2025 HCPCS code A2005
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Supplies - Wound Management (Matrix) Medical and Surgical Supplies Feed
Supply of Microlyte® wound matrix, per square centimeter.
Modifiers may be applicable depending on the circumstances of service (e.g., place of service, provider, etc.).Review payer-specific guidelines.
Medical necessity is established by documentation showing the wound requires advanced wound care management, and the use of Microlyte® is appropriate for the type and size of the wound, and aligns with accepted clinical guidelines for wound healing.
The clinical responsibility includes assessment of the wound, determining the suitability of Microlyte® for the specific wound, application of the dressing, and documentation of the size and location of the applied matrix.
In simple words: This code is for a special bandage called Microlyte® that helps wounds heal.The doctor or nurse uses it on wounds, and the code is used for each tiny square section of the bandage used.
This HCPCS code reports the supply of Microlyte®, a wound matrix composed of polymer-polyvinyl alcohol (PVA).This man-made substance is used in various drugs and cosmetics. The provider may apply this product to wounds (e.g., ulcers, surgical wounds, trauma wounds) to aid healing. The code is reported for each square centimeter of Microlyte® used.
Example 1: A patient presents with a chronic venous ulcer measuring 5 cm x 3 cm. The physician applies Microlyte® to the entire wound surface.15 units of A2005 are reported (5cm x 3cm = 15cm²)., A patient undergoes a surgical procedure resulting in a 2cm x 2cm wound.The surgeon applies Microlyte® to the wound.4 units of A2005 would be billed., A patient has a pressure ulcer requiring a Microlyte® application covering 10 square centimeters. The nurse applies 10 units of A2005.
Documentation should include:(1) type and size of wound; (2) size of Microlyte® applied; (3) location of application on the body; (4) date of application; (5) physician or qualified healthcare professional’s order for the Microlyte®; (6) clinical notes supporting medical necessity.
** Confirm payer-specific reimbursement policies.Accurate measurement of the wound and the matrix applied is critical for correct coding.This code is only for the supply of Microlyte; any additional procedures or services performed related to the wound care should be coded separately.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is a supply code.
- Specialties:Wound Care, Surgery, Plastic Surgery, Dermatology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Skilled Nursing Facility