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

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 Connecticut, Medicare pays $272.92 for 12007 in the office and $141.62 when it’s performed in a hospital or facility.

$272.92Office (non-facility)
$141.62Hospital or facility
+6.7%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 Connecticut
  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 Connecticut 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. Connecticut pays $272.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

12007 in Connecticut vs other payment areas
  1. Connecticut · this page$272.92
  2. Los Angeles, CA · California$278.50+$5.58
  3. Washington, DC area · District of Columbia$288.33+$15.41
  4. Miami, FL · Florida$293.28+$20.36
  5. Chicago, IL · Illinois$284.03+$11.11
  6. Manhattan, NY · New York$296.82+$23.90
  7. Alaska · Alaska$302.96+$30.04

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

Every other payment area

12007 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$229.29$122.61
ArkansasArkansas$225.98$121.26
ArizonaArizona$248.51$130.38
Bakersfield, CACalifornia$263.05$129.43
Chico, CACalifornia$261.35$127.73
El Centro, CACalifornia$261.45$127.83
Fresno, CACalifornia$261.35$127.73
Hanford, CACalifornia$261.35$127.73

12007 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.

$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 Connecticut 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

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 12007 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.83× 1.0202.8866
Practice expense4.21× 1.0774.5342
Malpractice0.62× 1.2100.7502
Total RVUs8.1710
Conversion factor× 33.4009

Office rate, Connecticut$272.92

Office: (2.83 × 1.02 + 4.21 × 1.077 + 0.62 × 1.21) × $33.4009 = $272.92

Facility: (2.83 × 1.02 + 0.56 × 1.077 + 0.62 × 1.21) × $33.4009 = $141.62

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

Codes related to 12007

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

Codes related to 12007
CodeHow it relatesOffice range, Connecticut
Same family
12006Simple wound repair, 20.1–30 cm, specified sitesSimple repair of the same site group for a total length of 20.1–30.0 cm.$256.47
12005Simple wound repair, 12.6–20.0 cmSimple repair of the same site group for a total length of 12.6–20.0 cm.$225.60
Used instead
12018Wound repair, face group, over 30 cmSimple repair over 30 cm for wounds in the face, ears, eyelids, nose, lips, or mucous membranes.No office rate
12037Intermediate repair, over 30 cm, scalp/trunk/extremitiesIntermediate repair over 30 cm for its site group when the closure requires intermediate-level work.$572.83
12047Intermediate repair, neck, hands, feet, genitalia; over 30 cmIntermediate repair over 30 cm for neck or external genital wounds when layered repair is required.$653.76

How 12007 has changed in Connecticut

12007 · Office / nonfacility

$272.92

Effective 2026-10-01

The base rate is $34.38 higher than on 2025-10-01, moving from $238.54 to $272.92 (14.4%).

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

    $238.54changed to$272.92

    • 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 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $249.43changed to$238.54

    • 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

    $245.36changed to$249.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $251.86changed to$245.36

    • 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 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $256.33changed to$251.86

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.49
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $256.77changed to$256.33

    • 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

    $255.14changed to$256.77

    • 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 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $248.04changed to$255.14

    • 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 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $247.07changed to$248.04

    • 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

    $241.17changed to$247.07

    • 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 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $245.86changed to$241.17

    • 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 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $256.01changed to$245.86

    • 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

    $254.74changed to$256.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $254.73changed to$254.74

    • 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
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $252.71changed to$254.73

    • 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
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $252.71

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$272.92$141.62RVU26D
2026-07-01$272.92$141.62RVU26C
2026-04-01$272.92$141.62RVU26B
2026-01-01$272.92$141.62RVU26A
2025-10-01$238.54$148.55RVU25D
2025-07-01$238.54$148.55RVU25C
2025-04-01$238.54$148.55RVU25B
2025-01-01$238.54$148.55RVU25A
2024-10-01$249.43$151.74RVU24D
2024-07-01$249.43$151.74RVU24C
2024-04-01$249.43$151.74RVU24B
2024-03-09$249.43$151.74RVU24AR
2024-01-01$245.36$149.26RVU24A
2023-10-01$251.86$152.89RVU23D
2023-07-01$251.86$152.89RVU23C
2023-04-01$251.86$152.89RVU23B
2023-01-01$251.86$152.89RVU23A
2022-10-01$256.33$154.55RVU22D
2022-07-01$256.33$154.55RVU22C
2022-04-01$256.33$154.55RVU22B
2022-01-01$256.33$154.55RVU22A
2021-10-01$256.77$155.32RVU21D
2021-07-01$256.77$155.32RVU21C
2021-04-01$256.77$155.32RVU21B
2021-01-01$256.77$155.32RVU21A
2020-10-01$255.14$160.75RVU20D
2020-07-01$255.14$160.75RVU20C
2020-04-01$255.14$160.75RVU20B
2020-01-01$255.14$160.75RVU20A
2019-10-01$248.04$159.07RVU19D
2019-07-01$248.04$159.07RVU19C
2019-04-01$248.04$159.07RVU19B
2019-01-01$248.04$159.07RVU19A
2018-10-01$247.07$161.00RVU18D
2018-07-01$247.07$161.00RVU18C
2018-04-01$247.07$161.00RVU18B
2018-01-01$247.07$161.00RVU18AR1
2017-10-01$241.17$160.99RVU17D
2017-07-01$241.17$160.99RVU17C
2017-04-01$241.17$160.99RVU17B
2017-01-01$241.17$160.99RVU17A
2016-10-01$245.86$161.17RVU16D
2016-07-01$245.86$161.17RVU16C
2016-04-01$245.86$161.17RVU16B
2016-01-01$245.86$161.17RVU16A
2015-10-01$256.01$164.98RVU15D
2015-07-01$256.01$164.98RVU15C
2015-04-01$254.74$164.16RVU15B
2015-01-01$254.74$164.16RVU15A
2014-10-01$254.73$165.18RVU14D
2014-07-01$254.73$165.18RVU14C
2014-04-01$254.73$165.18RVU14B
2014-01-01$254.73$165.18RVU14A
2013-10-01$252.71$163.21RVU13D
2013-07-01$252.71$163.21RVU13C
2013-04-01$252.71$163.21RVU13B
2013-01-01$252.71$163.21RVU13AR

Price 12007 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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 ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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