HCPCS code A2019: Wound matrix2026 Medicare rate & RVUs in Utah

Reports Kerecis MariGen fish-skin wound matrix by square centimeter when supplied with a qualifying wound-application procedure.

CMS RVU26DEffective Oct 1, 20261 payment locality32.1K Medicare services in 2024

Medicare pays $119.62 for A2019 in the office in Utah (Utah). Which amount applies depends on the service address.

$119.62Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open A2019 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What A2019 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What A2019 covers

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.

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 in Utah

A2019 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$119.62Unavailable

How the A2019 rate is calculated

Each of A2019’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 · A2019

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 A2019

The CMS indicators that decide how A2019 is paid alongside other services.

CMS payment indicators · A2019

Wound matrix

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

A2019 compared with similar codes

Compare codes · National

4 codes, side by side

  • A2019

    Wound matrix0 wRVU

    $127.26

  • A2007

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2008

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2018

    Wound matrix0 wRVU

    $127.26+$0.00

How to choose

A2007Wound matrix
A2007 identifies Restrata, while A2019 identifies Kerecis MariGen. Select the code for the product supplied, not simply because both are measured by square centimeter.
A2008Wound matrix
A2008 identifies Theragenesis; A2019 is specific to Kerecis MariGen. The product used determines which supply code applies.
A2018Wound matrix
A2018 identifies Permeaderm C, a different product. Use A2019 only when the supplied product is Kerecis MariGen.

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 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
RVUs for A2019PPRRVU2026_Oct_nonQPP.csv, line 13,240 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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