A20 — HCPCS Level II Codes

• A2001 Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2002 Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2004 Xcellistem, 1 mg billable
• A2005 Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2006 Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2007 Restrata, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2008 Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2009 Symphony, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2010 Apis, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2011 Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2012 Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2013 Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2014 Omeza collagen matrix or omeza complete matrix, per 100 mg billable
• A2015 Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2016 Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2017 Permeaderm glove, each billable
• A2018 Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2019 Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2020 Ac5 advanced wound system (ac5) billable
• A2021 Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2022 Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2023 Innovamatrix pd, 1 mg billable
• A2024 Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2025 Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) billable
• A2026 Restrata minimatrix, 5 mg billable
• A2027 Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2028 Micromatrix flex, per mg billable
• A2029 Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) billable
• A2030 Miro3d fibers, per milligram billable
• A2031 Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2032 Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2033 Myriad morcells, 4 milligrams billable
• A2034 Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2035 Corplex p or theracor p or allacor p, per milligram billable
• A2036 Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2037 G4derm plus/suprello, per milliliter billable
• A2038 Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2039 Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) billable
• A2040 Microlyte painguard, per square centimeter billable
• A2041 Foundation drs+ duo, per square centimeter billable
• A2042 Foundation drs+ solo, per square centimeter billable
• A2043 Biobrane, per square centimeter billable
• A2044 Biobrane glove, each billable
• A2045 Novashield or novogen wound matrix, per square centimeter billable