2025 HCPCS code A2010
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Supplies - Skin Substitutes Medical and Surgical Supplies Feed
Apis® skin substitute supply, per square centimeter.
Modifiers may apply depending on the circumstances of service. Consult the HCPCS coding guidelines for applicable modifiers.
Medical necessity for Apis® would be established based on the type and severity of the wound, the failure of other treatments, and the overall clinical picture of the patient. Documentation should demonstrate that Apis® is the appropriate choice of wound care and is medically necessary for the treatment of the patient's condition.
The provider is responsible for supplying the Apis® skin substitute. Application of the product to the wound may be billed separately.
In simple words: This code is for a special bandage called Apis® that helps wounds heal. The doctor bills for each small square of the bandage used.
This HCPCS code reports the supply of Apis®, a skin substitute composed of porcine (pig) gelatin, manuka honey, and hydroxyapatite (a calcium phosphate mineral).It's used in wound management for various wounds, including ulcers, surgical wounds, and trauma wounds to aid healing. The code is reported for each square centimeter of Apis® supplied.
Example 1: A patient presents with a chronic venous leg ulcer measuring 10 square centimeters. The physician orders Apis® to promote healing. Ten units of A2010 would be billed., A patient undergoes a surgical procedure resulting in a 5 square centimeter wound. The surgeon applies Apis® to the wound during the procedure and bills five units of A2010 for the supplied material., A patient sustains a traumatic injury resulting in a 2 square centimeter wound. The emergency room physician uses Apis® to cover the wound and bills two units of A2010 for the material.
Documentation should include the size of the wound(s) treated, the quantity of Apis® used (in square centimeters), and a justification for its medical necessity in the patient's clinical record.
** Apis® is a registered trademark.This code reflects only the supply of the product; any associated application or procedures are coded separately. Always refer to the most current HCPCS coding guidelines for accurate billing.
- Revenue Code: Information not provided
- RVU: Information not provided
- Global Days: Not applicable; this is a supply code.
- Payment Status: Active
- Modifier TC rule: Not applicable to this supply code.
- Fee Schedule: Information not provided.
- Specialties:Wound care specialists, surgeons, dermatologists, family practitioners
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center, Emergency Room