A2025 Miro3d (HCPCS) Reimbursement & Policy | OpenPayer

Summary & Overview

HCPCS A2025: Miro3d per Cubic Centimeter, Add-On Supply

HCPCS Level II code A2025 designates billing for Miro3d material measured per cubic centimeter, reported as an add-on, list-separately supply in addition to a primary procedure. This code captures the incremental cost of patient-specific 3D printed models, guides, or implants where material volume is the billing basis. Nationally, growing adoption of 3D printing in surgical planning and device fabrication has increased the relevance of volume-based supply codes for accurate facility and professional billing.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of coverage considerations and common administrative practices tied to the code, alongside explanations of typical sites of service and the clinical contexts in which the supply is used. The publication outlines benchmarking areas such as reporting practices, bundling versus separate payment tendencies, and common modifier usage patterns where applicable.

This summary equips revenue leaders, compliance officers, and clinical program managers with the essential context to recognize when A2025 applies, how it is positioned relative to primary procedures, and what high-level topics to address when negotiating coverage or establishing internal billing policies. Data not available in the input includes detailed payer-specific reimbursement rates and associated taxonomies or ICD-10 mappings.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareA2025HCPCS Level II3D printingmedical device supplyadd-on codehospital outpatientambulatory surgerybilling guidance

Billing Code Overview

HCPCS Level II code A2025 represents Miro3d billed per cubic centimeter as an add-on supply or device charge that is listed separately in addition to a primary procedure. The service type is a 3D printing material/device supply used to produce patient-specific anatomical models or surgical guides. The typical site of service is hospital outpatient departments, ambulatory surgical centers, and inpatient settings when billed in conjunction with a primary procedure.

Clinical & Coding Specifications

Clinical Context

A patient with a complex craniomaxillofacial tumor or trauma is scheduled for image-guided surgery that requires a patient-specific 3D printed surgical model or implant design. The surgical team requests a Miro3d add-on product billed per cubic centimeter to assist preoperative planning and intraoperative guidance. Typical clinical workflow: preoperative imaging (CT or MRI) is obtained; DICOM data are sent to a 3D modeling vendor; a patient-specific 3D model or surgical guide is designed and printed; the device is sterilized and delivered to the operating room for surgeon review and intraoperative use. The procedure is performed in an ambulatory surgery center or hospital operating room, typically for specialties such as oral and maxillofacial surgery, otolaryngology, neurosurgery, or orthopedic trauma. Billing uses A2025 as an add-on, reported in addition to the primary surgical or imaging procedure and calculated by the printed volume in cubic centimeters. Common clinical scenarios include preoperative planning for complex mandibular reconstruction, cranial vault defect repair, tumor resection with prosthetic reconstruction, or comminuted facial fractures requiring patient-specific cutting guides.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services

HCPCS A2027: Matriderm Dermal Substitute, Per Square Centimeter

HCPCS-A2012-SUPRATHEL-PER-SQUARE-CENTIMETER

HCPCS A2012: Suprathel, Per Square Centimeter

HCPCS-A2006-NOVOSORB-DERMAL-MATRIX-PER-CM

HCPCS A2006: Novosorb Synpath Dermal Matrix, Per Square Centimeter

HCPCS-A2039-INNOVAMATRIX-PER-SQCM-ADD-ON

HCPCS A2039: Innovamatrix fd, Per Square Centimeter (Add-On)

HCPCS-A2009-SYMPHONY-PER-SQUARE-CENTIMETER-ADD-ON

HCPCS A2009: Symphony, Per Square Centimeter (Add-on, Separate)

HCPCS-A2024-RESOLVE-MATRIX-XENOPATCH-PER-CM

HCPCS A2024: Resolve Matrix or Xenopatch, Per Square Centimeter

HCPCS-A2029-MIROTRACT-WOUND-MATRIX-SHEET-PER-CC

HCPCS A2029: Mirotract Wound Matrix Sheet, Per Cubic Centimeter

HCPCS-A2030-MIRO3D-FIBERS-PER-MILLIGRAM

HCPCS A2030: Miro3d fibers, per milligram

HCPCS-A2043-BIOBRANE-WOUND-DRESSING-PER-CM

HCPCS A2043: Biobrane, Per Square Centimeter

HCPCS-A2028-MICROMATRIX-FLEX-PER-MG

HCPCS A2028: Micromatrix Flex, Per mg

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Taxonomy Code	Specialty	Notes
`207X00000X`	Oral and Maxillofacial Surgery	Common specialty ordering patient-specific craniofacial or mandibular models.
`2084P0800X`	Otolaryngology (ENT)	Uses 3D models for complex sinus, skull base, and facial reconstructions.
`208800000X`	Neurosurgery	Uses patient-specific cranial models and cutting guides for tumor resections and cranioplasties.
`207L00000X`	Orthopedic Surgery, Hand	Uses 3D printed guides and models for complex facial trauma and upper extremity reconstructions.
`363L00000X`	Diagnostic Radiology	Provides imaging and may bill technical/professional components tied to model fabrication.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S02.6XXA`	Fracture of mandible, initial encounter	Mandibular fractures frequently require patient-specific models for preoperative planning and fixation guide creation.
`C71.9`	Malignant neoplasm of brain, unspecified	Intracranial tumors may necessitate craniotomy and patient-specific cranial models or implants.
`C41.0`	Malignant neoplasm of bones of skull and face	Osseous tumors of the craniofacial skeleton often use 3D models for resection planning and reconstruction.
`S02.7XXA`	Multiple fractures of skull and facial bones, initial encounter	Complex facial fractures benefit from 3D-printed models for surgical planning and restoration of anatomic contours.
`D16.2`	Benign neoplasm of skull and face bones	Benign osseous lesions may be resected with the assistance of patient-specific cutting guides and models.
`Q67.4`	Congenital deformity of skull (craniosynostosis)	Cranial vault remodeling procedures commonly use 3D models for templating and implant fabrication.
`M26.60`	Temporomandibular joint disorder, unspecified	Complex TMJ reconstructions or joint replacement planning can use 3D models for prosthesis fitting.
`T81.4XXA`	Infection following a procedure, initial encounter	Postoperative infections may require revision surgery with custom 3D implants or models for debridement planning.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`70450`	Computed tomography, head or brain; without contrast material	Preoperative CT provides DICOM data used to create the `Miro3d` model.
`70551`	Magnetic resonance imaging, brain, without contrast	MRI may supply soft-tissue detail incorporated into 3D modeling when indicated.
`21045`	Reconstruction, mandible, internal rigid fixation	Primary reconstructive surgery that commonly uses patient-specific 3D models or cutting guides billed with `A2025` as an add-on.
`62140`	Craniectomy or craniotomy for excision of lesion, supratentorial	Neurosurgical procedures where patient-specific cranial models and implants assist resection and reconstruction.
`21116`	Reconstruction, midface, orbital floor and rim, open; with bone graft	Complex midface repairs that commonly rely on 3D printed models or templates for contouring and fixation.

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