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

In Tennessee, Medicare pays $103.79 for 12001 in the office and $40.33 when it’s performed in a hospital or facility.

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.

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 Tennessee 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. Tennessee pays $103.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

12001 rates by state

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

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.

Payment rules and modifiers for 12001

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

What modifiers do to the payment

When to use modifier 51

Codes related to 12001

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

How 12001 has changed in Tennessee

Price 12001 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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

Open CMS sourceHow we calculate rates