CPT code 12001: Simple wound repair, 2.5 cm or less2026 Medicare rate & RVUs in Marin County, 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 Marin County, CA, Medicare pays $146.25 for 12001 in the office and $47.82 when it’s performed in a hospital or facility.

$146.25Office (non-facility)
$47.82Hospital or facility
+28.4%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 Marin County, 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 Marin County, 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. Marin County, CA pays $146.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

12001 in Marin County, CA vs other payment areas
  1. Marin County, CA · this page$146.25
  2. Bakersfield, CA · California$119.79−$26.46
  3. Chico, CA · California$119.30−$26.95
  4. El Centro, CA · California$119.33−$26.92
  5. Fresno, CA · California$119.30−$26.95
  6. Hanford, CA · California$119.30−$26.95
  7. Los Angeles, CA · California$127.73−$18.52

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
Madera, CACalifornia$119.30$42.79
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

12001 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.

$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 Marin County, 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

25

Locality
Marin County, CA
Physician work
1.095
Practice expense
1.410
Malpractice
0.459
Office calculation for 12001 in Marin County, CA
ComponentRVULocality factorAdjusted
Physician work0.82× 1.0950.8979
Practice expense2.41× 1.4103.3981
Malpractice0.18× 0.4590.0826
Total RVUs4.3786
Conversion factor× 33.4009

Office rate, Marin County, CA$146.25

Office: (0.82 × 1.095 + 2.41 × 1.41 + 0.18 × 0.459) × $33.4009 = $146.25

Facility: (0.82 × 1.095 + 0.32 × 1.41 + 0.18 × 0.459) × $33.4009 = $47.82

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

How 12001 has changed in Marin County, CA

12001 · Office / nonfacility

$146.25

Effective 2026-10-01

The base rate is $30.72 higher than on 2025-10-01, moving from $115.53 to $146.25 (26.6%).

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

    $115.53changed to$146.25

    • 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 1.088 changed to 1.095
    • Practice expense GPCI 1.419 changed to 1.410
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $119.84changed to$115.53

    • 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

    $117.88changed to$119.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $118.35changed to$117.88

    • 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 1.082 changed to 1.088
    • Practice expense GPCI 1.374 changed to 1.419
    • Malpractice GPCI 0.487 changed to 0.470
  5. January 1, 2023

    RVU23A

    $116.60changed to$118.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.79 changed to 1.82
    • Work GPCI 1.077 changed to 1.082
    • Practice expense GPCI 1.329 changed to 1.374
    • Malpractice GPCI 0.504 changed to 0.487

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $115.00changed to$116.60

    • 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
    • Work GPCI 1.071 changed to 1.077
    • Practice expense GPCI 1.311 changed to 1.329

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $109.52changed to$115.00

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.59 changed to 1.77
    • Work GPCI 1.068 changed to 1.071
    • Practice expense GPCI 1.299 changed to 1.311
    • Malpractice GPCI 0.481 changed to 0.504

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $107.57changed to$109.52

    • 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 1.065 changed to 1.068
    • Practice expense GPCI 1.291 changed to 1.299
    • Malpractice GPCI 0.458 changed to 0.481

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $109.44changed to$107.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.64 changed to 1.58
    • Work GPCI 1.062 changed to 1.065
    • Practice expense GPCI 1.279 changed to 1.291

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $106.31changed to$109.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.59 changed to 1.64
    • Work GPCI 1.058 changed to 1.062
    • Practice expense GPCI 1.271 changed to 1.279
    • Malpractice GPCI 0.477 changed to 0.458

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$106.31

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$146.25$47.82RVU26D
2026-07-01$146.25$47.82RVU26C
2026-04-01$146.25$47.82RVU26B
2026-01-01$146.25$47.82RVU26A
2025-10-01$115.53$47.60RVU25D
2025-07-01$115.53$47.60RVU25C
2025-04-01$115.53$47.60RVU25B
2025-01-01$115.53$47.60RVU25A
2024-10-01$119.84$48.99RVU24D
2024-07-01$119.84$48.99RVU24C
2024-04-01$119.84$48.99RVU24B
2024-03-09$119.84$48.99RVU24AR
2024-01-01$117.88$48.19RVU24A
2023-10-01$118.35$48.97RVU23D
2023-07-01$118.35$48.97RVU23C
2023-04-01$118.35$48.97RVU23B
2023-01-01$118.35$48.97RVU23A
2022-10-01$116.60$48.99RVU22D
2022-07-01$116.60$48.99RVU22C
2022-04-01$116.60$48.99RVU22B
2022-01-01$116.60$48.99RVU22A
2021-10-01$115.00$48.21RVU21D
2021-07-01$115.00$48.21RVU21C
2021-04-01$115.00$48.21RVU21B
2021-01-01$115.00$48.21RVU21A
2020-10-01$109.52$49.51RVU20D
2020-07-01$109.52$49.51RVU20C
2020-04-01$109.52$49.51RVU20B
2020-01-01$109.52$49.51RVU20A
2019-10-01$107.57$48.94RVU19D
2019-07-01$107.57$48.94RVU19C
2019-04-01$107.57$48.94RVU19B
2019-01-01$107.57$48.94RVU19A
2018-10-01$109.44$48.66RVU18D
2018-07-01$109.44$48.66RVU18C
2018-04-01$109.44$48.66RVU18B
2018-01-01$109.44$48.66RVU18AR1
2017-10-01$106.31$48.37RVU17D
2017-07-01$106.31$48.37RVU17C
2017-04-01$106.31$48.37RVU17B
2017-01-01$106.31$48.37RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
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 Marin County, CA rate applies

Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Alto
  • Belvedere
  • Black Point-Green Point
  • Bolinas
  • Corte Madera
  • Dillon Beach
  • Fairfax
  • Inverness

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 Marin County, CAGPCI2026.csv, line 25 (RVU26D)

Open CMS sourceHow we calculate rates

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