HCPCS A2046: Wound matrixMedicare rate & RVUs in Nevada
Reports Dermisphere HDRT by square centimeter when supplied for wound coverage with a primary wound-graft application procedure.
Medicare pays $127.38 for A2046 in the office in Nevada (Nevada**). 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 A2046 covers
A2046 identifies Dermisphere HDRT, a dermal tissue product used to cover a prepared wound bed. It is typically supplied for wound care in settings such as an outpatient wound clinic or hospital outpatient department, with application performed by a clinician treating the wound. Lower-extremity ulcers are a common wound-care context, but the product code identifies the material rather than a wound location or a clinician’s application work.
Report the quantity in square centimeters and retain product and application records that support the product used and the area applied. CMS classifies A2046 as an add-on: bill it only with a primary procedure, and its payment falls within that procedure’s global period. It is a technical-component-only code; a separate code covers interpretation. The application procedure and the product are distinct reporting elements.
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.
A2046 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $127.38 | Unavailable |
How the A2046 rate is calculated
Each of A2046’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 · A2046
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.
Payment rules and modifiers for A2046
The CMS indicators that decide how A2046 is paid alongside other services.
CMS payment indicators · A2046
Wound matrix
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 3 | Technical component only. |
A2046 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 15271Skin substitute graft
- 15271 reports the primary wound-graft application service for the applicable site and area. A2046 identifies the Dermisphere product used with a primary procedure.
- A2047Wound matrix
- A2047 identifies LacertaMatrix, not Dermisphere HDRT. Select the product code matching the material supplied.
- A2049TheraCor
- A2049 identifies Theracor, not Dermisphere HDRT. The shared square-centimeter unit does not make the product codes interchangeable.
A2046 billing questions
Can A2046 be billed by itself?
No. CMS identifies it as an add-on code, so report it with a primary procedure.
How is the quantity calculated?
Report the Dermisphere HDRT quantity in square centimeters. Keep documentation supporting the product used and the area applied.
Does A2046 include interpretation?
No. CMS classifies A2046 as technical-component-only; a separate code covers interpretation.
Is A2046 the wound application procedure?
No. A2046 represents the Dermisphere product. Report the applicable primary wound-graft application procedure separately.
How does the global-period payment rule affect this code?
A2046 must accompany a primary procedure, and CMS pays it within that procedure’s global period.
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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