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

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 Ohio, Medicare pays $243.78 for 12007 in the office and $132.48 when it’s performed in a hospital or facility.

$243.78Office (non-facility)
$132.48Hospital or facility
−4.7%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 Ohio
  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 Ohio 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. Ohio pays $243.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

12007 in Ohio vs other payment areas
  1. Ohio · this page$243.78
  2. Los Angeles, CA · California$278.50+$34.72
  3. Washington, DC area · District of Columbia$288.33+$44.55
  4. Miami, FL · Florida$293.28+$49.50
  5. Chicago, IL · Illinois$284.03+$40.25
  6. Manhattan, NY · New York$296.82+$53.04
  7. Alaska · Alaska$302.96+$59.18

Other areas in Ohio 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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 12007 in Ohio
ComponentRVULocality factorAdjusted
Physician work2.83× 1.0002.8300
Practice expense4.21× 0.9133.8437
Malpractice0.62× 1.0080.6250
Total RVUs7.2987
Conversion factor× 33.4009

Office rate, Ohio$243.78

Office: (2.83 × 1 + 4.21 × 0.913 + 0.62 × 1.008) × $33.4009 = $243.78

Facility: (2.83 × 1 + 0.56 × 0.913 + 0.62 × 1.008) × $33.4009 = $132.48

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, Ohio
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.$227.65
12005Simple wound repair, 12.6–20.0 cmSimple repair of the same site group for a total length of 12.6–20.0 cm.$199.67
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.$507.02
12047Intermediate repair, neck, hands, feet, genitalia; over 30 cmIntermediate repair over 30 cm for neck or external genital wounds when layered repair is required.$575.27

How 12007 has changed in Ohio

12007 · Office / nonfacility

$243.78

Effective 2026-10-01

The base rate is $30.37 higher than on 2025-10-01, moving from $213.41 to $243.78 (14.2%).

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

    $213.41changed to$243.78

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $222.92changed to$213.41

    • 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

    $219.28changed to$222.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $226.30changed to$219.28

    • 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
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $231.51changed to$226.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.49
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $232.28changed to$231.51

    • 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

    $228.79changed to$232.28

    • 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
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $220.58changed to$228.79

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $219.75changed to$220.58

    • 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

    $214.41changed to$219.75

    • 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
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $217.83changed to$214.41

    • 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
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $226.21changed to$217.83

    • 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

    $225.08changed to$226.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $228.24changed to$225.08

    • 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 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $228.89changed to$228.24

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $228.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$243.78$132.48RVU26D
2026-07-01$243.78$132.48RVU26C
2026-04-01$243.78$132.48RVU26B
2026-01-01$243.78$132.48RVU26A
2025-10-01$213.41$138.27RVU25D
2025-07-01$213.41$138.27RVU25C
2025-04-01$213.41$138.27RVU25B
2025-01-01$213.41$138.27RVU25A
2024-10-01$222.92$141.34RVU24D
2024-07-01$222.92$141.34RVU24C
2024-04-01$222.92$141.34RVU24B
2024-03-09$222.92$141.34RVU24AR
2024-01-01$219.28$139.04RVU24A
2023-10-01$226.30$144.41RVU23D
2023-07-01$226.30$144.41RVU23C
2023-04-01$226.30$144.41RVU23B
2023-01-01$226.30$144.41RVU23A
2022-10-01$231.51$148.10RVU22D
2022-07-01$231.51$148.10RVU22C
2022-04-01$231.51$148.10RVU22B
2022-01-01$231.51$148.10RVU22A
2021-10-01$232.28$149.13RVU21D
2021-07-01$232.28$149.13RVU21C
2021-04-01$232.28$149.13RVU21B
2021-01-01$232.28$149.13RVU21A
2020-10-01$228.79$151.19RVU20D
2020-07-01$228.79$151.19RVU20C
2020-04-01$228.79$151.19RVU20B
2020-01-01$228.79$151.19RVU20A
2019-10-01$220.58$147.22RVU19D
2019-07-01$220.58$147.22RVU19C
2019-04-01$220.58$147.22RVU19B
2019-01-01$220.58$147.22RVU19A
2018-10-01$219.75$148.77RVU18D
2018-07-01$219.75$148.77RVU18C
2018-04-01$219.75$148.77RVU18B
2018-01-01$219.75$148.77RVU18AR1
2017-10-01$214.41$148.52RVU17D
2017-07-01$214.41$148.52RVU17C
2017-04-01$214.41$148.52RVU17B
2017-01-01$214.41$148.52RVU17A
2016-10-01$217.83$148.48RVU16D
2016-07-01$217.83$148.48RVU16C
2016-04-01$217.83$148.48RVU16B
2016-01-01$217.83$148.48RVU16A
2015-10-01$226.21$151.66RVU15D
2015-07-01$226.21$151.66RVU15C
2015-04-01$225.08$150.90RVU15B
2015-01-01$225.08$150.90RVU15A
2014-10-01$228.24$154.17RVU14D
2014-07-01$228.24$154.17RVU14C
2014-04-01$228.24$154.17RVU14B
2014-01-01$228.24$154.17RVU14A
2013-10-01$228.89$154.14RVU13D
2013-07-01$228.89$154.14RVU13C
2013-04-01$228.89$154.14RVU13B
2013-01-01$228.89$154.14RVU13AR

Price 12007 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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