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CMS RVU26D · Effective 2026-10-01

G0465 in Austin

Office / nonfacility

$1120.98

Base rate per service

Facility setting

$84.51

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound care

About G0465: Autologous PRP treatment for diabetic ulcer

Reports preparation and application of a patient’s platelet-rich plasma with an FDA-cleared device to treat a diabetic chronic wound or ulcer.

G0465 describes a treatment in which the patient’s blood is processed with an FDA-cleared device to produce platelet-rich plasma or another blood-derived product, which is then applied to a diabetic chronic wound or ulcer. It is used in wound-care settings by clinicians treating chronic diabetic ulcers, including physicians and podiatrists. The code covers preparation and application as one treatment; it is not selected by wound area or billed separately for each step.

Report the service for a treatment of a diabetic chronic wound or ulcer, with documentation identifying the wound, its diabetic context, the device and blood-derived product used, and the application performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When performed in the same session with other procedures subject to the multiple procedure rule, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for G0465

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.78 · 6%
  • Practice expense (office) RVU29.91 · 94%
  • Malpractice RVU0.15 · 0%

1.5K

Medicare services in 2024 · #2693 by national volume

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.

G0465 compared with similar codes

Office rates for Austin, from the same CMS release.

G0460

Autolog prp not diab ulcer

No office rate

G0460 covers PRP or another blood-derived product for non-diabetic chronic wounds or ulcers; G0465 is for diabetic chronic wounds or ulcers.

0232T

Njx platelet plasma

No office rate

0232T describes PRP injection for other indications. G0465 covers preparation and application of PRP or another blood-derived product to a diabetic chronic wound or ulcer.

15271

Skin substitute graft

First 25 cm², trunk/limbs

$163.21

15271 reports skin substitute graft application to trunk, arms, or legs. G0465 reports a blood-derived product treatment, not graft application.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for G0465 is $973.22—$147.76 lower than the $1120.98 rate in Austin. Both use the same code, release and participation basis.

G0465 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $1120.98

  2. Beaumont

    $973.22

    $147.76 lower than Austin

  3. Brazoria

    $1053.87

    $67.11 lower than Austin

  4. Dallas

    $1059.31

    $61.67 lower than Austin

  5. Fort Worth

    $1049.39

    $71.59 lower than Austin

  6. Galveston

    $1056.11

    $64.87 lower than Austin

  7. Houston

    $1058.85

    $62.13 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, G0465 ranges from $920.19 in Arkansas to $1509.27 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · G0465

    Office

    $1012.05

    Facility

    $82.36

    $108.93 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · G0465

    Office

    $1247.06

    Facility

    $88.14

    $126.08 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · G0465

    Office

    $1245.09

    Facility

    $91.06

    $124.11 higher than Austin for the office setting.

  • Miami

    Florida · G0465

    Office

    $1112.11

    Facility

    $92.29

    $8.87 lower than Austin for the office setting.

  • Chicago

    Illinois · G0465

    Office

    $1075.38

    Facility

    $90.84

    $45.60 lower than Austin for the office setting.

  • Manhattan

    New York · G0465

    Office

    $1232.07

    Facility

    $93.72

    $111.09 higher than Austin for the office setting.

  • Alaska*

    Alaska · G0465

    Office

    $1155.90

    Facility

    $112.57

    $34.92 higher than Austin for the office setting.

  • Alabama

    Alabama · G0465

    Office

    $936.43

    Facility

    $79.24

    $184.55 lower than Austin for the office setting.

  • Arkansas

    Arkansas · G0465

    Office

    $920.19

    Facility

    $78.67

    $200.79 lower than Austin for the office setting.

  • Arizona

    Arizona · G0465

    Office

    $1031.79

    Facility

    $82.51

    $89.19 lower than Austin for the office setting.

  • Bakersfield

    California · G0465

    Office

    $1158.56

    Facility

    $84.87

    $37.58 higher than Austin for the office setting.

  • Chico

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • El Centro

    California · G0465

    Office

    $1158.10

    Facility

    $84.41

    $37.12 higher than Austin for the office setting.

  • Fresno

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Madera

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Merced

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Modesto

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Napa

    California · G0465

    Office

    $1382.45

    Facility

    $91.28

    $261.47 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · G0465

    Office

    $1245.08

    Facility

    $87.14

    $124.10 higher than Austin for the office setting.

  • Redding

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Rest Of California

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · G0465

    Office

    $1159.72

    Facility

    $86.03

    $38.74 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · G0465

    Office

    $1226.14

    Facility

    $86.81

    $105.16 higher than Austin for the office setting.

  • Salinas

    California · G0465

    Office

    $1221.85

    Facility

    $86.43

    $100.87 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · G0465

    Office

    $1258.78

    Facility

    $87.12

    $137.80 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · G0465

    Office

    $1476.02

    Facility

    $94.72

    $355.04 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · G0465

    Office

    $1475.85

    Facility

    $94.55

    $354.87 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · G0465

    Office

    $1509.27

    Facility

    $96.61

    $388.29 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · G0465

    Office

    $1508.57

    Facility

    $95.92

    $387.59 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · G0465

    Office

    $1201.03

    Facility

    $85.22

    $80.05 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · G0465

    Office

    $1277.20

    Facility

    $86.93

    $156.22 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · G0465

    Office

    $1228.66

    Facility

    $86.39

    $107.68 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · G0465

    Office

    $1290.72

    Facility

    $87.71

    $169.74 higher than Austin for the office setting.

  • Stockton

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Vallejo

    California · G0465

    Office

    $1382.21

    Facility

    $91.03

    $261.23 higher than Austin for the office setting.

  • Visalia

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Yuba City

    California · G0465

    Office

    $1158.08

    Facility

    $84.38

    $37.10 higher than Austin for the office setting.

  • Colorado

    Colorado · G0465

    Office

    $1127.04

    Facility

    $84.69

    $6.06 higher than Austin for the office setting.

  • Connecticut

    Connecticut · G0465

    Office

    $1142.65

    Facility

    $87.57

    $21.67 higher than Austin for the office setting.

  • Delaware

    Delaware · G0465

    Office

    $1051.29

    Facility

    $83.40

    $69.69 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · G0465

    Office

    $1080.52

    Facility

    $88.14

    $40.46 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · G0465

    Office

    $1022.05

    Facility

    $85.50

    $98.93 lower than Austin for the office setting.

  • Atlanta

    Georgia · G0465

    Office

    $1080.65

    Facility

    $85.33

    $40.33 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · G0465

    Office

    $956.55

    Facility

    $82.71

    $164.43 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · G0465

    Office

    $1198.24

    Facility

    $84.38

    $77.26 higher than Austin for the office setting.

  • Iowa

    Iowa · G0465

    Office

    $975.55

    Facility

    $79.17

    $145.43 lower than Austin for the office setting.

  • Idaho

    Idaho · G0465

    Office

    $980.92

    Facility

    $79.65

    $140.06 lower than Austin for the office setting.

  • East St. Louis

    Illinois · G0465

    Office

    $988.64

    Facility

    $87.37

    $132.34 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · G0465

    Office

    $979.39

    Facility

    $84.97

    $141.59 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · G0465

    Office

    $1094.74

    Facility

    $88.64

    $26.24 lower than Austin for the office setting.

  • Indiana

    Indiana · G0465

    Office

    $987.98

    Facility

    $79.85

    $133.00 lower than Austin for the office setting.

  • Kansas

    Kansas · G0465

    Office

    $965.09

    Facility

    $79.49

    $155.89 lower than Austin for the office setting.

  • Kentucky

    Kentucky · G0465

    Office

    $952.17

    Facility

    $81.26

    $168.81 lower than Austin for the office setting.

  • New Orleans

    Louisiana · G0465

    Office

    $1005.22

    Facility

    $83.37

    $115.76 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · G0465

    Office

    $948.39

    Facility

    $81.40

    $172.59 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · G0465

    Office

    $1259.18

    Facility

    $89.48

    $138.20 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · G0465

    Office

    $1116.37

    Facility

    $84.80

    $4.61 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · G0465

    Office

    $1138.55

    Facility

    $87.39

    $17.57 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · G0465

    Office

    $1075.66

    Facility

    $84.25

    $45.32 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · G0465

    Office

    $981.67

    Facility

    $80.39

    $139.31 lower than Austin for the office setting.

  • Southern Maine

    Maine · G0465

    Office

    $1052.64

    Facility

    $81.81

    $68.34 lower than Austin for the office setting.

  • Detroit

    Michigan · G0465

    Office

    $1031.96

    Facility

    $86.60

    $89.02 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · G0465

    Office

    $977.22

    Facility

    $82.80

    $143.76 lower than Austin for the office setting.

  • Minnesota

    Minnesota · G0465

    Office

    $1088.93

    Facility

    $80.87

    $32.05 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · G0465

    Office

    $1002.43

    Facility

    $82.54

    $118.55 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · G0465

    Office

    $1015.54

    Facility

    $82.92

    $105.44 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · G0465

    Office

    $925.49

    Facility

    $81.03

    $195.49 lower than Austin for the office setting.

  • Mississippi

    Mississippi · G0465

    Office

    $923.31

    Facility

    $79.84

    $197.67 lower than Austin for the office setting.

  • Montana**

    Montana · G0465

    Office

    $1063.47

    Facility

    $83.83

    $57.51 lower than Austin for the office setting.

  • North Carolina

    North Carolina · G0465

    Office

    $994.74

    Facility

    $80.73

    $126.24 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · G0465

    Office

    $1060.51

    Facility

    $80.86

    $60.47 lower than Austin for the office setting.

  • Nebraska

    Nebraska · G0465

    Office

    $983.44

    Facility

    $79.23

    $137.54 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · G0465

    Office

    $1103.82

    Facility

    $84.00

    $17.16 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · G0465

    Office

    $1227.41

    Facility

    $91.02

    $106.43 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · G0465

    Office

    $1158.26

    Facility

    $88.48

    $37.28 higher than Austin for the office setting.

  • New Mexico

    New Mexico · G0465

    Office

    $981.57

    Facility

    $83.24

    $139.41 lower than Austin for the office setting.

  • Nevada**

    Nevada · G0465

    Office

    $1063.65

    Facility

    $83.02

    $57.33 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · G0465

    Office

    $1260.40

    Facility

    $95.60

    $139.42 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · G0465

    Office

    $1162.12

    Facility

    $89.40

    $41.14 higher than Austin for the office setting.

  • Queens

    New York · G0465

    Office

    $1251.33

    Facility

    $93.38

    $130.35 higher than Austin for the office setting.

  • Rest Of New York

    New York · G0465

    Office

    $1012.05

    Facility

    $81.38

    $108.93 lower than Austin for the office setting.

  • Ohio

    Ohio · G0465

    Office

    $976.61

    Facility

    $82.19

    $144.37 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · G0465

    Office

    $955.47

    Facility

    $80.65

    $165.51 lower than Austin for the office setting.

  • Portland

    Oregon · G0465

    Office

    $1174.04

    Facility

    $85.66

    $53.06 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · G0465

    Office

    $1058.00

    Facility

    $82.27

    $62.98 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · G0465

    Office

    $1106.48

    Facility

    $86.67

    $14.50 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · G0465

    Office

    $981.29

    Facility

    $81.97

    $139.69 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · G0465

    Office

    $1074.40

    Facility

    $83.97

    $46.58 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · G0465

    Office

    $1097.04

    Facility

    $85.06

    $23.94 lower than Austin for the office setting.

  • South Carolina

    South Carolina · G0465

    Office

    $986.81

    Facility

    $81.61

    $134.17 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · G0465

    Office

    $1060.16

    Facility

    $80.51

    $60.82 lower than Austin for the office setting.

  • Tennessee

    Tennessee · G0465

    Office

    $970.25

    Facility

    $79.75

    $150.73 lower than Austin for the office setting.

  • Utah

    Utah · G0465

    Office

    $1003.03

    Facility

    $82.16

    $117.95 lower than Austin for the office setting.

  • Virginia

    Virginia · G0465

    Office

    $1045.03

    Facility

    $82.03

    $75.95 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · G0465

    Office

    $1074.40

    Facility

    $83.97

    $46.58 lower than Austin for the office setting.

  • Vermont

    Vermont · G0465

    Office

    $1051.02

    Facility

    $81.17

    $69.96 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · G0465

    Office

    $1116.01

    Facility

    $84.44

    $4.97 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · G0465

    Office

    $1292.32

    Facility

    $90.29

    $171.34 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · G0465

    Office

    $1018.06

    Facility

    $79.56

    $102.92 lower than Austin for the office setting.

  • West Virginia

    West Virginia · G0465

    Office

    $934.77

    Facility

    $83.46

    $186.21 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · G0465

    Office

    $1062.18

    Facility

    $82.53

    $58.80 lower than Austin for the office setting.

See how rates vary across the country

G0465 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$920.19

$1,333.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,155.901
AL$936.431
AR$920.191
AZ$1,031.791
CA$1,158.08–$1,509.2729
CO$1,127.041
CT$1,142.651
DC$1,245.091
DE$1,051.291
FL$1,022.05–$1,112.113
GA$956.55–$1,080.652
GU$1,198.241
HI$1,198.241
IA$975.551
ID$980.921
IL$979.39–$1,094.744
IN$987.981
KS$965.091
KY$952.171
LA$948.39–$1,005.222
MA$1,116.37–$1,259.182
MD$1,075.66–$1,245.093
ME$981.67–$1,052.642
MI$977.22–$1,031.962
MN$1,088.931
MO$925.49–$1,015.543
MS$923.311
MT$1,063.471
NC$994.741
ND$1,060.511
NE$983.441
NH$1,103.821
NJ$1,158.26–$1,227.412
NM$981.571
NV$1,063.651
NY$1,012.05–$1,260.405
OH$976.611
OK$955.471
OR$1,058.00–$1,174.042
PA$981.29–$1,106.482
PR$1,074.401
RI$1,097.041
SC$986.811
SD$1,060.161
TN$970.251
TX$973.22–$1,120.988
UT$1,003.031
VA$1,045.03–$1,245.092
VI$1,074.401
VT$1,051.021
WA$1,116.01–$1,292.322
WI$1,018.061
WV$934.771
WY$1,062.181

Explore G0465 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For G0465 in Austin, the physician’s office rate is $1120.98 and the facility-setting rate is $84.51: a difference of $1036.47.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for G0465 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1233.08

$1120.98 × 110% = $1233.08

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0465 in Austin.

PPRRVU2026_Oct_nonQPP.csv

15,280

Code
G0465
Physician work
1.78
Practice expense
29.91
Malpractice
0.15

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for G0465 in Austin
ComponentRVULocality factorAdjusted
Physician work1.78× 1.0021.7836
Practice expense29.91× 1.05831.6448
Malpractice0.15× 0.8860.1329
Total RVUs33.5612
Conversion factor× 33.4009

Office / nonfacility rate, Austin$1120.98

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open G0465 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.781.002
Practice expense29.911.058
Malpractice0.150.886

(1.78 × 1.002 + 29.91 × 1.058 + 0.15 × 0.886) × $33.4009 = $1120.98

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.781.002
Practice expense0.581.058
Malpractice0.150.886

(1.78 × 1.002 + 0.58 × 1.058 + 0.15 × 0.886) × $33.4009 = $84.51

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

G0465 · Office / nonfacility

$1120.98

Effective 2026-10-01

The base rate is $193.13 higher than on 2025-10-01, moving from $927.85 to $1120.98 (20.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $927.85changed to$1120.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.83 changed to 1.78
    • Practice expense RVU 25.56 changed to 29.91
    • Malpractice RVU 0.13 changed to 0.15
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $927.85

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$1120.98$84.51RVU26D
2026-07-01$1120.98$84.51RVU26C
2026-04-01$1120.98$84.51RVU26B
2026-01-01$1120.98$84.51RVU26A
2025-10-01$927.85$88.07RVU25D
2025-07-01$927.85$88.07RVU25C
2025-04-01$927.85$88.07RVU25B
2025-01-01$927.85$88.07RVU25A

G0465 billing questions

When should G0465 be chosen instead of G0460?

G0465 is for autologous PRP or another blood-derived product applied to a diabetic chronic wound or ulcer. G0460 is for the corresponding treatment of a non-diabetic chronic wound or ulcer.

Is the code reported per wound or by wound area?

G0465 is reported per treatment, not per square centimeter. The code includes preparation and application of the blood-derived product.

Can blood processing and PRP application be billed separately?

No. Preparation of the product using the FDA-cleared device and its application are included in G0465.

Does G0465 have a postoperative period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can modifier 50 or an assistant-at-surgery modifier be used?

Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for G0465.

How is G0465 paid when other procedures occur in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other affected procedures are paid at 50%. Co-surgeons and team surgery are not permitted for G0465.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for G0465PPRRVU2026_Oct_nonQPP.csv, line 15,280 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet