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

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 Virginia, Medicare pays $247.37 for 12007 in the office and $127.53 when it’s performed in a hospital or facility.

$247.37Office (non-facility)
$127.53Hospital or facility
−3.3%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 Virginia
  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 Virginia 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. Virginia pays $247.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

12007 in Virginia vs other payment areas
  1. Virginia · this page$247.37
  2. Los Angeles, CA · California$278.50+$31.13
  3. Washington, DC area · District of Columbia$288.33+$40.96
  4. Miami, FL · Florida$293.28+$45.91
  5. Chicago, IL · Illinois$284.03+$36.66
  6. Manhattan, NY · New York$296.82+$49.45
  7. Alaska · Alaska$302.96+$55.59

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 12007 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.83× 1.0002.8300
Practice expense4.21× 0.9834.1384
Malpractice0.62× 0.7060.4377
Total RVUs7.4061
Conversion factor× 33.4009

Office rate, Virginia$247.37

Office: (2.83 × 1 + 4.21 × 0.983 + 0.62 × 0.706) × $33.4009 = $247.37

Facility: (2.83 × 1 + 0.56 × 0.983 + 0.62 × 0.706) × $33.4009 = $127.53

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, Virginia
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.$232.67
12005Simple wound repair, 12.6–20.0 cmSimple repair of the same site group for a total length of 12.6–20.0 cm.$204.62
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.$519.84
12047Intermediate repair, neck, hands, feet, genitalia; over 30 cmIntermediate repair over 30 cm for neck or external genital wounds when layered repair is required.$590.67

How 12007 has changed in Virginia

12007 · Office / nonfacility

$247.37

Effective 2026-10-01

The base rate is $31.07 higher than on 2025-10-01, moving from $216.30 to $247.37 (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

    $216.30changed to$247.37

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $226.27changed to$216.30

    • 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

    $222.58changed to$226.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $231.03changed to$222.58

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $237.57changed to$231.03

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.48 changed to 3.49
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $238.08changed to$237.57

    • 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

    $234.56changed to$238.08

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $226.58changed to$234.56

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $225.57changed to$226.58

    • 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

    $219.21changed to$225.57

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $221.88changed to$219.21

    • 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
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $230.80changed to$221.88

    • 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

    $229.65changed to$230.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $228.90changed to$229.65

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $226.11changed to$228.90

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $226.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$247.37$127.53RVU26D
2026-07-01$247.37$127.53RVU26C
2026-04-01$247.37$127.53RVU26B
2026-01-01$247.37$127.53RVU26A
2025-10-01$216.30$135.14RVU25D
2025-07-01$216.30$135.14RVU25C
2025-04-01$216.30$135.14RVU25B
2025-01-01$216.30$135.14RVU25A
2024-10-01$226.27$138.16RVU24D
2024-07-01$226.27$138.16RVU24C
2024-04-01$226.27$138.16RVU24B
2024-03-09$226.27$138.16RVU24AR
2024-01-01$222.58$135.91RVU24A
2023-10-01$231.03$142.13RVU23D
2023-07-01$231.03$142.13RVU23C
2023-04-01$231.03$142.13RVU23B
2023-01-01$231.03$142.13RVU23A
2022-10-01$237.57$146.67RVU22D
2022-07-01$237.57$146.67RVU22C
2022-04-01$237.57$146.67RVU22B
2022-01-01$237.57$146.67RVU22A
2021-10-01$238.08$147.47RVU21D
2021-07-01$238.08$147.47RVU21C
2021-04-01$238.08$147.47RVU21B
2021-01-01$238.08$147.47RVU21A
2020-10-01$234.56$150.51RVU20D
2020-07-01$234.56$150.51RVU20C
2020-04-01$234.56$150.51RVU20B
2020-01-01$234.56$150.51RVU20A
2019-10-01$226.58$147.69RVU19D
2019-07-01$226.58$147.69RVU19C
2019-04-01$226.58$147.69RVU19B
2019-01-01$226.58$147.69RVU19A
2018-10-01$225.57$149.25RVU18D
2018-07-01$225.57$149.25RVU18C
2018-04-01$225.57$149.25RVU18B
2018-01-01$225.57$149.25RVU18AR1
2017-10-01$219.21$148.51RVU17D
2017-07-01$219.21$148.51RVU17C
2017-04-01$219.21$148.51RVU17B
2017-01-01$219.21$148.51RVU17A
2016-10-01$221.88$147.62RVU16D
2016-07-01$221.88$147.62RVU16C
2016-04-01$221.88$147.62RVU16B
2016-01-01$221.88$147.62RVU16A
2015-10-01$230.80$150.97RVU15D
2015-07-01$230.80$150.97RVU15C
2015-04-01$229.65$150.22RVU15B
2015-01-01$229.65$150.22RVU15A
2014-10-01$228.90$150.26RVU14D
2014-07-01$228.90$150.26RVU14C
2014-04-01$228.90$150.26RVU14B
2014-01-01$228.90$150.26RVU14A
2013-10-01$226.11$147.33RVU13D
2013-07-01$226.11$147.33RVU13C
2013-04-01$226.11$147.33RVU13B
2013-01-01$226.11$147.33RVU13AR

Price 12007 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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