CPT code 12015: Simple wound repair, face and related sites, 7.6-12.5 cm2026 Medicare rate & RVUs in Alabama

Reports simple closure of superficial wounds totaling 7.6 to 12.5 cm on the face, ears, eyelids, nose, lips, or mucous membranes.

CMS RVU26DEffective Oct 1, 2026One payment locality3.3K Medicare services in 2024

In Alabama, Medicare pays $187.93 for 12015 in the office and $82.43 when it’s performed in a hospital or facility.

$187.93Office (non-facility)
$82.43Hospital or facility
−10.8%vs the national office rate ($210.76)

Check a contract rate as a % of Medicare · 12015 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 12015 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 12015 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 12015 covers

This service covers straightforward closure of superficial wounds in the face, ears, eyelids, nose, lips, or mucous membranes, when the total repaired length is 7.6 to 12.5 cm. A physician or other qualified clinician commonly performs it in an office, emergency department, or other acute-care setting. A typical situation is closure of a superficial facial laceration that needs a simple, rather than layered, repair.

Select the code by the wound’s anatomic group, repair complexity, and total repaired length. The record should identify the wound site, describe the simple closure, and support the length reported. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgery 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 Alabama compares for 12015

Across 109 of 109 payment localities, the office rate for 12015 runs from $185.08 in Arkansas to $269.20 in San Benito County, CA. Alabama pays $187.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

12015 in Alabama vs other payment areas
  1. Alabama · this page$187.93
  2. Los Angeles, CA · California$232.55+$44.62
  3. Washington, DC area · District of Columbia$239.33+$51.40
  4. Miami, FL · Florida$238.63+$50.70
  5. Chicago, IL · Illinois$230.90+$42.97
  6. Manhattan, NY · New York$244.82+$56.89
  7. Alaska · Alaska$244.95+$57.02

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

Every other payment area

12015 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$185.08$81.50
ArizonaArizona$204.56$87.72
Bakersfield, CACalifornia$218.87$86.72
Chico, CACalifornia$217.67$85.52
El Centro, CACalifornia$217.74$85.59
Fresno, CACalifornia$217.67$85.52
Hanford, CACalifornia$217.67$85.52
Madera, CACalifornia$217.67$85.52

12015 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.

$185.08

$244.95

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

View every state and territory as a table
12015 office rate range by state
State / territoryOffice rate rangeLocalities
AK$244.951
AL$187.931
AR$185.081
AZ$204.561
CA$217.67–$269.2029
CO$216.741
CT$225.271
DC$239.331
DE$208.021
FL$212.36–$238.633
GA$199.37–$216.012
GU$222.601
HI$222.601
IA$190.711
ID$192.491
IL$207.58–$230.904
IN$193.601
KS$190.841
KY$194.901
LA$195.01–$204.992
MA$215.78–$237.322
MD$211.78–$239.333
ME$194.68–$204.152
MI$201.21–$216.242
MN$204.231
MO$192.22–$204.473
MS$188.631
MT$210.731
NC$196.641
ND$202.031
NE$191.491
NH$214.321
NJ$226.87–$236.882
NM$202.791
NV$208.441
NY$199.81–$252.355
OH$199.431
OK$193.401
OR$205.87–$222.642
PA$199.16–$220.152
PR$211.991
RI$214.741
SC$198.551
SD$201.001
TN$191.981
TX$197.87–$216.858
UT$201.361
VA$204.20–$239.332
VI$211.991
VT$202.181
WA$215.06–$241.172
WI$195.061
WV$199.851
WY$206.941

See 12015 in every payment locality

How the 12015 rate is calculated

Each of 12015’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 · 12015

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.93

1.93 RVUs× 1.000 GPCI

Practice expense3.94

3.94 RVUs× 1.000 GPCI

Malpractice0.44

0.44 RVUs× 1.000 GPCI

Adjusted RVUs

6.3100

Conversion factor

$33.4009

Medicare rate

$210.76

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,406

Code
12015
Physician work
1.93
Practice expense
3.94
Malpractice
0.44

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 12015 in Alabama
ComponentRVULocality factorAdjusted
Physician work1.93× 1.0001.9300
Practice expense3.94× 0.8753.4475
Malpractice0.44× 0.5660.2490
Total RVUs5.6265
Conversion factor× 33.4009

Office rate, Alabama$187.93

Office: (1.93 × 1 + 3.94 × 0.875 + 0.44 × 0.566) × $33.4009 = $187.93

Facility: (1.93 × 1 + 0.33 × 0.875 + 0.44 × 0.566) × $33.4009 = $82.43

Open 12015 in the RVU calculator

Payment rules and modifiers for 12015

The CMS indicators that decide how 12015 is paid alongside other services.

CMS payment indicators · 12015

Simple wound repair, face and related sites, 7.6-12.5 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

12015 without 51 · national office

$210.76

Simple wound repair, face and related sites, 7.6-12.5 cm

12015-51 · Second procedure: 50%

$105.38

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 12015 has changed in Alabama

12015 · Office / nonfacility

$187.93

Effective 2026-10-01

The base rate is $37.46 higher than on 2025-10-01, moving from $150.47 to $187.93 (24.9%).

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

    $150.47changed to$187.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.98 changed to 1.93
    • Practice expense RVU 2.81 changed to 3.94
    • Malpractice RVU 0.40 changed to 0.44
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $154.85changed to$150.47

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $152.32changed to$154.85

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $160.63changed to$152.32

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.82 changed to 2.81
    • Malpractice RVU 0.38 changed to 0.40
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $165.77changed to$160.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.76 changed to 2.82
    • Malpractice RVU 0.39 changed to 0.38
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $166.20changed to$165.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.74 changed to 2.76
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $160.72changed to$166.20

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.48 changed to 2.74
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $154.41changed to$160.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.44 changed to 2.48
    • Malpractice RVU 0.27 changed to 0.38
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $152.96changed to$154.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.40 changed to 2.44

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$152.96

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$187.93$82.43RVU26D
2026-07-01$187.93$82.43RVU26C
2026-04-01$187.93$82.43RVU26B
2026-01-01$187.93$82.43RVU26A
2025-10-01$150.47$83.57RVU25D
2025-07-01$150.47$83.57RVU25C
2025-04-01$150.47$83.57RVU25B
2025-01-01$150.47$83.57RVU25A
2024-10-01$154.85$86.00RVU24D
2024-07-01$154.85$86.00RVU24C
2024-04-01$154.85$86.00RVU24B
2024-03-09$154.85$86.00RVU24AR
2024-01-01$152.32$84.60RVU24A
2023-10-01$160.63$89.82RVU23D
2023-07-01$160.63$89.82RVU23C
2023-04-01$160.63$89.82RVU23B
2023-01-01$160.63$89.82RVU23A
2022-10-01$165.77$93.86RVU22D
2022-07-01$165.77$93.86RVU22C
2022-04-01$165.77$93.86RVU22B
2022-01-01$165.77$93.86RVU22A
2021-10-01$166.20$94.31RVU21D
2021-07-01$166.20$94.31RVU21C
2021-04-01$166.20$94.31RVU21B
2021-01-01$166.20$94.31RVU21A
2020-10-01$160.72$94.63RVU20D
2020-07-01$160.72$94.63RVU20C
2020-04-01$160.72$94.63RVU20B
2020-01-01$160.72$94.63RVU20A
2019-10-01$154.41$90.26RVU19D
2019-07-01$154.41$90.26RVU19C
2019-04-01$154.41$90.26RVU19B
2019-01-01$154.41$90.26RVU19A
2018-10-01$152.96$90.16RVU18D
2018-07-01$152.96$90.16RVU18C
2018-04-01$152.96$90.16RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 12015 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

12015 billing questions

How is this code distinguished from 12014 or 12016?

Use the total repaired length for the applicable facial and related-site group. Code 12014 is for a shorter length, while 12016 is for a longer length.

Can wounds at different facial sites be added together?

Document each wound’s location and repaired length, then apply the coding rules for wounds within the same anatomic group. Do not combine lengths across different code groups.

What documentation supports this simple repair?

Record the wound site, the total length repaired, and details supporting simple closure. The documentation should support that the repair was superficial and not a more complex or layered repair.

Is same-day evaluation or wound care included in the global period?

Yes. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.

Can modifier 50 be used for wounds on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report services according to the applicable wound-repair coding rules.

How does CMS handle other procedures in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

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 12015PPRRVU2026_Oct_nonQPP.csv, line 1,406 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12015 pays in Alabama?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 12015 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist