body sites. A2043 identifies the Biobrane product quantity, not the application service.
A2044
No office rateBiobraneglove, each
A2044 identifies Biobrane in glove form and is counted per item. A2043 is the Biobrane product code reported by square centimeter.
Compare A2043 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$122.80
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$116.19
Facility
Unavailable
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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 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.
13,261A2040,,Microlyte painguard pr 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
13,262A2041,,Foundation drs+ duo pr 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
13,263A2042,,"Foundation drs+ solo, 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
13,264A2043,,"Biobrane, 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
13,265A2044,,"Biobraneglove, 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
13,266A2045,,Novashield/novogen pr 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
13,267A2046,,"Dermisphere hdrt, per sq cm",A,,0.00,3.81,,3.81,NA,0.00,3.81,3.81,3,ZZZ,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00