FeeBase
Log inGet started
Menu

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

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 Puerto Rico, Medicare pays $211.99 for 12015 in the office and $90.08 when it’s performed in a hospital or facility.

$211.99Office (non-facility)
$90.08Hospital or facility
+0.6%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $211.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

12015 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$211.99
  2. Los Angeles, CA · California$232.55+$20.56
  3. Washington, DC area · District of Columbia$239.33+$27.34
  4. Miami, FL · Florida$238.63+$26.64
  5. Chicago, IL · Illinois$230.90+$18.91
  6. Manhattan, NY · New York$244.82+$32.83
  7. Alaska · Alaska$244.95+$32.96

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

Every other payment area

12015 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$187.93$82.43
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

12015 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.

$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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 12015 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.93× 1.0001.9300
Practice expense3.94× 1.0113.9833
Malpractice0.44× 0.9850.4334
Total RVUs6.3467
Conversion factor× 33.4009

Office rate, Puerto Rico$211.99

Office: (1.93 × 1 + 3.94 × 1.011 + 0.44 × 0.985) × $33.4009 = $211.99

Facility: (1.93 × 1 + 0.33 × 1.011 + 0.44 × 0.985) × $33.4009 = $90.08

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

Codes related to 12015

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

Codes related to 12015
CodeHow it relatesOffice range, Puerto Rico
Same family
12011Wound repair, face, 2.5 cm or lessSimple repair of the same facial and related-site group at a shorter length.$140.57
12013Wound repair, face-area, 2.6–5.0 cmSame repair type and anatomic group, for a shorter total length.$146.56
12014Wound repair, facial sites, 5.1–7.5 cmSame repair type and anatomic group, for the next shorter length range.$173.37
12016Simple wound repair, face group, 12.6–20 cmSame repair type and anatomic group, for the next longer length range.$269.00
Used instead
12004Simple wound repair, nonfacial sites, 7.6–12.5 cmSimple repair for the trunk and other listed sites rather than the facial and related-site group.$162.98
12051Facial repair, intermediate, 2.5 cm or lessIntermediate repair for the face and related sites when wound complexity supports layered repair.$284.93

How 12015 has changed in Puerto Rico

12015 · Office / nonfacility

$211.99

Effective 2026-10-01

The base rate is $43.71 higher than on 2025-10-01, moving from $168.28 to $211.99 (26.0%).

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

    $168.28changed to$211.99

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $173.18changed to$168.28

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $170.35changed to$173.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $176.09changed to$170.35

    • 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 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $175.54changed to$176.09

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $178.10changed to$175.54

    • 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 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $178.53changed to$178.10

    • 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.

  8. January 1, 2021

    RVU21A

    $175.23changed to$178.53

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.48 changed to 2.74
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $169.54changed to$175.23

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $167.91changed to$169.54

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $148.78changed to$167.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.32 changed to 2.40
    • Malpractice RVU 0.28 changed to 0.27
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $132.39changed to$148.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $139.81changed to$132.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.59 changed to 2.32
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $139.12changed to$139.81

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $137.50changed to$139.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.56 changed to 2.59
    • Malpractice RVU 0.32 changed to 0.29
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $136.13changed to$137.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.86 changed to 2.56
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $136.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$211.99$90.08RVU26D
2026-07-01$211.99$90.08RVU26C
2026-04-01$211.99$90.08RVU26B
2026-01-01$211.99$90.08RVU26A
2025-10-01$168.28$90.76RVU25D
2025-07-01$168.28$90.76RVU25C
2025-04-01$168.28$90.76RVU25B
2025-01-01$168.28$90.76RVU25A
2024-10-01$173.18$93.40RVU24D
2024-07-01$173.18$93.40RVU24C
2024-04-01$173.18$93.40RVU24B
2024-03-09$173.18$93.40RVU24AR
2024-01-01$170.35$91.87RVU24A
2023-10-01$176.09$94.80RVU23D
2023-07-01$175.54$94.88RVU23C
2023-04-01$175.54$94.88RVU23B
2023-01-01$175.54$94.88RVU23A
2022-10-01$178.10$96.48RVU22D
2022-07-01$178.10$96.48RVU22C
2022-04-01$178.10$96.48RVU22B
2022-01-01$178.10$96.48RVU22A
2021-10-01$178.53$96.93RVU21D
2021-07-01$178.53$96.93RVU21C
2021-04-01$178.53$96.93RVU21B
2021-01-01$178.53$96.93RVU21A
2020-10-01$175.23$100.29RVU20D
2020-07-01$175.23$100.29RVU20C
2020-04-01$175.23$100.29RVU20B
2020-01-01$175.23$100.29RVU20A
2019-10-01$169.54$96.96RVU19D
2019-07-01$169.54$96.96RVU19C
2019-04-01$169.54$96.96RVU19B
2019-01-01$169.54$96.96RVU19A
2018-10-01$167.91$96.85RVU18D
2018-07-01$167.91$96.85RVU18C
2018-04-01$167.91$96.85RVU18B
2018-01-01$167.91$96.85RVU18AR1
2017-10-01$148.78$91.03RVU17D
2017-07-01$148.78$91.03RVU17C
2017-04-01$148.78$91.03RVU17B
2017-01-01$148.78$91.03RVU17A
2016-10-01$132.39$84.68RVU16D
2016-07-01$132.39$84.68RVU16C
2016-04-01$132.39$84.68RVU16B
2016-01-01$132.39$84.68RVU16A
2015-10-01$139.81$88.13RVU15D
2015-07-01$139.81$88.13RVU15C
2015-04-01$139.12$87.70RVU15B
2015-01-01$139.12$87.70RVU15A
2014-10-01$137.50$87.67RVU14D
2014-07-01$137.50$87.67RVU14C
2014-04-01$137.50$87.67RVU14B
2014-01-01$137.50$87.67RVU14A
2013-10-01$136.13$84.23RVU13D
2013-07-01$136.13$84.23RVU13C
2013-04-01$136.13$84.23RVU13B
2013-01-01$136.13$84.23RVU13AR

Price 12015 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12015 pays in Puerto Rico?

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

Fee sheets

Put 12015 and the rest of your codes on one sheet

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

Build my fee sheet