FeeBase
Log inGet started
Menu

CPT code 12001: Simple wound repair, 2.5 cm or less2026 Medicare rate & RVUs in Los Angeles, CA

Reports simple closure of a superficial wound 2.5 cm or shorter on the scalp, neck, axilla, external genitalia, trunk, or extremities.

CMS RVU26DEffective Oct 1, 2026One payment locality146.3K Medicare services in 2024

In Los Angeles, CA, Medicare pays $127.73 for 12001 in the office and $45.15 when it’s performed in a hospital or facility.

$127.73Office (non-facility)
$45.15Hospital or facility
+12.1%vs the national office rate ($113.90)

Check a contract rate as a % of Medicare · 12001 nationwide

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

We’ll open 12001 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 12001 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 12001 covers

This service covers straightforward closure of a superficial wound involving the skin and subcutaneous tissue, without significant deeper-structure involvement. A physician or other qualified practitioner may close it in an office, emergency department, or hospital using a single-layer technique such as sutures, staples, or adhesive. The covered locations include the scalp, neck, axillae, external genitalia, trunk, and extremities, including hands and feet.

Select the code by anatomic group and the total length of the qualifying wound or wounds; add lengths of wounds in the same classification. The documented site, measured length, superficial nature, and closure method support the choice. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. In a session with multiple procedures subject to the standard reduction, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

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.

How Los Angeles, CA compares for 12001

Across 109 of 109 payment localities, the office rate for 12001 runs from $99.63 in Arkansas to $149.70 in San Benito County, CA. Los Angeles, CA pays $127.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

12001 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$127.73
  2. Bakersfield, CA · California$119.79−$7.94
  3. Chico, CA · California$119.30−$8.43
  4. El Centro, CA · California$119.33−$8.40
  5. Fresno, CA · California$119.30−$8.43
  6. Hanford, CA · California$119.30−$8.43
  7. Madera, CA · California$119.30−$8.43

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

12001 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$119.30$42.79
Modesto, CACalifornia$119.30$42.79
Napa, CACalifornia$138.26$46.26
Oxnard, CACalifornia$127.05$44.53
Redding, CACalifornia$119.30$42.79
Rest of CaliforniaCalifornia$119.30$42.79
Riverside, CACalifornia$121.23$44.72
Sacramento, CACalifornia$125.21$44.03

12001 rates by state

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

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.

$99.63

$134.50

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

View every state and territory as a table
12001 office rate range by state
State / territoryOffice rate rangeLocalities
AK$130.121
AL$101.231
AR$99.631
AZ$110.541
CA$119.30–$149.7029
CO$118.061
CT$121.911
DC$130.381
DE$112.461
FL$113.38–$126.393
GA$106.36–$116.482
GU$122.391
HI$122.391
IA$103.431
ID$104.291
IL$110.28–$122.284
IN$104.931
KS$103.191
KY$104.451
LA$104.39–$109.972
MA$117.38–$129.972
MD$114.64–$130.383
ME$105.18–$110.952
MI$107.67–$115.202
MN$112.001
MO$102.63–$110.053
MS$101.141
MT$113.891
NC$106.331
ND$110.331
NE$103.961
NH$116.451
NJ$122.98–$128.912
NM$108.421
NV$112.971
NY$108.09–$136.025
OH$106.941
OK$103.941
OR$111.79–$121.732
PA$106.97–$118.852
PR$114.691
RI$116.421
SC$106.881
SD$109.901
TN$103.791
TX$106.23–$117.948
UT$108.451
VA$110.76–$130.382
VI$114.691
VT$110.121
WA$117.08–$132.442
WI$106.361
WV$105.941
WY$112.331

See 12001 in every payment locality

How the 12001 rate is calculated

Each of 12001’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 · 12001

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.82

0.82 RVUs× 1.000 GPCI

Practice expense2.41

2.41 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

3.4100

Conversion factor

$33.4009

Medicare rate

$113.90

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,396

Code
12001
Physician work
0.82
Practice expense
2.41
Malpractice
0.18

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 12001 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.82× 1.0410.8536
Practice expense2.41× 1.1832.8510
Malpractice0.18× 0.6640.1195
Total RVUs3.8242
Conversion factor× 33.4009

Office rate, Los Angeles, CA$127.73

Office: (0.82 × 1.041 + 2.41 × 1.183 + 0.18 × 0.664) × $33.4009 = $127.73

Facility: (0.82 × 1.041 + 0.32 × 1.183 + 0.18 × 0.664) × $33.4009 = $45.15

Open 12001 in the RVU calculator

Payment rules and modifiers for 12001

The CMS indicators that decide how 12001 is paid alongside other services.

CMS payment indicators · 12001

Simple wound repair, 2.5 cm or less

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

12001 without 51 · national office

$113.90

Simple wound repair, 2.5 cm or less

12001-51 · Second procedure: 50%

$56.95

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 12001

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 12001
CodeHow it relatesOffice range, Los Angeles, CA
Same family
12002Wound repair, simple, 2.6–7.5 cmSimple repair in the same anatomic group for a longer total wound length.$155.35
Used instead
12011Wound repair, face, 2.5 cm or lessSimple repair for the separate face, ears, eyelids, nose, lips, or mucous membrane group.$156.25
12031Wound repair, scalp, trunk, or extremityIntermediate repair in a related anatomic group when the closure requires greater complexity.$294.18
12041Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or lessIntermediate repair for neck, hands, feet, or external genitalia when greater repair complexity is required.$296.91

How 12001 has changed in Los Angeles, CA

12001 · Office / nonfacility

$127.73

Effective 2026-10-01

The base rate is $25.56 higher than on 2025-10-01, moving from $102.17 to $127.73 (25.0%).

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

    $102.17changed to$127.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.84 changed to 0.82
    • Practice expense RVU 1.82 changed to 2.41
    • Malpractice RVU 0.16 changed to 0.18
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $105.94changed to$102.17

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.84 changed to 1.82

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $104.21changed to$105.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $107.00changed to$104.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.82 changed to 1.84
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $107.70changed to$107.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.79 changed to 1.82
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $107.25changed to$107.70

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.77 changed to 1.79
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $103.15changed to$107.25

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.59 changed to 1.77
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $101.44changed to$103.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.58 changed to 1.59
    • Malpractice RVU 0.11 changed to 0.15
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $103.87changed to$101.44

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.64 changed to 1.58

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $101.43changed to$103.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.59 changed to 1.64
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $100.33changed to$101.43

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.57 changed to 1.59
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $101.11changed to$100.33

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.58 changed to 1.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $100.60changed to$101.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $99.26changed to$100.60

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.55 changed to 1.58
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $100.98changed to$99.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.74 changed to 1.55
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$100.98

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$127.73$45.15RVU26D
2026-07-01$127.73$45.15RVU26C
2026-04-01$127.73$45.15RVU26B
2026-01-01$127.73$45.15RVU26A
2025-10-01$102.17$45.01RVU25D
2025-07-01$102.17$45.01RVU25C
2025-04-01$102.17$45.01RVU25B
2025-01-01$102.17$45.01RVU25A
2024-10-01$105.94$46.32RVU24D
2024-07-01$105.94$46.32RVU24C
2024-04-01$105.94$46.32RVU24B
2024-03-09$105.94$46.32RVU24AR
2024-01-01$104.21$45.57RVU24A
2023-10-01$107.00$47.17RVU23D
2023-07-01$107.00$47.17RVU23C
2023-04-01$107.00$47.17RVU23B
2023-01-01$107.00$47.17RVU23A
2022-10-01$107.70$47.93RVU22D
2022-07-01$107.70$47.93RVU22C
2022-04-01$107.70$47.93RVU22B
2022-01-01$107.70$47.93RVU22A
2021-10-01$107.25$47.39RVU21D
2021-07-01$107.25$47.39RVU21C
2021-04-01$107.25$47.39RVU21B
2021-01-01$107.25$47.39RVU21A
2020-10-01$103.15$48.82RVU20D
2020-07-01$103.15$48.82RVU20C
2020-04-01$103.15$48.82RVU20B
2020-01-01$103.15$48.82RVU20A
2019-10-01$101.44$47.99RVU19D
2019-07-01$101.44$47.99RVU19C
2019-04-01$101.44$47.99RVU19B
2019-01-01$101.44$47.99RVU19A
2018-10-01$103.87$47.94RVU18D
2018-07-01$103.87$47.94RVU18C
2018-04-01$103.87$47.94RVU18B
2018-01-01$103.87$47.94RVU18AR1
2017-10-01$101.43$48.15RVU17D
2017-07-01$101.43$48.15RVU17C
2017-04-01$101.43$48.15RVU17B
2017-01-01$101.43$48.15RVU17A
2016-10-01$100.33$48.37RVU16D
2016-07-01$100.33$48.37RVU16C
2016-04-01$100.33$48.37RVU16B
2016-01-01$100.33$48.37RVU16A
2015-10-01$101.11$48.54RVU15D
2015-07-01$101.11$48.54RVU15C
2015-04-01$100.60$48.30RVU15B
2015-01-01$100.60$48.30RVU15A
2014-10-01$99.26$48.24RVU14D
2014-07-01$99.26$48.24RVU14C
2014-04-01$99.26$48.24RVU14B
2014-01-01$99.26$48.24RVU14A
2013-10-01$100.98$46.02RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 12001 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

12001 billing questions

How is 12001 distinguished from 12002?

Both cover simple repair in the same anatomic group. Choose 12001 when the applicable total wound length is 2.5 cm or less; 12002 is for the next length range.

Can lengths of multiple wounds be combined?

Yes. Add the lengths of wounds in the same classification and select the code for their total length. Document each wound's site and measured length.

When is 12001 preferable to 12011?

Use 12001 for the scalp, neck, axillae, external genitalia, trunk, or extremities. The 12011 family is for repairs in its separate face, ears, eyelids, nose, lips, or mucous membrane group.

What supports reporting a simple repair rather than an intermediate repair?

Document a superficial wound and straightforward single-layer closure. A repair requiring layered closure or involving deeper structures may fit an intermediate-repair code instead.

Should modifier 50 be added for wounds on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the qualifying repairs based on their anatomic classification and total length.

How does the multiple-procedure reduction affect 12001?

When multiple procedures subject to the standard reduction are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Same-day preoperative and postoperative care is included in this code's 0-day global period.

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 12001PPRRVU2026_Oct_nonQPP.csv, line 1,396 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12001 pays in Los Angeles, CA?

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

Fee sheets · Coming soon

Put 12001 and the rest of your codes on one sheet

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

Join the waitlist