HCPCS Range Matrix for Wound Management (Placental, Equine, Synthetic)

• 1 Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) ( A2001 )

• 2 Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2002 )

• 3 Xcellistem, 1 mg ( A2004 )

• 4 Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2005 )

• 5 Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2006 )

• 6 Restrata, per square centimeter (add-on, list separately in addition to primary procedure) ( A2007 )

• 7 Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) ( A2008 )

• 8 Symphony, per square centimeter (add-on, list separately in addition to primary procedure) ( A2009 )

• 9 Apis, per square centimeter (add-on, list separately in addition to primary procedure) ( A2010 )

• 10 Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) ( A2011 )

• 11 Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) ( A2012 )

• 12 Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) ( A2013 )

• 13 Omeza collagen matrix, per 100 mg ( A2014 )

• 14 Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2015 )

• 15 Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) ( A2016 )

• 16 Permeaderm glove, each ( A2017 )

• 17 Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) ( A2018 )

• 18 Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) ( A2019 )

• 19 Ac5 advanced wound system (ac5) ( A2020 )

• 20 Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2021 )

• 21 Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) ( A2022 )

• 22 Innovamatrix pd, 1 mg ( A2023 )

• 23 Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) ( A2024 )

• 24 Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) ( A2025 )

• 25 Restrata minimatrix, 5 mg ( A2026 )

• 26 Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) ( A2027 )

• 27 Micromatrix flex, per mg ( A2028 )

• 28 Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) ( A2029 )

• 29 Miro3d fibers, per milligram ( A2030 )

• 30 Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2031 )

• 31 Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2032 )

• 32 Myriad morcells, 4 milligrams ( A2033 )

• 33 Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) ( A2034 )

• 34 Corplex p or theracor p or allacor p, per milligram ( A2035 )

• 35 Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) ( A2036 )

• 36 G4derm plus, per milliliter ( A2037 )

• 37 Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) ( A2038 )

• 38 Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) ( A2039 )