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2026A Ambulatory Payment Classification: 6001
Title: 510K Skin Substitute Products
| 2026A Relative Weight: | 1.3908 |
| 2026A Payment Rate: | $127.14 |
| 2026A National Unadjusted Copay: | $ 0.00 |
| 2026A Minimum Unadjusted Copay: | $ 25.43 |
Addendum D1 Information
Status Indicator: S1
Item / Code / Service:
OPPS Payment Status:
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* Medicare Part A utilization data is derived from the 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.
Procedure Codes in this APC:
A2001 Innovamatrix ac, per sq cm
A2002 Mirragen adv wnd mat per sq
A2005 Microlyte matrix, per sq cm
A2006 Novosorb synpath per sq cm
A2007 Restrata, per sq cm
A2008 Theragenesis, per sq cm
A2009 Symphony, per sq cm
A2010 Apis, per square centimeter
A2011 Supra sdrm, per sq cm
A2012 Suprathel, per sq cm
A2013 Innovamatrix fs, per sq cm
A2015 Phoenix wnd mtrx, per sq cm
A2016 Permeaderm b, per sq cm
A2018 Permeaderm c, per sq cm
A2019 Kerecis marigen shld sq cm
A2021 Neomatrix per sq cm
A2022 Innovabrn/innovamatx xl sqcm
A2024 Resolve or xenopatch sq cm
A2025 Miro3d per cubic cm
A2027 Matriderm per sq cm
A2029 Mirotract matrix sheet
A2031 Mirodry, per sq cm
A2036 Cohealyx col dml mx pr sq cm
A2038 Marigen pacto, per sq cm
A2039 Innovamatrix fd, per sq cm
C9363 Integra meshed bil wound mat
Q4102 Oasis wound matrix
Q4103 Oasis burn matrix
Q4104 Integra bmwd
Q4107 Graftjacket
Q4110 Primatrix
Q4111 Gammagraft
Q4116 Alloderm
Q4117 Hyalomatrix
Q4122 Dermacell, awm, porous sq cm
Q4124 Oasis tri-layer wound matrix
Q4127 Talymed
Q4130 Strattice tm
Q4135 Mediskin
Q4136 Ezderm
Q4146 Tensix, 1cm
Q4158 Kerecis omega3, per sq cm
Q4161 Bio-connekt per square cm
Q4164 Helicoll, per square cm
Q4165 Keramatrix, kerasorb sq cm
Q4166 Cytal, per square centimeter
Q4175 Miroderm
Q4195 Puraply 1 sq cm
Q4196 Puraply am 1 sq cm
Q4197 Puraply xt 1 sq cm
Q4198 Genesis amnio membrane 1sqcm
Q4201 Matrion 1 sq cm
Q4203 Derma-gide, 1 sq cm
Q4222 Progenamatrix, per sq cm
Q4225 Amnio or derma tl, per sq cm
Q4232 Corplex, per sq cm
Q4276 Orion, per sq cm
Q4282 Cygnus dual per sq cm
Q4297 Emerge matrix, per sq cm
Q4432 510(k) skin subs, nos
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Sources: Updates of Addendum A and B are posted quarterly to the OPPS website. These addenda are a "snapshot" of HCPCS codes and their status indicators,
APC groups, and OPPS payment rates, that are in effect at the beginning of each quarter. The quarterly updates of Addendum A and Addendum B reflect
the OPPS Pricer changes that are part of the quarterly OPPS recurring update notification transmittals.
http://www.cms.gov/HospitalOutpatientPPS/AU/list.asp#TopOfPage
For more information on the Composite APC payment,
please see CMS Transmittal R2141CP.
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