CPT code 12002: Wound repair, simple, 2.6–7.5 cm2026 Medicare rate & RVUs in El Centro, CA

Reports simple, one-layer closure of a 2.6–7.5 cm superficial wound on the scalp, neck, trunk, axilla, external genitalia, or extremities.

CMS RVU26DEffective Oct 1, 2026One payment locality122.5K Medicare services in 2024

In El Centro, CA, Medicare pays $145.27 for 12002 in the office and $55.59 when it’s performed in a hospital or facility.

$145.27Office (non-facility)
$55.59Hospital or facility
+4.3%vs the national office rate ($139.28)

Check a contract rate as a % of Medicare · 12002 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 12002 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in El Centro, CA
  2. What 12002 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 12002 covers

12002 covers simple closure of a superficial wound with a single layer of sutures, staples, or another closure method. The repair is appropriate when the wound involves skin and superficial tissue without the layered closure or other features that call for an intermediate repair. Common settings include an emergency department, urgent care clinic, or office, with the closure performed by a physician or other treating clinician. Eligible sites include the scalp, neck, axilla, external genitalia, trunk, and extremities, including hands and feet.

Select the code using the combined length of qualifying simple wounds in the same anatomic grouping; document each wound’s site, length, and repair method. The total must fall from 2.6 through 7.5 cm. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

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 El Centro, CA compares for 12002

Across 109 of 109 payment localities, the office rate for 12002 runs from $122.11 in Arkansas to $181.27 in San Benito County, CA. El Centro, CA pays $145.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

12002 in El Centro, CA vs other payment areas
  1. El Centro, CA · this page$145.27
  2. Bakersfield, CA · California$145.89+$0.62
  3. Chico, CA · California$145.23−$0.04
  4. Fresno, CA · California$145.23−$0.04
  5. Hanford, CA · California$145.23−$0.04
  6. Los Angeles, CA · California$155.35+$10.08
  7. Madera, CA · California$145.23−$0.04

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

Every other payment area

12002 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$145.23$55.55
Modesto, CACalifornia$145.23$55.55
Napa, CACalifornia$167.63$59.77
Oxnard, CACalifornia$154.44$57.71
Redding, CACalifornia$145.23$55.55
Rest of CaliforniaCalifornia$145.23$55.55
Riverside, CACalifornia$147.81$58.12
Sacramento, CACalifornia$152.25$57.08

12002 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.

$122.11

$163.25

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

View every state and territory as a table
12002 office rate range by state
State / territoryOffice rate rangeLocalities
AK$160.341
AL$124.031
AR$122.111
AZ$135.211
CA$145.23–$181.2729
CO$144.001
CT$148.961
DC$158.961
DE$137.531
FL$139.17–$155.403
GA$130.65–$142.512
GU$148.811
HI$148.811
IA$126.441
ID$127.521
IL$135.60–$150.394
IN$128.291
KS$126.261
KY$128.151
LA$128.11–$134.812
MA$143.24–$158.192
MD$140.13–$158.963
ME$128.72–$135.482
MI$132.12–$141.482
MN$136.371
MO$126.08–$134.783
MS$124.101
MT$139.271
NC$130.081
ND$134.521
NE$127.041
NH$142.141
NJ$150.21–$157.232
NM$133.081
NV$138.041
NY$132.19–$166.335
OH$131.151
OK$127.421
OR$136.52–$148.282
PA$131.12–$145.362
PR$140.201
RI$142.231
SC$130.921
SD$133.961
TN$127.001
TX$130.24–$143.918
UT$132.811
VA$135.32–$158.962
VI$140.201
VT$134.381
WA$142.84–$161.052
WI$129.781
WV$130.401
WY$137.201

See 12002 in every payment locality

How the 12002 rate is calculated

Each of 12002’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 · 12002

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.11

1.11 RVUs× 1.000 GPCI

Practice expense2.82

2.82 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

4.1700

Conversion factor

$33.4009

Medicare rate

$139.28

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

The exact El Centro, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,397

Code
12002
Physician work
1.11
Practice expense
2.82
Malpractice
0.24

GPCI2026.csv

10

Locality
El Centro, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office calculation for 12002 in El Centro, CA
ComponentRVULocality factorAdjusted
Physician work1.11× 1.0171.1289
Practice expense2.82× 1.0963.0907
Malpractice0.24× 0.5410.1298
Total RVUs4.3494
Conversion factor× 33.4009

Office rate, El Centro, CA$145.27

Office: (1.11 × 1.017 + 2.82 × 1.096 + 0.24 × 0.541) × $33.4009 = $145.27

Facility: (1.11 × 1.017 + 0.37 × 1.096 + 0.24 × 0.541) × $33.4009 = $55.59

Open 12002 in the RVU calculator

Payment rules and modifiers for 12002

The CMS indicators that decide how 12002 is paid alongside other services.

CMS payment indicators · 12002

Wound repair, simple, 2.6–7.5 cm

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

12002 without 51 · national office

$139.28

Wound repair, simple, 2.6–7.5 cm

12002-51 · Second procedure: 50%

$69.64

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 12002 has changed in El Centro, CA

12002 · Office / nonfacility

$145.27

Effective 2026-10-01

The base rate is $30.64 higher than on 2025-10-01, moving from $114.63 to $145.27 (26.7%).

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

    $114.63changed to$145.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.14 changed to 1.11
    • Practice expense RVU 2.07 changed to 2.82
    • Malpractice RVU 0.22 changed to 0.24
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $118.33changed to$114.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.08 changed to 2.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $116.40changed to$118.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $119.20changed to$116.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.08
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.595 changed to 0.570
  5. January 1, 2023

    RVU23A

    $119.32changed to$119.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.01 changed to 2.06
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.620 changed to 0.595

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $119.32changed to$119.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.99 changed to 2.01
    • Malpractice RVU 0.21 changed to 0.22
    • Malpractice GPCI 0.616 changed to 0.620

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $116.45changed to$119.32

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.80 changed to 1.99
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.606 changed to 0.616

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $114.27changed to$116.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.79 changed to 1.80
    • Malpractice RVU 0.15 changed to 0.22
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.570 changed to 0.606

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.84changed to$114.27

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.86 changed to 1.79
    • Malpractice GPCI 0.567 changed to 0.570

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $114.49changed to$116.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.79 changed to 1.86
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.567

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$114.49

    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$145.27$55.59RVU26D
2026-07-01$145.27$55.59RVU26C
2026-04-01$145.27$55.59RVU26B
2026-01-01$145.27$55.59RVU26A
2025-10-01$114.63$55.59RVU25D
2025-07-01$114.63$55.59RVU25C
2025-04-01$114.63$55.59RVU25B
2025-01-01$114.63$55.59RVU25A
2024-10-01$118.33$57.21RVU24D
2024-07-01$118.33$57.21RVU24C
2024-04-01$118.33$57.21RVU24B
2024-03-09$118.33$57.21RVU24AR
2024-01-01$116.40$56.27RVU24A
2023-10-01$119.20$58.14RVU23D
2023-07-01$119.20$58.14RVU23C
2023-04-01$119.20$58.14RVU23B
2023-01-01$119.20$58.14RVU23A
2022-10-01$119.32$59.24RVU22D
2022-07-01$119.32$59.24RVU22C
2022-04-01$119.32$59.24RVU22B
2022-01-01$119.32$59.24RVU22A
2021-10-01$119.32$59.12RVU21D
2021-07-01$119.32$59.12RVU21C
2021-04-01$119.32$59.12RVU21B
2021-01-01$119.32$59.12RVU21A
2020-10-01$116.45$61.23RVU20D
2020-07-01$116.45$61.23RVU20C
2020-04-01$116.45$61.23RVU20B
2020-01-01$116.45$61.23RVU20A
2019-10-01$114.27$59.70RVU19D
2019-07-01$114.27$59.70RVU19C
2019-04-01$114.27$59.70RVU19B
2019-01-01$114.27$59.70RVU19A
2018-10-01$116.84$60.00RVU18D
2018-07-01$116.84$60.00RVU18C
2018-04-01$116.84$60.00RVU18B
2018-01-01$116.84$60.00RVU18AR1
2017-10-01$114.49$60.28RVU17D
2017-07-01$114.49$60.28RVU17C
2017-04-01$114.49$60.28RVU17B
2017-01-01$114.49$60.28RVU17A
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 12002 for an earlier date of service

Where the El Centro, CA rate applies

El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • El Centro
  • Bombay Beach
  • Brawley
  • Calexico
  • Calipatria
  • Desert Shores
  • El Centro Naval Air Facility
  • Heber

Browse all communities in California

12002 billing questions

How is 12002 distinguished from 12001 or 12004?

Use the combined length of the qualifying simple repairs in the same anatomic grouping: 12001 covers 2.5 cm or less, 12002 covers 2.6–7.5 cm, and 12004 covers 7.6–12.5 cm.

Can lengths of multiple wounds be added together?

Yes, when the wounds are simple repairs in the same anatomic grouping. Document each wound’s location and length; do not combine wounds from different groupings to reach this code’s range.

When should an intermediate repair be reported instead?

Use an intermediate repair code when the closure involves qualifying layered repair or other features that make the repair more than simple. For the same 2.6–7.5 cm length range and relevant site grouping, compare 12032.

Should modifier 50 be appended for wounds on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 12002; do not report modifier 50 for this code.

How does Medicare handle 12002 with another procedure in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.

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 12002PPRRVU2026_Oct_nonQPP.csv, line 1,397 (RVU26D)
Geographic factors for El Centro, CAGPCI2026.csv, line 10 (RVU26D)

Open CMS sourceHow we calculate rates

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