CPT code 12007: Wound repair, simple, over 30 cm2026 Medicare rate & RVUs in Oxnard, CA

Reports simple closure of superficial wounds totaling more than 30 cm across the scalp, neck, axillae, external genitalia, or trunk.

CMS RVU26DEffective Oct 1, 2026One payment locality355 Medicare services in 2024

In Oxnard, CA, Medicare pays $276.28 for 12007 in the office and $132.18 when it’s performed in a hospital or facility.

$276.28Office (non-facility)
$132.18Hospital or facility
+8.0%vs the national office rate ($255.85)

Check a contract rate as a % of Medicare · 12007 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 12007 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 12007 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 12007 covers

This code describes simple closure of superficial wounds in the scalp, neck, axillae, external genitalia, or trunk when the qualifying repaired length exceeds 30 cm. Simple repair involves closure of the superficial wound layers without the layered work that characterizes an intermediate repair. Emergency department and urgent care clinicians commonly report it for extensive lacerations; surgeons and other clinicians may perform the repair in office or facility settings.

Select the code based on repair complexity, listed body-site group, and total repaired length. Add lengths of wounds in the same complexity and anatomic grouping; the documentation should identify each site, wound length, and the simple closure performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is 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 Oxnard, CA compares for 12007

Across 109 of 109 payment localities, the office rate for 12007 runs from $225.98 in Arkansas to $318.79 in San Benito County, CA. Oxnard, CA pays $276.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

12007 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$276.28
  2. Bakersfield, CA · California$263.05−$13.23
  3. Chico, CA · California$261.35−$14.93
  4. El Centro, CA · California$261.45−$14.83
  5. Fresno, CA · California$261.35−$14.93
  6. Hanford, CA · California$261.35−$14.93
  7. Los Angeles, CA · California$278.50+$2.22

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

Every other payment area

12007 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$261.35$127.73
Merced, CACalifornia$261.35$127.73
Modesto, CACalifornia$261.35$127.73
Napa, CACalifornia$296.33$135.65
Redding, CACalifornia$261.35$127.73
Rest of CaliforniaCalifornia$261.35$127.73
Riverside, CACalifornia$268.01$134.39
Sacramento, CACalifornia$272.57$130.78

12007 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

$225.98

$302.96

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

View every state and territory as a table
12007 office rate range by state
State / territoryOffice rate rangeLocalities
AK$302.961
AL$229.291
AR$225.981
AZ$248.511
CA$261.35–$318.7929
CO$261.451
CT$272.921
DC$288.331
DE$252.541
FL$260.08–$293.283
GA$244.64–$262.552
GU$266.401
HI$266.401
IA$231.411
ID$233.691
IL$255.28–$284.034
IN$234.941
KS$232.081
KY$238.481
LA$238.81–$250.372
MA$260.61–$284.732
MD$256.79–$288.333
ME$236.77–$246.942
MI$246.29–$265.142
MN$245.351
MO$235.91–$249.143
MS$230.901
MT$255.811
NC$238.951
ND$243.551
NE$232.141
NH$259.031
NJ$274.58–$285.712
NM$248.341
NV$252.531
NY$242.67–$306.225
OH$243.781
OK$236.191
OR$249.14–$267.672
PA$243.18–$267.312
PR$257.091
RI$260.051
SC$242.061
SD$242.101
TN$233.471
TX$241.72–$263.418
UT$245.301
VA$247.37–$288.332
VI$257.091
VT$244.211
WA$259.58–$288.712
WI$235.611
WV$246.361
WY$250.471

See 12007 in every payment locality

How the 12007 rate is calculated

Each of 12007’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 · 12007

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.83

2.83 RVUs× 1.000 GPCI

Practice expense4.21

4.21 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

7.6600

Conversion factor

$33.4009

Medicare rate

$255.85

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

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,401

Code
12007
Physician work
2.83
Practice expense
4.21
Malpractice
0.62

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 12007 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work2.83× 1.0282.9092
Practice expense4.21× 1.1824.9762
Malpractice0.62× 0.6230.3863
Total RVUs8.2717
Conversion factor× 33.4009

Office rate, Oxnard, CA$276.28

Office: (2.83 × 1.028 + 4.21 × 1.182 + 0.62 × 0.623) × $33.4009 = $276.28

Facility: (2.83 × 1.028 + 0.56 × 1.182 + 0.62 × 0.623) × $33.4009 = $132.18

Open 12007 in the RVU calculator

Payment rules and modifiers for 12007

The CMS indicators that decide how 12007 is paid alongside other services.

CMS payment indicators · 12007

Wound repair, simple, over 30 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)1Permitted with supporting documentation.
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

12007 without 51 · national office

$255.85

Wound repair, simple, over 30 cm

12007-51 · Second procedure: 50%

$127.93

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

How 12007 has changed in Oxnard, CA

12007 · Office / nonfacility

$276.28

Effective 2026-10-01

The base rate is $37.89 higher than on 2025-10-01, moving from $238.39 to $276.28 (15.9%).

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

    $238.39changed to$276.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.90 changed to 2.83
    • Practice expense RVU 3.39 changed to 4.21
    • Malpractice RVU 0.59 changed to 0.62
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $249.83changed to$238.39

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.51 changed to 3.39
    • Malpractice RVU 0.58 changed to 0.59

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $245.76changed to$249.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $253.67changed to$245.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.49 changed to 3.51
    • Malpractice RVU 0.56 changed to 0.58
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651
  5. January 1, 2023

    RVU23A

    $259.12changed to$253.67

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.49
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $259.31changed to$259.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.42 changed to 3.48
    • Malpractice RVU 0.58 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $254.52changed to$259.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.14 changed to 3.42
    • Malpractice RVU 0.54 changed to 0.58
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $246.11changed to$254.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.03 changed to 3.14
    • Malpractice RVU 0.44 changed to 0.54
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $244.63changed to$246.11

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.99 changed to 3.03
    • Malpractice RVU 0.46 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $240.13changed to$244.63

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.87 changed to 2.99
    • Malpractice RVU 0.44 changed to 0.46
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $246.04changed to$240.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.96 changed to 2.87
    • Malpractice RVU 0.47 changed to 0.44
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $256.68changed to$246.04

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.19 changed to 2.96

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $255.40changed to$256.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $254.81changed to$255.40

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.18 changed to 3.19
    • Malpractice RVU 0.48 changed to 0.47
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $252.75changed to$254.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.46 changed to 3.18
    • Malpractice RVU 0.50 changed to 0.48
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$252.75

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$276.28$132.18RVU26D
2026-07-01$276.28$132.18RVU26C
2026-04-01$276.28$132.18RVU26B
2026-01-01$276.28$132.18RVU26A
2025-10-01$238.39$140.81RVU25D
2025-07-01$238.39$140.81RVU25C
2025-04-01$238.39$140.81RVU25B
2025-01-01$238.39$140.81RVU25A
2024-10-01$249.83$143.90RVU24D
2024-07-01$249.83$143.90RVU24C
2024-04-01$249.83$143.90RVU24B
2024-03-09$249.83$143.90RVU24AR
2024-01-01$245.76$141.55RVU24A
2023-10-01$253.67$147.62RVU23D
2023-07-01$253.67$147.62RVU23C
2023-04-01$253.67$147.62RVU23B
2023-01-01$253.67$147.62RVU23A
2022-10-01$259.12$151.41RVU22D
2022-07-01$259.12$151.41RVU22C
2022-04-01$259.12$151.41RVU22B
2022-01-01$259.12$151.41RVU22A
2021-10-01$259.31$151.94RVU21D
2021-07-01$259.31$151.94RVU21C
2021-04-01$259.31$151.94RVU21B
2021-01-01$259.31$151.94RVU21A
2020-10-01$254.52$154.61RVU20D
2020-07-01$254.52$154.61RVU20C
2020-04-01$254.52$154.61RVU20B
2020-01-01$254.52$154.61RVU20A
2019-10-01$246.11$152.02RVU19D
2019-07-01$246.11$152.02RVU19C
2019-04-01$246.11$152.02RVU19B
2019-01-01$246.11$152.02RVU19A
2018-10-01$244.63$153.61RVU18D
2018-07-01$244.63$153.61RVU18C
2018-04-01$244.63$153.61RVU18B
2018-01-01$244.63$153.61RVU18AR1
2017-10-01$240.13$155.57RVU17D
2017-07-01$240.13$155.57RVU17C
2017-04-01$240.13$155.57RVU17B
2017-01-01$240.13$155.57RVU17A
2016-10-01$246.04$156.89RVU16D
2016-07-01$246.04$156.89RVU16C
2016-04-01$246.04$156.89RVU16B
2016-01-01$246.04$156.89RVU16A
2015-10-01$256.68$160.85RVU15D
2015-07-01$256.68$160.85RVU15C
2015-04-01$255.40$160.05RVU15B
2015-01-01$255.40$160.05RVU15A
2014-10-01$254.81$159.56RVU14D
2014-07-01$254.81$159.56RVU14C
2014-04-01$254.81$159.56RVU14B
2014-01-01$254.81$159.56RVU14A
2013-10-01$252.75$156.56RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 12007 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

12007 billing questions

How is this code distinguished from 12006?

Both cover simple repair in the same site group. Use 12007 when the qualifying total repaired length is more than 30 cm; 12006 covers 20.1–30.0 cm.

Can lengths from multiple wounds be combined?

Yes, combine lengths of wounds repaired with the same complexity in the same anatomic grouping. Document the individual sites and lengths supporting the total.

What documentation supports simple rather than intermediate repair?

Describe the wound depth and closure technique. A superficial closure supports simple repair; layered closure requiring intermediate repair is not reported with this code.

Should modifier 50 be used for wounds on both sides of the body?

No. CMS identifies bilateral adjustment as inappropriate for this code; select it from the total qualifying length and listed body sites.

How does the multiple-procedure payment rule affect this service?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% 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 12007PPRRVU2026_Oct_nonQPP.csv, line 1,401 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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