CPT code 12006: Simple wound repair, 20.1–30 cm, specified sites2026 Medicare rate & RVUs in Texas
Reports simple, single-layer closure of qualifying superficial wounds totaling 20.1 to 30 cm on the scalp, neck, trunk, extremities, or specified sites.
Medicare pays $225.87–$246.79 for 12006 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 12006 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$225.87 to $246.79
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $246.79 | $108.27 |
| Beaumont, TX | $225.87 | $106.72 |
| Brazoria, TX | $235.72 | $105.97 |
| Dallas, TX | $237.85 | $107.45 |
| Fort Worth, TX | $236.62 | $107.52 |
| Galveston, TX | $236.83 | $106.81 |
| Houston, TX | $246.16 | $116.15 |
| Rest of Texas | $231.09 | $106.84 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
12006 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 12005Simple wound repair12.6–20.0 cm
- Both describe simple repair in the same broad site group; 12005 is for a shorter total length, while 12006 covers 20.1 to 30 cm.
- 12007Wound repairSimple, over 30 cm
- Use 12007 when the qualifying simple repairs total more than 30 cm. Use 12006 when the combined length is 20.1 to 30 cm.
- 12017Wound repairFace and related sites, 20.1–30 cm
- Both cover simple repair in the 20.1-to-30-cm length band. 12017 is for face, ears, eyelids, nose, lips, or mucous membranes; 12006 covers its specified site group.
- 12036Wound repairIntermediate, 20.1–30 cm
- 12036 is an intermediate repair code for its specified sites and length band. Select it only when the repair meets intermediate-complexity criteria, not merely because the wound is long.
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
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