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2025 HCPCS code A2026

Restrata minimatrix, 5 mg.

Report A2026 for each 5 mg of Restrata MiniMatrix used.

Medical necessity for A2026 should be supported by documentation indicating that the use of Restrata MiniMatrix is appropriate for the patient's specific wound type and condition.

The provider is responsible for applying the Restrata MiniMatrix to the wound as part of wound care.

In simple words: This code is used for a wound care product called Restrata MiniMatrix. It's a material that is applied to wounds like ulcers or burns to help them heal.The code is used for each 5mg of the product.

This code represents the supply of Restrata® MiniMatrix, a fragmented wound covering made from synthetic materials. The pieces are typically less than 3.15 mm in diameter. The provider may apply (shake or sprinkle) this product on a wound, such as an ulcer or burn, as part of wound care. The provider reports this code for each 5 mg.

Example 1: A patient presents with a second-degree burn on their hand. The physician applies 15mg of Restrata MiniMatrix to the burn. The provider would report A2026 three times., A patient with a diabetic foot ulcer receives 10mg of Restrata MiniMatrix during a wound care visit. The provider reports A2026 two times., A patient has a venous stasis ulcer on their lower leg.The physician debrides the wound and then applies 25mg of Restrata MiniMatrix. The provider reports A2026 five times.

Documentation should include the size and location of the wound, the amount of Restrata MiniMatrix used (in mg), and the method of application.

** HCPCS Level II codes that begin with 'A' represent ambulance and transport services and supplies; medical and surgical supplies; and administrative, miscellaneous, and investigational services."mg" stands for milligram, 1/1000 of a gram (g), a metric measurement for mass or weight. "mm" stands for millimeter, a metric measurement of length; 1 mm equals 1/10 of a centimeter (cm).

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