A2009 HCPCS code: Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
A2009 is the HCPCS Level II code for symphony, per square centimeter (add-on, list separately in addition to primary procedure). In 2023 Medicare paid an average of $50.51 per service for A2009 across 866 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2023, about 6 clinicians billed Medicare for A2009 for 20 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 11 — Priced using national relative value units (Physician Fee Schedule) |
| BETOS category | P5A |
| Added | 2022-01-01 |
| Last action effective | 2026-01-01 |
Who bills A2009 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 6 |
| Medicare beneficiaries | 20 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A2009, 2023–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 866 | 20 | $63.39 | $50.51 |
States with the most A2009 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 769 | $48.95 |
What changed for A2009
- January 2026: Descriptor revised (Was: Symphony, per square centimeter)
- 2022-01-01: A2009 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A2009?
A2009 is the HCPCS Level II code for symphony, per square centimeter (add-on, list separately in addition to primary procedure). Short descriptor: "Symphony, per sq cm".
How much does Medicare pay for A2009?
In 2023, the average Medicare payment was $50.51 per service (average allowed $63.39).
Does Medicare cover A2009?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related A20 codes
- A2001 — Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
- A2002 — Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2004 — Xcellistem, 1 mg
- A2005 — Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2006 — Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- A2007 — Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
- A2008 — Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2010 — Apis, per square centimeter (add-on, list separately in addition to primary procedure)
- A2011 — Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure)
- A2012 — Suprathel, per square centimeter (add-on, list separately in addition to primary procedure)
- A2013 — Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure)
- A2014 — Omeza collagen matrix or omeza complete matrix, per 100 mg
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A2009
- Watch A2009 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A2009
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.