HCPCS A2005: Wound matrixMedicare rate & RVUs in Virginia

Report A2005 for Microlyte matrix supplied by square centimeter as part of a primary wound procedure, with the amount supported by product and wound documentation.

CMS RVU26DEffective Oct 1, 20262 payment localities9.3K Medicare services in 2024

Medicare pays $125.09–$149.91 for A2005 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. Which amount applies depends on the service address.

$125.09–$149.91Office (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 A2005 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Virginia
  2. What A2005 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 A2005 covers

A2005 identifies Microlyte matrix furnished for wound care, measured by square centimeter. It is generally reported by clinicians providing wound treatment in settings such as an outpatient wound clinic or physician office. The code identifies the specific product; another wound matrix product is not coded as Microlyte merely because it is used for a similar purpose.

Report A2005 only with a primary procedure, and include the quantity in square centimeters supported by the record. Documentation should identify Microlyte, the wound treated, and the amount used or supplied. CMS classifies this as an add-on code paid within the primary procedure’s global period, so it is not reported alone. The code is technical-component-only; a separate code covers interpretation. Its CMS relative value units assign practice expense but no physician work.

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.

Where A2005 pays more and less in Virginia

A2005 office and facility rates by payment locality
Payment localityOfficeFacility
Dc + Md/Va Suburbs$149.91Unavailable
Virginia$125.09Unavailable

How the A2005 rate is calculated

Each of A2005’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 · A2005

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 A2005

The CMS indicators that decide how A2005 is paid alongside other services.

CMS payment indicators · A2005

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.

A2005 compared with similar codes

Compare codes · National

4 codes, side by side

  • A2005

    Wound matrix0 wRVU

    $127.26

  • A2002

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2006

    Wound matrix0 wRVU

    $127.26+$0.00

  • A2007

    Wound matrix0 wRVU

    $127.26+$0.00

How to choose

A2002Wound matrix
A2002 identifies Mirragen, while A2005 identifies Microlyte. Choose based on the product actually furnished, not simply the wound or measurement unit.
A2006Wound matrix
A2006 is for Novosorb Synpath; A2005 is for Microlyte. Both use a square-centimeter unit, but the product identity determines the code.
A2007Wound matrix
A2007 identifies Restrata rather than Microlyte. Report the code matching the matrix supplied, even when both are used in wound care and measured by area.

A2005 billing questions

How is the number of units determined?

Use the quantity of Microlyte matrix in square centimeters and support it with the product amount and wound documentation. Do not substitute the wound’s size for the amount furnished unless they are the same.

Can A2005 be billed by itself?

No. CMS identifies A2005 as an add-on code that must be billed with a primary procedure.

What should the record show?

Document that Microlyte was used, identify the treated wound, and record the matrix quantity in square centimeters. The primary procedure should also be identifiable on the claim.

Does A2005 include interpretation?

No. CMS classifies A2005 as technical-component-only; interpretation is covered by a separate code.

Can another wound matrix code be used instead?

Select the code for the specific product furnished. A similar wound-care use or a per-square-centimeter unit does not make another matrix product reportable as Microlyte.

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 A2005PPRRVU2026_Oct_nonQPP.csv, line 13,226 (RVU26D)

Open CMS sourceHow we calculate rates

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