A2026 — Restrata minimatrix, 5 mg
A2026 is a HCPCS Level II code for restrata minimatrix, 5 mg. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusC
Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for A2026
- Long descriptor
- Restrata minimatrix, 5 mg
- Short descriptor
- Restrata minimatrix, 5 mg
- Added
- April 1, 2024
- BETOS
- P5A
- Pricing indicator
- 13 — Physician fee schedule
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Price established by carriers — not otherwise classified, individual determination, or carrier discretion.
Codes adjacent to A2026
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A2026 is not quite right, the correct code is very often within a few positions of it.
- A2018Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)
- A2019Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure)
- A2020Ac5 advanced wound system (ac5)
- A2021Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2022Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure)
- A2023Innovamatrix pd, 1 mg
- A2024Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure)
- A2025Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)
- A2027Matriderm, per square centimeter (add-on, list separately in addition to primary procedure)
- A2028Micromatrix flex, per mg
- A2029Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure)
- A2030Miro3d fibers, per milligram
- A2031Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2032Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2033Myriad morcells, 4 milligrams
- A2034Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
Questions about A2026
What is HCPCS code A2026?
A2026 is a HCPCS Level II code for restrata minimatrix, 5 mg. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A2026?
The CMS HCPCS file marks A2026 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A2026 paid under the physician fee schedule?
A2026 carries PFS status code C. Contractor-priced. Your MAC establishes the RVUs and the payment amount case by case, usually after reviewing documentation. There is no national amount to compute.