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CPT code 12014: Wound repair, facial sites, 5.1–7.5 cm2026 Medicare rate & RVUs in Washington, DC area

Report this code for a simple, one-layer repair of a superficial wound on the face or related sites when the repair length totals 5.1–7.5 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality6.7K Medicare services in 2024

In Washington, DC area, Medicare pays $195.91 for 12014 in the office and $77.87 when it’s performed in a hospital or facility.

$195.91Office (non-facility)
$77.87Hospital or facility
+13.7%vs the national office rate ($172.35)

Check a contract rate as a % of Medicare · 12014 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 12014 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 12014 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 12014 covers

This code covers simple closure of a superficial wound on the face, ear, eyelid, nose, lip, or mucous membrane when the repair involves one layer. It is commonly performed by emergency physicians, surgeons, and other qualified practitioners in emergency departments, offices, and urgent care settings. A facial laceration closed with a single layer of sutures is a typical situation; a repair requiring layered closure belongs in the intermediate-repair family instead.

Select the code using the total repair length for simple wounds in this anatomic group; when multiple such wounds are repaired, combine their lengths. Document the wound sites, lengths, and closure complexity. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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 Washington, DC area compares for 12014

Across 109 of 109 payment localities, the office rate for 12014 runs from $151.12 in Arkansas to $220.67 in San Benito County, CA. Washington, DC area pays $195.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

12014 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$195.91
  2. Los Angeles, CA · California$190.39−$5.52
  3. Miami, FL · Florida$195.21−$0.70
  4. Chicago, IL · Illinois$188.82−$7.09
  5. Manhattan, NY · New York$200.36+$4.45
  6. Alaska · Alaska$199.60+$3.69
  7. Alabama · Alabama$153.48−$42.43

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

12014 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$151.12$65.04
ArizonaArizona$167.23$70.13
Bakersfield, CACalifornia$179.10$69.28
Chico, CACalifornia$178.12$68.30
El Centro, CACalifornia$178.18$68.36
Fresno, CACalifornia$178.12$68.30
Hanford, CACalifornia$178.12$68.30
Madera, CACalifornia$178.12$68.30

12014 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.

$151.12

$199.60

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

View every state and territory as a table
12014 office rate range by state
State / territoryOffice rate rangeLocalities
AK$199.601
AL$153.481
AR$151.121
AZ$167.231
CA$178.12–$220.6729
CO$177.321
CT$184.311
DC$195.911
DE$170.081
FL$173.59–$195.213
GA$162.86–$176.672
GU$182.251
HI$182.251
IA$155.811
ID$157.271
IL$169.62–$188.824
IN$158.201
KS$155.901
KY$159.201
LA$159.28–$167.542
MA$176.51–$194.312
MD$173.18–$195.913
ME$159.07–$166.932
MI$164.40–$176.772
MN$167.051
MO$156.96–$167.133
MS$154.031
MT$172.321
NC$160.691
ND$165.211
NE$156.461
NH$175.321
NJ$185.61–$193.862
NM$165.701
NV$170.451
NY$163.32–$206.575
OH$162.941
OK$157.981
OR$168.34–$182.212
PA$162.73–$180.072
PR$173.371
RI$175.631
SC$162.241
SD$164.361
TN$156.841
TX$161.67–$177.418
UT$164.571
VA$166.96–$195.912
VI$173.371
VT$165.321
WA$175.93–$197.502
WI$159.441
WV$163.221
WY$169.221

See 12014 in every payment locality

How the 12014 rate is calculated

Each of 12014’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 · 12014

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.53

1.53 RVUs× 1.000 GPCI

Practice expense3.27

3.27 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

5.1600

Conversion factor

$33.4009

Medicare rate

$172.35

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,405

Code
12014
Physician work
1.53
Practice expense
3.27
Malpractice
0.36

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 12014 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.53× 1.0541.6126
Practice expense3.27× 1.1783.8521
Malpractice0.36× 1.1130.4007
Total RVUs5.8654
Conversion factor× 33.4009

Office rate, Washington, DC area$195.91

Office: (1.53 × 1.054 + 3.27 × 1.178 + 0.36 × 1.113) × $33.4009 = $195.91

Facility: (1.53 × 1.054 + 0.27 × 1.178 + 0.36 × 1.113) × $33.4009 = $77.87

Open 12014 in the RVU calculator

Payment rules and modifiers for 12014

The CMS indicators that decide how 12014 is paid alongside other services.

CMS payment indicators · 12014

Wound repair, facial sites, 5.1–7.5 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)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

12014 without 51 · national office

$172.35

Wound repair, facial sites, 5.1–7.5 cm

12014-51 · Second procedure: 50%

$86.18

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 12014

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

Codes related to 12014
CodeHow it relatesOffice range, Washington, DC area
Same family
12013Wound repair, face-area, 2.6–5.0 cmSimple repair in the same anatomic group, for a shorter combined length.$166.03
12015Simple wound repair, face and related sites, 7.6-12.5 cmSimple repair in the same anatomic group, for a longer combined length.$239.33
Used instead
12002Wound repair, simple, 2.6–7.5 cmSimple repair of a similar length on scalp, trunk, extremities, or other listed sites.$158.96
12053Wound repair, face and mucous membranesIntermediate repair for a facial-site wound in the same length interval.$411.69

How 12014 has changed in Washington, DC area

12014 · Office / nonfacility

$195.91

Effective 2026-10-01

The base rate is $38.75 higher than on 2025-10-01, moving from $157.16 to $195.91 (24.7%).

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

    $157.16changed to$195.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.57 changed to 1.53
    • Practice expense RVU 2.39 changed to 3.27
    • Malpractice RVU 0.30 changed to 0.36
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $163.31changed to$157.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.41 changed to 2.39
    • Malpractice RVU 0.32 changed to 0.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $160.64changed to$163.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $168.66changed to$160.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.43 changed to 2.41
    • Malpractice RVU 0.30 changed to 0.32
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $173.80changed to$168.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.40 changed to 2.43
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $173.50changed to$173.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.37 changed to 2.40
    • Malpractice RVU 0.30 changed to 0.31

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $167.12changed to$173.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.13 changed to 2.37
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $159.89changed to$167.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.09 changed to 2.13
    • Malpractice RVU 0.22 changed to 0.30
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $158.85changed to$159.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.07 changed to 2.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $155.14changed to$158.85

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.99 changed to 2.07
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $155.02changed to$155.14

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $166.00changed to$155.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.22 changed to 1.99
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $165.17changed to$166.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $162.85changed to$165.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.16 changed to 2.22
    • Malpractice RVU 0.25 changed to 0.23
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $164.26changed to$162.85

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.41 changed to 2.16
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $164.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$195.91$77.87RVU26D
2026-07-01$195.91$77.87RVU26C
2026-04-01$195.91$77.87RVU26B
2026-01-01$195.91$77.87RVU26A
2025-10-01$157.16$78.51RVU25D
2025-07-01$157.16$78.51RVU25C
2025-04-01$157.16$78.51RVU25B
2025-01-01$157.16$78.51RVU25A
2024-10-01$163.31$81.57RVU24D
2024-07-01$163.31$81.57RVU24C
2024-04-01$163.31$81.57RVU24B
2024-03-09$163.31$81.57RVU24AR
2024-01-01$160.64$80.24RVU24A
2023-10-01$168.66$83.10RVU23D
2023-07-01$168.66$83.10RVU23C
2023-04-01$168.66$83.10RVU23B
2023-01-01$168.66$83.10RVU23A
2022-10-01$173.80$85.26RVU22D
2022-07-01$173.80$85.26RVU22C
2022-04-01$173.80$85.26RVU22B
2022-01-01$173.80$85.26RVU22A
2021-10-01$173.50$85.52RVU21D
2021-07-01$173.50$85.52RVU21C
2021-04-01$173.50$85.52RVU21B
2021-01-01$173.50$85.52RVU21A
2020-10-01$167.12$87.80RVU20D
2020-07-01$167.12$87.80RVU20C
2020-04-01$167.12$87.80RVU20B
2020-01-01$167.12$87.80RVU20A
2019-10-01$159.89$84.33RVU19D
2019-07-01$159.89$84.33RVU19C
2019-04-01$159.89$84.33RVU19B
2019-01-01$159.89$84.33RVU19A
2018-10-01$158.85$84.23RVU18D
2018-07-01$158.85$84.23RVU18C
2018-04-01$158.85$84.23RVU18B
2018-01-01$158.85$84.23RVU18AR1
2017-10-01$155.14$84.22RVU17D
2017-07-01$155.14$84.22RVU17C
2017-04-01$155.14$84.22RVU17B
2017-01-01$155.14$84.22RVU17A
2016-10-01$155.02$84.26RVU16D
2016-07-01$155.02$84.26RVU16C
2016-04-01$155.02$84.26RVU16B
2016-01-01$155.02$84.26RVU16A
2015-10-01$166.00$89.79RVU15D
2015-07-01$166.00$89.79RVU15C
2015-04-01$165.17$89.34RVU15B
2015-01-01$165.17$89.34RVU15A
2014-10-01$162.85$90.08RVU14D
2014-07-01$162.85$90.08RVU14C
2014-04-01$162.85$90.08RVU14B
2014-01-01$162.85$90.08RVU14A
2013-10-01$164.26$86.82RVU13D
2013-07-01$164.26$86.82RVU13C
2013-04-01$164.26$86.82RVU13B
2013-01-01$164.26$86.82RVU13AR

Price 12014 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

12014 billing questions

How does this code differ from 12013 or 12015?

All three are simple repairs in the same anatomic group. Choose 12014 when the combined repair length is 5.1–7.5 cm; 12013 covers a shorter interval and 12015 a longer one.

When should an intermediate repair code be used instead?

Use an intermediate-repair code when the wound closure requires layered repair or otherwise meets the criteria for intermediate complexity. For a facial-site repair measuring 5.1–7.5 cm, compare with 12053.

Can separate facial wounds be coded individually?

For multiple simple repairs in this same anatomic group, combine the repair lengths to select the length code rather than reporting a separate code for each wound.

Is modifier 50 appropriate for wounds on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its anatomic descriptor.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care associated with the repair.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple-procedure rule are paid at 50%.

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 12014PPRRVU2026_Oct_nonQPP.csv, line 1,405 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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