$116.42
G0168 is for tissue-adhesive-only closure. 12001 describes simple repair of a wound on the trunk or extremities, with selection based on the applicable wound length and repair method.
On this page
CMS RVU26D · Effective 2026-10-01
G0168 Wound closure Medicare reimbursement rates in Rhode Island
Closure of a skin wound with tissue adhesive alone, reported when the wound edges are approximated without sutures or staples. Compare G0168 office and facility rates across CMS payment localities in Rhode Island.
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.
What does Medicare pay for G0168 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$108.56
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$14.02
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound repair
About G0168: Wound closure with tissue adhesive
Closure of a skin wound with tissue adhesive alone, reported when the wound edges are approximated without sutures or staples.
G0168 represents closure of a skin wound using tissue adhesive alone, rather than sutures or staples. It is commonly used for uncomplicated, clean, low-tension lacerations whose edges can be brought together with adhesive, including selected small cuts on the face or extremities. Physicians, nurse practitioners, or physician assistants may perform the closure in an emergency department, urgent care clinic, or office. When adhesive accompanies sutures or staples as part of a repair, it is not a separate G0168 service.
Report the code for adhesive-only closure and document the wound site, dimensions, condition, approximation, and closure method. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, 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; co-surgeons and team surgery are not permitted.
CMS billing rules for G0168
- 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 RVU0.30 · 9%
- Practice expense (office) RVU2.79 · 88%
- Malpractice RVU0.07 · 2%
38.6K
Medicare services in 2024 · #887 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.
G0168 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$142.65
G0168 identifies adhesive-only closure. 12011 is a simple repair code for wounds on the face and related sites, selected according to wound length and repair method.
$142.23
G0168 is selected for adhesive-only closure regardless of the simple-repair length category. 12002 describes simple repair of a longer wound on the trunk or extremities.
Compare G0168 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$108.56
Facility
$14.02
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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 G0168 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
15,126
- Code
- G0168
- Physician work
- 0.30
- Practice expense
- 2.79
- Malpractice
- 0.07
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.30 | × 1.019 | 0.3057 |
| Practice expense | 2.79 | × 1.033 | 2.8821 |
| Malpractice | 0.07 | × 0.892 | 0.0624 |
| Total RVUs | 3.2502 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$108.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.3 | 1.019 |
| Practice expense | 2.79 | 1.033 |
| Malpractice | 0.07 | 0.892 |
(0.3 × 1.019 + 2.79 × 1.033 + 0.07 × 0.892) × $33.4009 = $108.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.3 | 1.019 |
| Practice expense | 0.05 | 1.033 |
| Malpractice | 0.07 | 0.892 |
(0.3 × 1.019 + 0.05 × 1.033 + 0.07 × 0.892) × $33.4009 = $14.02
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.
G0168 billing questions
When should G0168 be chosen instead of a simple repair code?
Use G0168 for closure with tissue adhesive alone. Simple repair codes such as 12001 or 12011 describe repairs selected by wound site and length when a different repair method is used.
Can G0168 be reported when adhesive is used with sutures?
No. When adhesive is used along with sutures or staples in the same repair, it is not a separate G0168 service.
What documentation supports G0168?
Document the wound location and dimensions, its condition and approximation, and that tissue adhesive alone was used for closure.
How does the multiple-procedure reduction affect G0168?
For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. The order of reported procedures does not change that rule.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for G0168; co-surgeons and team surgery are not permitted.
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.
15,123G0161,,Hhc slp ea 15 min,E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,124G0162,,"Hhc rn e&m plan svs, 15 min",E,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,125G0166,,"Extrnl counterpulse, per tx",A,,0.00,3.04,,3.04,NA,0.04,3.08,3.08,5,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,126G0168,,Wound closure by adhesive,A,,0.30,2.79,,0.05,,0.07,3.16,0.42,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,127G0175,,"Opps service,sched team conf",X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,128G0176,,Opps/php/iop; activity thrpy,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
15,129G0177,,Opps/php/iop; train & educ,X,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537