General Surgery Coding Alert

Reader Question:

Five Rules Guide Dermabond Repairs

Question: Can I report G0168 when I use Dermabond for a simple laceration repair? What if I also use staples to perform the repair?

Nebraska Subscriber
 
Answer: Remember these five rules for using G0168 (Wound closure utilizing tissue adhesive[s] only) for laceration closure with Dermabond only:

 1. You should report HCPCS code G0168 for Medicare patients only.

 2. If you treat non-Medicare patients, the CPT code equivalent to code G0168 is the 12001-12018 series (Simple repair of superficial wounds ...).

 3. You can report G0168 for Dermabond-only laceration repairs in both the inpatient and outpatient settings.

 4. If the physician uses sutures or staples with Dermabond to perform a laceration repair, you can report only the layered laceration repair code based on the length and site of the wound, and you should not report G0168.

 5. You should not report G0168 when the provider uses tissue adhesive strips for simple laceration repairs.

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