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CPT code 12006: Simple wound repair, 20.1–30 cm, specified sites2026 Medicare rate & RVUs in Miami, FL

Reports simple, single-layer closure of qualifying superficial wounds totaling 20.1 to 30 cm on the scalp, neck, trunk, extremities, or specified sites.

CMS RVU26DEffective Oct 1, 2026One payment locality920 Medicare services in 2024

In Miami, FL, Medicare pays $272.16 for 12006 in the office and $135.86 when it’s performed in a hospital or facility.

$272.16Office (non-facility)
$135.86Hospital or facility
+13.3%vs the national office rate ($240.15)

Check a contract rate as a % of Medicare · 12006 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 12006 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 12006 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 12006 covers

This code covers simple closure of superficial wounds on the scalp, neck, axillae, external genitalia, trunk, or extremities, including hands and feet. The repair involves a single layer of closure without significant deeper-structure involvement. Emergency physicians, urgent care clinicians, and office-based practitioners commonly perform these repairs after lacerations from falls, sharp objects, or other injuries.

Select the code by repair complexity, anatomic grouping, and total repaired length. Add lengths of wounds in the same classification and anatomic grouping; document each wound’s site, length, depth, and closure technique. A 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Report by site and length rather than appending modifier 50.

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 Miami, FL compares for 12006

Across 109 of 109 payment localities, the office rate for 12006 runs from $211.40 in Arkansas to $305.03 in San Benito County, CA. Miami, FL pays $272.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

12006 in Miami, FL vs other payment areas
  1. Miami, FL · this page$272.16
  2. Fort Lauderdale, FL · Florida$255.81−$16.35
  3. Rest of Florida · Florida$242.33−$29.83
  4. Los Angeles, CA · California$264.21−$7.95
  5. Washington, DC area · District of Columbia$272.14−$0.02
  6. Chicago, IL · Illinois$263.48−$8.68
  7. Manhattan, NY · New York$278.65+$6.49

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

Every other payment area

12006 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$280.86$141.42
AlabamaAlabama$214.60$100.03
ArkansasArkansas$211.40$98.93
ArizonaArizona$233.20$106.32
Bakersfield, CACalifornia$248.92$105.42
Chico, CACalifornia$247.52$104.02
El Centro, CACalifornia$247.60$104.10
Fresno, CACalifornia$247.52$104.02

12006 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.

$211.40

$280.86

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

View every state and territory as a table
12006 office rate range by state
State / territoryOffice rate rangeLocalities
AK$280.861
AL$214.601
AR$211.401
AZ$233.201
CA$247.52–$305.0329
CO$246.651
CT$256.471
DC$272.141
DE$237.081
FL$242.33–$272.163
GA$227.73–$246.132
GU$252.891
HI$252.891
IA$217.531
ID$219.551
IL$237.10–$263.484
IN$220.791
KS$217.761
KY$222.581
LA$222.73–$233.902
MA$245.64–$269.662
MD$241.28–$272.143
ME$222.09–$232.562
MI$229.71–$246.752
MN$232.371
MO$219.66–$233.213
MS$215.511
MT$240.121
NC$224.271
ND$230.031
NE$218.371
NH$243.981
NJ$258.28–$269.462
NM$231.521
NV$237.451
NY$227.83–$287.195
OH$227.651
OK$220.811
OR$234.51–$253.162
PA$227.30–$250.802
PR$241.501
RI$244.591
SC$226.551
SD$228.841
TN$219.041
TX$225.87–$246.798
UT$229.701
VA$232.67–$272.142
VI$241.501
VT$230.281
WA$244.79–$273.912
WI$222.261
WV$228.461
WY$235.721

See 12006 in every payment locality

How the 12006 rate is calculated

Each of 12006’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 · 12006

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.33

2.33 RVUs× 1.000 GPCI

Practice expense4.35

4.35 RVUs× 1.000 GPCI

Malpractice0.51

0.51 RVUs× 1.000 GPCI

Adjusted RVUs

7.1900

Conversion factor

$33.4009

Medicare rate

$240.15

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

The exact Miami, FL inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,400

Code
12006
Physician work
2.33
Practice expense
4.35
Malpractice
0.51

GPCI2026.csv

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 12006 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work2.33× 1.0002.3300
Practice expense4.35× 1.0414.5283
Malpractice0.51× 2.5291.2898
Total RVUs8.1481
Conversion factor× 33.4009

Office rate, Miami, FL$272.16

Office: (2.33 × 1 + 4.35 × 1.041 + 0.51 × 2.529) × $33.4009 = $272.16

Facility: (2.33 × 1 + 0.43 × 1.041 + 0.51 × 2.529) × $33.4009 = $135.86

Open 12006 in the RVU calculator

Payment rules and modifiers for 12006

The CMS indicators that decide how 12006 is paid alongside other services.

CMS payment indicators · 12006

Simple wound repair, 20.1–30 cm, specified sites

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

12006 without 51 · national office

$240.15

Simple wound repair, 20.1–30 cm, specified sites

12006-51 · Second procedure: 50%

$120.08

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 12006

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

Codes related to 12006
CodeHow it relatesOffice range, Miami, FL
Same family
12005Simple wound repair, 12.6–20.0 cmSimple repair for the same broad site group at a shorter total-length level.$238.49
12007Wound repair, simple, over 30 cmSimple repair for the same broad site group when total length exceeds 30 cm.$293.28
Used instead
12017Wound repair, face and related sites, 20.1–30 cmSimple repair at the same length level for face, ears, eyelids, nose, lips, or mucous membranes.No office rate
12036Wound repair, intermediate, 20.1–30 cmIntermediate repair for a comparable length when the wound and site meet that code’s criteria.$538.74

How 12006 has changed in Miami, FL

12006 · Office / nonfacility

$272.16

Effective 2026-10-01

The base rate is $45.46 higher than on 2025-10-01, moving from $226.70 to $272.16 (20.1%).

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

    $226.70changed to$272.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.39 changed to 2.33
    • Practice expense RVU 3.28 changed to 4.35
    • Malpractice RVU 0.50 changed to 0.51
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $231.48changed to$226.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.30 changed to 3.28
    • Malpractice RVU 0.47 changed to 0.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $227.71changed to$231.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $236.28changed to$227.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.32 changed to 3.30
    • Malpractice RVU 0.46 changed to 0.47
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $242.65changed to$236.28

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.31 changed to 3.32
    • Malpractice RVU 0.47 changed to 0.46
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $239.61changed to$242.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.22 changed to 3.31
    • Malpractice RVU 0.45 changed to 0.47

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $237.14changed to$239.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.91 changed to 3.22
    • Malpractice RVU 0.46 changed to 0.45
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $221.78changed to$237.14

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.81 changed to 2.91
    • Malpractice RVU 0.34 changed to 0.46
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $220.06changed to$221.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.77 changed to 2.81

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $215.95changed to$220.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.66 changed to 2.77
    • Malpractice RVU 0.35 changed to 0.34
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $215.90changed to$215.95

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.68 changed to 2.66
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $224.84changed to$215.90

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.90 changed to 2.68

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $223.72changed to$224.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $230.02changed to$223.72

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.87 changed to 2.90
    • Malpractice RVU 0.39 changed to 0.35
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $236.41changed to$230.02

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.23 changed to 2.87
    • Malpractice RVU 0.41 changed to 0.39
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $236.41

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$272.16$135.86RVU26D
2026-07-01$272.16$135.86RVU26C
2026-04-01$272.16$135.86RVU26B
2026-01-01$272.16$135.86RVU26A
2025-10-01$226.70$137.67RVU25D
2025-07-01$226.70$137.67RVU25C
2025-04-01$226.70$137.67RVU25B
2025-01-01$226.70$137.67RVU25A
2024-10-01$231.48$139.18RVU24D
2024-07-01$231.48$139.18RVU24C
2024-04-01$231.48$139.18RVU24B
2024-03-09$231.48$139.18RVU24AR
2024-01-01$227.71$136.91RVU24A
2023-10-01$236.28$142.15RVU23D
2023-07-01$236.28$142.15RVU23C
2023-04-01$236.28$142.15RVU23B
2023-01-01$236.28$142.15RVU23A
2022-10-01$242.65$146.36RVU22D
2022-07-01$242.65$146.36RVU22C
2022-04-01$242.65$146.36RVU22B
2022-01-01$242.65$146.36RVU22A
2021-10-01$239.61$145.74RVU21D
2021-07-01$239.61$145.74RVU21C
2021-04-01$239.61$145.74RVU21B
2021-01-01$239.61$145.74RVU21A
2020-10-01$237.14$150.86RVU20D
2020-07-01$237.14$150.86RVU20C
2020-04-01$237.14$150.86RVU20B
2020-01-01$237.14$150.86RVU20A
2019-10-01$221.78$139.83RVU19D
2019-07-01$221.78$139.83RVU19C
2019-04-01$221.78$139.83RVU19B
2019-01-01$221.78$139.83RVU19A
2018-10-01$220.06$140.04RVU18D
2018-07-01$220.06$140.04RVU18C
2018-04-01$220.06$140.04RVU18B
2018-01-01$220.06$140.04RVU18AR1
2017-10-01$215.95$140.47RVU17D
2017-07-01$215.95$140.47RVU17C
2017-04-01$215.95$140.47RVU17B
2017-01-01$215.95$140.47RVU17A
2016-10-01$215.90$138.97RVU16D
2016-07-01$215.90$138.97RVU16C
2016-04-01$215.90$138.97RVU16B
2016-01-01$215.90$138.97RVU16A
2015-10-01$224.84$143.55RVU15D
2015-07-01$224.84$143.55RVU15C
2015-04-01$223.72$142.84RVU15B
2015-01-01$223.72$142.84RVU15A
2014-10-01$230.02$148.86RVU14D
2014-07-01$230.02$148.86RVU14C
2014-04-01$230.02$148.86RVU14B
2014-01-01$230.02$148.86RVU14A
2013-10-01$236.41$148.55RVU13D
2013-07-01$236.41$148.55RVU13C
2013-04-01$236.41$148.55RVU13B
2013-01-01$236.41$148.55RVU13AR

Price 12006 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

12006 billing questions

How is 12006 distinguished from 12005 or 12007?

Use 12006 for qualifying simple repairs totaling 20.1 to 30 cm. The shorter length band is reported with 12005, and repairs longer than 30 cm with 12007.

Can lengths of separate wounds be added together?

Yes, when the wounds share the applicable repair classification and anatomic grouping. Record each wound’s location and length so the summed measurement is supported.

When should an intermediate repair code be used instead?

Choose an intermediate repair code when the documented repair requires layered closure or another feature of intermediate complexity. Do not select 12006 solely from the wound’s length.

Is modifier 50 appropriate for wounds on both sides?

No. Report the applicable repair based on the qualifying anatomic grouping and length; modifier 50 is not appropriate for this code.

What same-day payment rules affect 12006?

Same-day preoperative and postoperative care is included in its 0-day global period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 12006. Co-surgeons and team surgery are not permitted.

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 12006PPRRVU2026_Oct_nonQPP.csv, line 1,400 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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