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CPT code 12002: Wound repair, simple, 2.6–7.5 cm2026 Medicare rate & RVUs in Queens, NY

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 Queens, NY, Medicare pays $162.34 for 12002 in the office and $65.61 when it’s performed in a hospital or facility.

$162.34Office (non-facility)
$65.61Hospital or facility
+16.6%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $162.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

12002 in Queens, NY vs other payment areas
  1. Queens, NY · this page$162.34
  2. Manhattan, NY · New York$161.61−$0.73
  3. NYC suburbs and Long Island, NY · New York$166.33+$3.99
  4. Poughkeepsie and northern NYC suburbs, NY · New York$151.58−$10.76
  5. Rest of New York · New York$132.19−$30.15
  6. Los Angeles, CA · California$155.35−$6.99
  7. Washington, DC area · District of Columbia$158.96−$3.38

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

Every other payment area

12002 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$155.40$70.21
Chicago, ILIllinois$150.39$68.15
AlaskaAlaska$160.34$73.19
AlabamaAlabama$124.03$52.43
ArkansasArkansas$122.11$51.82
ArizonaArizona$135.21$55.91
Bakersfield, CACalifornia$145.89$56.21
Chico, CACalifornia$145.23$55.55

12002 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.

$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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 12002 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work1.11× 1.0641.1810
Practice expense2.82× 1.1823.3332
Malpractice0.24× 1.4420.3461
Total RVUs4.8604
Conversion factor× 33.4009

Office rate, Queens, NY$162.34

Office: (1.11 × 1.064 + 2.82 × 1.182 + 0.24 × 1.442) × $33.4009 = $162.34

Facility: (1.11 × 1.064 + 0.37 × 1.182 + 0.24 × 1.442) × $33.4009 = $65.61

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

Codes related to 12002

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

Codes related to 12002
CodeHow it relatesOffice range, Queens, NY
Same family
12001Simple wound repair, 2.5 cm or lessSimple repair in the same site grouping for a combined length of 2.5 cm or less.$132.96
12004Simple wound repair, nonfacial sites, 7.6–12.5 cmSimple repair in the same site grouping for a combined length of 7.6–12.5 cm.$188.83
Used instead
12011Wound repair, face, 2.5 cm or lessSimple repair for the face, ears, eyelids, nose, lips, or mucous membranes.$162.92
12032Intermediate repair, 2.6–7.5 cm, scalp/trunk/extremitiesIntermediate repair for a 2.6–7.5 cm wound in the corresponding site grouping.$347.09

How 12002 has changed in Queens, NY

12002 · Office / nonfacility

$162.34

Effective 2026-10-01

The base rate is $32.65 higher than on 2025-10-01, moving from $129.69 to $162.34 (25.2%).

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

    $129.69changed to$162.34

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $133.86changed to$129.69

    • 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

    $131.68changed to$133.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $140.96changed to$131.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.06 changed to 2.08
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $147.34changed to$140.96

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.01 changed to 2.06
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $146.77changed to$147.34

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $141.21changed to$146.77

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $132.10changed to$141.21

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $134.98changed to$132.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.86 changed to 1.79

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $131.71changed to$134.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.79 changed to 1.86
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $131.07changed to$131.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.78 changed to 1.79
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $132.75changed to$131.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.79 changed to 1.78
    • Malpractice RVU 0.16 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $132.09changed to$132.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $129.62changed to$132.09

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.74 changed to 1.79
    • Malpractice RVU 0.18 changed to 0.16
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $130.52changed to$129.62

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.96 changed to 1.74
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $130.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$162.34$65.61RVU26D
2026-07-01$162.34$65.61RVU26C
2026-04-01$162.34$65.61RVU26B
2026-01-01$162.34$65.61RVU26A
2025-10-01$129.69$65.14RVU25D
2025-07-01$129.69$65.14RVU25C
2025-04-01$129.69$65.14RVU25B
2025-01-01$129.69$65.14RVU25A
2024-10-01$133.86$67.03RVU24D
2024-07-01$133.86$67.03RVU24C
2024-04-01$133.86$67.03RVU24B
2024-03-09$133.86$67.03RVU24AR
2024-01-01$131.68$65.94RVU24A
2023-10-01$140.96$72.37RVU23D
2023-07-01$140.96$72.37RVU23C
2023-04-01$140.96$72.37RVU23B
2023-01-01$140.96$72.37RVU23A
2022-10-01$147.34$78.07RVU22D
2022-07-01$147.34$78.07RVU22C
2022-04-01$147.34$78.07RVU22B
2022-01-01$147.34$78.07RVU22A
2021-10-01$146.77$77.36RVU21D
2021-07-01$146.77$77.36RVU21C
2021-04-01$146.77$77.36RVU21B
2021-01-01$146.77$77.36RVU21A
2020-10-01$141.21$78.56RVU20D
2020-07-01$141.21$78.56RVU20C
2020-04-01$141.21$78.56RVU20B
2020-01-01$141.21$78.56RVU20A
2019-10-01$132.10$71.12RVU19D
2019-07-01$132.10$71.12RVU19C
2019-04-01$132.10$71.12RVU19B
2019-01-01$132.10$71.12RVU19A
2018-10-01$134.98$71.47RVU18D
2018-07-01$134.98$71.47RVU18C
2018-04-01$134.98$71.47RVU18B
2018-01-01$134.98$71.47RVU18AR1
2017-10-01$131.71$71.42RVU17D
2017-07-01$131.71$71.42RVU17C
2017-04-01$131.71$71.42RVU17B
2017-01-01$131.71$71.42RVU17A
2016-10-01$131.07$70.97RVU16D
2016-07-01$131.07$70.97RVU16C
2016-04-01$131.07$70.97RVU16B
2016-01-01$131.07$70.97RVU16A
2015-10-01$132.75$72.01RVU15D
2015-07-01$132.75$72.01RVU15C
2015-04-01$132.09$71.65RVU15B
2015-01-01$132.09$71.65RVU15A
2014-10-01$129.62$71.30RVU14D
2014-07-01$129.62$71.30RVU14C
2014-04-01$129.62$71.30RVU14B
2014-01-01$129.62$71.30RVU14A
2013-10-01$130.52$67.91RVU13D
2013-07-01$130.52$67.91RVU13C
2013-04-01$130.52$67.91RVU13B
2013-01-01$130.52$67.91RVU13AR

Price 12002 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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