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

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 West Virginia, Medicare pays $228.46 for 12006 in the office and $114.68 when it’s performed in a hospital or facility.

$228.46Office (non-facility)
$114.68Hospital or facility
−4.9%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 West Virginia
  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 West Virginia 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. West Virginia pays $228.46. The RVUs are the same everywhere; the geographic indexes change the dollars.

12006 in West Virginia vs other payment areas
  1. West Virginia · this page$228.46
  2. Los Angeles, CA · California$264.21+$35.75
  3. Washington, DC area · District of Columbia$272.14+$43.68
  4. Miami, FL · Florida$272.16+$43.70
  5. Chicago, IL · Illinois$263.48+$35.02
  6. Manhattan, NY · New York$278.65+$50.19
  7. Alaska · Alaska$280.86+$52.40

Other areas in West Virginia 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 West Virginia 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 12006 in West Virginia
ComponentRVULocality factorAdjusted
Physician work2.33× 1.0002.3300
Practice expense4.35× 0.8693.7801
Malpractice0.51× 1.4310.7298
Total RVUs6.8400
Conversion factor× 33.4009

Office rate, West Virginia$228.46

Office: (2.33 × 1 + 4.35 × 0.869 + 0.51 × 1.431) × $33.4009 = $228.46

Facility: (2.33 × 1 + 0.43 × 0.869 + 0.51 × 1.431) × $33.4009 = $114.68

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, West Virginia
Same family
12005Simple wound repair, 12.6–20.0 cmSimple repair for the same broad site group at a shorter total-length level.$199.91
12007Wound repair, simple, over 30 cmSimple repair for the same broad site group when total length exceeds 30 cm.$246.36
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.$452.02

How 12006 has changed in West Virginia

12006 · Office / nonfacility

$228.46

Effective 2026-10-01

The base rate is $38.14 higher than on 2025-10-01, moving from $190.32 to $228.46 (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

    $190.32changed to$228.46

    • 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 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $195.10changed to$190.32

    • 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

    $191.92changed to$195.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $197.48changed to$191.92

    • 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 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $200.48changed to$197.48

    • 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 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $198.61changed to$200.48

    • 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

    $196.96changed to$198.61

    • 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 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $188.80changed to$196.96

    • 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
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $187.36changed to$188.80

    • 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

    $182.82changed to$187.36

    • 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 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $181.86changed to$182.82

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.68 changed to 2.66
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $189.12changed to$181.86

    • 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

    $188.18changed to$189.12

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $188.70changed to$188.18

    • 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 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $189.45changed to$188.70

    • 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 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $189.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$228.46$114.68RVU26D
2026-07-01$228.46$114.68RVU26C
2026-04-01$228.46$114.68RVU26B
2026-01-01$228.46$114.68RVU26A
2025-10-01$190.32$115.60RVU25D
2025-07-01$190.32$115.60RVU25C
2025-04-01$190.32$115.60RVU25B
2025-01-01$190.32$115.60RVU25A
2024-10-01$195.10$117.63RVU24D
2024-07-01$195.10$117.63RVU24C
2024-04-01$195.10$117.63RVU24B
2024-03-09$195.10$117.63RVU24AR
2024-01-01$191.92$115.71RVU24A
2023-10-01$197.48$118.50RVU23D
2023-07-01$197.48$118.50RVU23C
2023-04-01$197.48$118.50RVU23B
2023-01-01$197.48$118.50RVU23A
2022-10-01$200.48$119.71RVU22D
2022-07-01$200.48$119.71RVU22C
2022-04-01$200.48$119.71RVU22B
2022-01-01$200.48$119.71RVU22A
2021-10-01$198.61$119.87RVU21D
2021-07-01$198.61$119.87RVU21C
2021-04-01$198.61$119.87RVU21B
2021-01-01$198.61$119.87RVU21A
2020-10-01$196.96$124.89RVU20D
2020-07-01$196.96$124.89RVU20C
2020-04-01$196.96$124.89RVU20B
2020-01-01$196.96$124.89RVU20A
2019-10-01$188.80$120.55RVU19D
2019-07-01$188.80$120.55RVU19C
2019-04-01$188.80$120.55RVU19B
2019-01-01$188.80$120.55RVU19A
2018-10-01$187.36$120.72RVU18D
2018-07-01$187.36$120.72RVU18C
2018-04-01$187.36$120.72RVU18B
2018-01-01$187.36$120.72RVU18AR1
2017-10-01$182.82$120.81RVU17D
2017-07-01$182.82$120.81RVU17C
2017-04-01$182.82$120.81RVU17B
2017-01-01$182.82$120.81RVU17A
2016-10-01$181.86$119.60RVU16D
2016-07-01$181.86$119.60RVU16C
2016-04-01$181.86$119.60RVU16B
2016-01-01$181.86$119.60RVU16A
2015-10-01$189.12$123.33RVU15D
2015-07-01$189.12$123.33RVU15C
2015-04-01$188.18$122.72RVU15B
2015-01-01$188.18$122.72RVU15A
2014-10-01$188.70$124.03RVU14D
2014-07-01$188.70$124.03RVU14C
2014-04-01$188.70$124.03RVU14B
2014-01-01$188.70$124.03RVU14A
2013-10-01$189.45$120.43RVU13D
2013-07-01$189.45$120.43RVU13C
2013-04-01$189.45$120.43RVU13B
2013-01-01$189.45$120.43RVU13AR

Price 12006 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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 West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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