$151.14
15271 reports the base skin-substitute application procedure at qualifying trunk, arm, or leg sites. A2040 reports the MicroLyte PAINGuard product quantity and must accompany a primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
A2040 Wound product Medicare reimbursement rates in Utah
Report A2040 for each square centimeter of MicroLyte PAINGuard supplied with a primary wound procedure when that specific product is used. Compare A2040 office and facility rates across CMS payment localities in Utah.
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 A2040 in Utah?
Utah 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
$119.62
1 of 1 localities have a supported rate.
Payment area: Utah
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 A2040: MicroLyte PAINGuard wound product
Report A2040 for each square centimeter of MicroLyte PAINGuard supplied with a primary wound procedure when that specific product is used.
A2040 identifies MicroLyte PAINGuard, a wound-care product measured by the square centimeter. It represents the product used at the wound site, rather than a separately described evaluation or wound-preparation service. Wound-care clinicians and surgeons may use the product during treatment of a wound in an office, outpatient department, or other setting where the related procedure is performed. The code is product-specific: another wound matrix or dressing does not become A2040 simply because it is used on a similar wound.
Report the quantity in square centimeters of product used, and pair A2040 with the primary procedure required for the encounter. Documentation should identify MicroLyte PAINGuard, the treated site, and the amount applied, alongside the primary procedure and its supporting record. CMS classifies A2040 as an add-on code, so it is billed only with a primary procedure and paid within that procedure's global period. It is technical-component-only; a separate code covers interpretation when interpretation is performed.
CMS billing rules for A2040
- 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.
A2040 compared with similar codes
Office rates for Utah, from the same CMS release.
$119.62
A2041 identifies Foundation DRS+ Duo, not MicroLyte PAINGuard. Select the product code matching the material actually used.
$119.62
A2042 identifies Foundation DRS+ Solo. A2040 is specific to MicroLyte PAINGuard; the products are not selected by wound area alone.
Compare A2040 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
Utah →
Office / nonfacility
$119.62
Facility
Unavailable
Need rates for a whole code list?
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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 A2040 in Utah.
PPRRVU2026_Oct_nonQPP.csv
13,261
- Code
- A2040
- Physician work
- 0.00
- Practice expense
- 3.81
- Malpractice
- 0.00
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 3.81 | × 0.940 | 3.5814 |
| Malpractice | 0.00 | × 0.898 | 0.0000 |
| Total RVUs | 3.5814 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$119.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 3.81 | 0.94 |
| Malpractice | 0 | 0.898 |
(0 × 1 + 3.81 × 0.94 + 0 × 0.898) × $33.4009 = $119.62
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.
A2040 billing questions
How is the quantity for A2040 counted?
Report the square centimeters of MicroLyte PAINGuard used. Document the product and the amount applied to the wound.
Can A2040 be billed by itself?
No. CMS classifies it as an add-on code that must be reported with a primary procedure.
Which application procedure should accompany A2040?
Report the primary wound procedure that was actually performed. For skin-substitute application, the applicable base CPT procedure depends on the treated site and the procedure details.
Does A2040 include interpretation?
No. CMS identifies A2040 as technical-component-only; a separate code covers interpretation when that service is performed.
What documentation supports A2040?
Record the product as MicroLyte PAINGuard, the wound site, the quantity used in square centimeters, and the related primary procedure.
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.
13,258A2037,,"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
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985