FeeBase
Log inGet started
Menu

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

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 Utah, Medicare pays $229.70 for 12006 in the office and $106.62 when it’s performed in a hospital or facility.

$229.70Office (non-facility)
$106.62Hospital or facility
−4.4%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 Utah
  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 Utah 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. Utah pays $229.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

12006 in Utah vs other payment areas
  1. Utah · this page$229.70
  2. Los Angeles, CA · California$264.21+$34.51
  3. Washington, DC area · District of Columbia$272.14+$42.44
  4. Miami, FL · Florida$272.16+$42.46
  5. Chicago, IL · Illinois$263.48+$33.78
  6. Manhattan, NY · New York$278.65+$48.95
  7. Alaska · Alaska$280.86+$51.16

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

Every other payment area

12006 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 12006 in Utah
ComponentRVULocality factorAdjusted
Physician work2.33× 1.0002.3300
Practice expense4.35× 0.9404.0890
Malpractice0.51× 0.8980.4580
Total RVUs6.8770
Conversion factor× 33.4009

Office rate, Utah$229.70

Office: (2.33 × 1 + 4.35 × 0.94 + 0.51 × 0.898) × $33.4009 = $229.70

Facility: (2.33 × 1 + 0.43 × 0.94 + 0.51 × 0.898) × $33.4009 = $106.62

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, Utah
Same family
12005Simple wound repair, 12.6–20.0 cmSimple repair for the same broad site group at a shorter total-length level.$201.67
12007Wound repair, simple, over 30 cmSimple repair for the same broad site group when total length exceeds 30 cm.$245.30
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.$458.17

How 12006 has changed in Utah

12006 · Office / nonfacility

$229.70

Effective 2026-10-01

The base rate is $38.36 higher than on 2025-10-01, moving from $191.34 to $229.70 (20.0%).

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

    $191.34changed to$229.70

    • 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 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $196.60changed to$191.34

    • 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

    $193.39changed to$196.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $198.65changed to$193.39

    • 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 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $200.97changed to$198.65

    • 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 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $199.20changed to$200.97

    • 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

    $199.49changed to$199.20

    • 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 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $194.29changed to$199.49

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $192.74changed to$194.29

    • 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

    $188.74changed to$192.74

    • 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 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $188.69changed to$188.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.68 changed to 2.66
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $196.66changed to$188.69

    • 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

    $195.68changed to$196.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $195.97changed to$195.68

    • 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 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $197.35changed to$195.97

    • 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 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $197.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$229.70$106.62RVU26D
2026-07-01$229.70$106.62RVU26C
2026-04-01$229.70$106.62RVU26B
2026-01-01$229.70$106.62RVU26A
2025-10-01$191.34$110.46RVU25D
2025-07-01$191.34$110.46RVU25C
2025-04-01$191.34$110.46RVU25B
2025-01-01$191.34$110.46RVU25A
2024-10-01$196.60$112.74RVU24D
2024-07-01$196.60$112.74RVU24C
2024-04-01$196.60$112.74RVU24B
2024-03-09$196.60$112.74RVU24AR
2024-01-01$193.39$110.90RVU24A
2023-10-01$198.65$113.62RVU23D
2023-07-01$198.65$113.62RVU23C
2023-04-01$198.65$113.62RVU23B
2023-01-01$198.65$113.62RVU23A
2022-10-01$200.97$114.47RVU22D
2022-07-01$200.97$114.47RVU22C
2022-04-01$200.97$114.47RVU22B
2022-01-01$200.97$114.47RVU22A
2021-10-01$199.20$114.86RVU21D
2021-07-01$199.20$114.86RVU21C
2021-04-01$199.20$114.86RVU21B
2021-01-01$199.20$114.86RVU21A
2020-10-01$199.49$121.88RVU20D
2020-07-01$199.49$121.88RVU20C
2020-04-01$199.49$121.88RVU20B
2020-01-01$199.49$121.88RVU20A
2019-10-01$194.29$120.45RVU19D
2019-07-01$194.29$120.45RVU19C
2019-04-01$194.29$120.45RVU19B
2019-01-01$194.29$120.45RVU19A
2018-10-01$192.74$120.66RVU18D
2018-07-01$192.74$120.66RVU18C
2018-04-01$192.74$120.66RVU18B
2018-01-01$192.74$120.66RVU18AR1
2017-10-01$188.74$121.01RVU17D
2017-07-01$188.74$121.01RVU17C
2017-04-01$188.74$121.01RVU17B
2017-01-01$188.74$121.01RVU17A
2016-10-01$188.69$120.03RVU16D
2016-07-01$188.69$120.03RVU16C
2016-04-01$188.69$120.03RVU16B
2016-01-01$188.69$120.03RVU16A
2015-10-01$196.66$124.11RVU15D
2015-07-01$196.66$124.11RVU15C
2015-04-01$195.68$123.49RVU15B
2015-01-01$195.68$123.49RVU15A
2014-10-01$195.97$124.53RVU14D
2014-07-01$195.97$124.53RVU14C
2014-04-01$195.97$124.53RVU14B
2014-01-01$195.97$124.53RVU14A
2013-10-01$197.35$121.00RVU13D
2013-07-01$197.35$121.00RVU13C
2013-04-01$197.35$121.00RVU13B
2013-01-01$197.35$121.00RVU13AR

Price 12006 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12006 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 12006 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist