HCPCS code G0281: Wound stimulation, specified chronic ulcers2026 Medicare rate & RVUs

Reports unattended electrical stimulation in a therapy plan for specified chronic ulcers that have not shown healing after conventional care.

CMS RVU26DEffective Oct 1, 2026109 payment localities271 Medicare services in 2024

Medicare pays $11.69 for G0281 nationally in the office. Local office rates run $10.77–$14.89.

Medicare rate · G0281

Wound stimulation, specified chronic ulcers

Office or facility?

Work RVUs
0.18
Total RVUs
0.35
Global days
XXX

National rate · 2026

$11.69

Office setting, before claim adjustments.

See every locality for G0281 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What G0281 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G0281 covers

G0281 describes unattended electrical stimulation to one or more areas for chronic stage III or stage IV pressure ulcers, arterial ulcers, diabetic ulcers, or venous stasis ulcers that have not demonstrated healing after 30 days of conventional care. A physical or occupational therapist typically incorporates the treatment into a therapy plan of care in an outpatient rehabilitation or other therapy setting. The electrodes deliver stimulation without continuous hands-on attendance during the treatment.

Report G0281 when the ulcer type and clinical course meet this specific wound-care description, rather than using it for other wound indications or non-wound stimulation. Documentation should identify the ulcer location and type, pressure-ulcer stage when applicable, lack of healing with conventional care, stimulation provided, and the therapy plan. The professional component modifier is not used for this therapy service. Under the therapy multiple procedure payment reduction, practice expense is reduced for the second and later therapy units furnished on the same day.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where G0281 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$10.77 to $14.89

$10.77$12.83$14.89
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

G0281 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$10.88Unavailable
Alaska$14.89Unavailable
Arizona$11.48Unavailable
Arkansas$10.77Unavailable
Atlanta, GA$11.86Unavailable
Austin, TX$11.97Unavailable
Bakersfield, CA$12.19Unavailable
Baltimore area, MD$12.26Unavailable
Beaumont, TX$11.19Unavailable
Brazoria, TX$11.62Unavailable

G0281 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$10.77

$14.89

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0281 office rate range by state
State / territoryOffice rate rangeLocalities
AK$14.891
AL$10.881
AR$10.771
AZ$11.481
CA$12.15–$14.5629
CO$12.031
CT$12.291
DC$13.001
DE$11.621
FL$11.62–$12.423
GA$11.18–$11.862
GU$12.281
HI$12.281
IA$11.031
ID$11.091
IL$11.41–$12.194
IN$11.131
KS$11.011
KY$11.071
LA$11.06–$11.422
MA$12.00–$12.942
MD$11.79–$13.003
ME$11.14–$11.522
MI$11.27–$11.732
MN$11.611
MO$10.94–$11.433
MS$10.861
MT$11.691
NC$11.211
ND$11.491
NE$11.071
NH$11.871
NJ$12.45–$12.952
NM$11.311
NV$11.641
NY$11.32–$13.375
OH$11.231
OK$11.041
OR$11.57–$12.292
PA$11.23–$12.082
PR$11.741
RI$11.941
SC$11.231
SD$11.471
TN$11.051
TX$11.19–$11.978
UT$11.341
VA$11.50–$13.002
VI$11.741
VT$11.471
WA$11.97–$13.142
WI$11.231
WV$11.131
WY$11.601

How the G0281 rate is calculated

Each of G0281’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G0281

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense0.16

0.16 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3500

Conversion factor

$33.4009

Medicare rate

$11.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for G0281

The CMS indicators that decide how G0281 is paid alongside other services.

CMS payment indicators · G0281

Wound stimulation, specified chronic ulcers

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures5Therapy reduction: practice expense of the second and later units is reduced.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical7Therapy service: the split doesn’t apply.

What modifiers do to the payment

Modifier CQ · payment effect

With and without the modifier

G0281 without CQ · national office

$11.69

Wound stimulation, specified chronic ulcers

G0281-CQ · Allowed amount unchanged

$11.69

Medicare cuts its own payment by 15% after the patient’s 20% coinsurance; the allowed amount stays the same. On $100 allowed: $20 coinsurance, then Medicare pays $68 instead of $80.

G0281 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • G0281

    Wound stimulation, specified chronic ulcers0.18 wRVU

    $11.69

  • G0282

    Wound stimulation, other wound-care category0 wRVU

    Not priced

  • G0283

    Electrical stimulation, unattended, other than wound care0.18 wRVU

    $12.69+$1.00

  • 97014

    Electrical stimulation, unattended0.18 wRVU

    Not priced

How to choose

G0282Wound stimulationOther wound-care category
Choose G0282 for wound-care stimulation outside G0281's specified chronic ulcer group; G0281 is limited to the listed ulcer types with the stated healing history.
G0283Electrical stimulationUnattended, other than wound care
G0283 is for unattended stimulation used for a non-wound indication. G0281 is for the specified chronic ulcer conditions.
97014Electrical stimulationUnattended
97014 is the CPT code for unattended electrical stimulation. For the specified chronic-ulcer wound treatment described by G0281, use the Medicare HCPCS wound-care code rather than treating 97014 as interchangeable.

G0281 billing questions

How does G0281 differ from G0282?

G0281 is for the specified chronic pressure, arterial, diabetic, and venous stasis ulcers that have not demonstrated healing after 30 days of conventional care. G0282 describes unattended electrical stimulation for wound care outside that group.

When should G0283 be considered instead?

G0283 describes unattended electrical stimulation for indications other than wound care. G0281 is the wound-care code for the specified chronic ulcer conditions.

Should a professional component modifier be appended?

No. CMS identifies G0281 as a therapy service for which the professional component modifier does not apply.

What documentation supports reporting G0281?

Document the ulcer type and site, its stage when applicable, the lack of healing after conventional care, the stimulation treatment, and its place in the therapy plan of care.

Is G0281 reported by treatment minutes?

The descriptor does not specify a time increment. Document the treatment delivered and the therapy units reported rather than deriving units from minutes alone.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G0281PPRRVU2026_Oct_nonQPP.csv, line 15,170 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what G0281 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put G0281 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet