$117.46
A2038 identifies Marigen Pacto; A2039 identifies InnovaMatrix FD. Select the code for the product actually furnished.
On this page
CMS RVU26D · Effective 2026-10-01
A2039 Wound matrix Medicare reimbursement rates in Nebraska
Reports each square centimeter of InnovaMatrix FD furnished for wound treatment, alongside the primary procedure for applying the matrix. Compare A2039 office and facility rates across CMS payment localities in Nebraska.
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 A2039 in Nebraska?
Nebraska 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
$117.46
1 of 1 localities have a supported rate.
Payment area: Nebraska
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
About A2039: InnovaMatrix FD wound matrix supply
Reports each square centimeter of InnovaMatrix FD furnished for wound treatment, alongside the primary procedure for applying the matrix.
A2039 represents InnovaMatrix FD, a fish-derived wound matrix supplied for application to an open wound. Wound-care clinicians, podiatrists, and surgeons may use it when treating wounds such as chronic lower-extremity ulcers. The code measures the product by surface area, not by the number of wounds or application sessions. It identifies the specific product; another wound matrix or dressing is not reported under this code merely because it covers a similar area.
Report A2039 only with a primary procedure and within that procedure’s global period. Document the wound site, treated area, product used, and the quantity in square centimeters to support the units billed. CMS classifies A2039 as technical-component-only; a separate code accounts for interpretation. The record should also identify the primary procedure performed with the product. The CMS add-on designation means A2039 is not reported by itself.
CMS billing rules for A2039
- 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.
A2039 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$117.46
A2043 identifies Biobrane, not InnovaMatrix FD. Both use a square-centimeter unit, but the product determines the code.
$117.46
A2027 is for Matriderm. Do not choose between it and A2039 by wound area alone; report the product used.
Compare A2039 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
Nebraska →
Office / nonfacility
$117.46
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 A2039 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
13,260
- Code
- A2039
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.923 | 3.5166 |
| Malpractice | 0.00 | × 0.378 | 0.0000 |
| Total RVUs | 3.5166 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$117.46
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.923 |
| Malpractice | 0 | 0.378 |
(0 × 1 + 3.81 × 0.923 + 0 × 0.378) × $33.4009 = $117.46
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.
A2039 billing questions
Can A2039 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, and payment falls within that procedure’s global period.
How many units should be reported?
The unit is one square centimeter. Support the billed quantity with documentation of the wound area and the amount of InnovaMatrix FD used.
Can another wound matrix be billed as A2039?
No. A2039 is specific to InnovaMatrix FD. Use the code assigned to the actual product supplied, even when another product is measured by square centimeter.
Does A2039 include an interpretation?
No professional component is represented by A2039. CMS classifies it as technical-component-only and indicates that interpretation is covered by a separate code.
What should the wound documentation include?
Record the wound site and treated area, the InnovaMatrix FD product used, the square-centimeter quantity, and the primary procedure performed with it.
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.
13,257A2036,,Cohealyx col dml mx 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
13,258A2037,,"G4derm plus/suprello, pr ml",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
13,259A2038,,"Marigen pacto, 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
13,260A2039,,"Innovamatrix fd, 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
13,261A2040,,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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068