CPT code 12017: Wound repair, face and related sites, 20.1–30 cm2026 Medicare rate & RVUs in Montana
Reports simple closure of superficial wounds totaling 20.1–30.0 cm on the face, ears, eyelids, nose, lips, or mucous membranes.
In Montana, Medicare pays $154.26 for 12017 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 12017 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 12017 covers
This code covers simple, usually one-layer closure of superficial wounds on the face, ears, eyelids, nose, lips, or mucous membranes when the total repaired length is 20.1–30.0 cm. It is used for repairs such as facial or lip lacerations that do not require the more involved closure represented by an intermediate or complex repair. Physicians in emergency departments, hospital facilities, urgent care, and surgical or outpatient settings may perform the service.
Select the code by repair type, anatomical group, and total length of wounds repaired in that group. Document each wound’s location and length, the closure method, and why the repair is simple. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Montana compares for 12017
Across 109 of 109 payment localities, the facility rate for 12017 runs from $135.25 in Wisconsin to $195.99 in Alaska. Montana pays $154.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$154.26
- Los Angeles, CA · California$154.33+$0.07
- Washington, DC area · District of Columbia$167.25+$12.99
- Miami, FL · Florida$195.16+$40.90
- Chicago, IL · Illinois$188.90+$34.64
- Manhattan, NY · New York$180.21+$25.95
- Alaska · Alaska$195.99+$41.73
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $139.92 |
| ArkansasArkansas | — | $138.19 |
| ArizonaArizona | — | $149.79 |
| Bakersfield, CACalifornia | — | $148.47 |
| Chico, CACalifornia | — | $146.36 |
| El Centro, CACalifornia | — | $146.49 |
| Fresno, CACalifornia | — | $146.36 |
| Hanford, CACalifornia | — | $146.36 |
| Madera, CACalifornia | — | $146.36 |
| Merced, CACalifornia | — | $146.36 |
| Modesto, CACalifornia | — | $146.36 |
| Napa, CACalifornia | — | $155.88 |
| Oxnard, CACalifornia | — | $151.89 |
| Redding, CACalifornia | — | $146.36 |
| Rest of CaliforniaCalifornia | — | $146.36 |
| Riverside, CACalifornia | — | $154.72 |
| Sacramento, CACalifornia | — | $149.98 |
| Salinas, CACalifornia | — | $149.36 |
| San Diego, CACalifornia | — | $150.33 |
| Marin County, CACalifornia | — | $160.19 |
| San Francisco, CACalifornia | — | $159.30 |
| San Benito County, CACalifornia | — | $164.54 |
| Santa Clara County, CACalifornia | — | $160.92 |
| San Luis Obispo, CACalifornia | — | $147.42 |
| Santa Cruz, CACalifornia | — | $149.71 |
| Santa Maria, CACalifornia | — | $149.23 |
| Santa Rosa, CACalifornia | — | $150.97 |
| Stockton, CACalifornia | — | $146.36 |
| Vallejo, CACalifornia | — | $154.60 |
| Visalia, CACalifornia | — | $146.36 |
| Yuba City, CACalifornia | — | $146.36 |
| ColoradoColorado | — | $151.43 |
| ConnecticutConnecticut | — | $163.76 |
| DelawareDelaware | — | $151.90 |
| Fort Lauderdale, FLFlorida | — | $175.68 |
| Rest of FloridaFlorida | — | $166.33 |
| Atlanta, GAGeorgia | — | $160.25 |
| Rest of GeorgiaGeorgia | — | $156.64 |
| Hawaii, Guam, HIHawaii | — | $146.73 |
| IowaIowa | — | $136.50 |
| IdahoIdaho | — | $138.61 |
| East St. Louis, ILIllinois | — | $178.75 |
| Rest of IllinoisIllinois | — | $166.83 |
| Suburban Chicago, ILIllinois | — | $175.82 |
| IndianaIndiana | — | $139.12 |
| KansasKansas | — | $139.02 |
| KentuckyKentucky | — | $149.35 |
| New Orleans, LALouisiana | — | $156.40 |
| Rest of LouisianaLouisiana | — | $150.38 |
| Metropolitan Boston, MAMassachusetts | — | $160.49 |
| Rest of MassachusettsMassachusetts | — | $151.99 |
| Baltimore area, MDMaryland | — | $163.95 |
| Rest of MarylandMaryland | — | $153.51 |
| Rest of MaineMaine | — | $142.49 |
| Southern Maine, MEMaine | — | $144.48 |
| Detroit, MIMichigan | — | $171.32 |
| Rest of MichiganMichigan | — | $155.52 |
| MinnesotaMinnesota | — | $136.69 |
| Metropolitan Kansas City, MOMissouri | — | $152.21 |
| Metropolitan St. Louis, MOMissouri | — | $153.18 |
| Rest of MissouriMissouri | — | $150.22 |
| MississippiMississippi | — | $144.08 |
| North CarolinaNorth Carolina | — | $143.25 |
| North DakotaNorth Dakota | — | $138.84 |
| NebraskaNebraska | — | $136.20 |
| New HampshireNew Hampshire | — | $152.07 |
| Northern New JerseyNew Jersey | — | $166.56 |
| Rest of New JerseyNew Jersey | — | $163.25 |
| New MexicoNew Mexico | — | $157.50 |
| NevadaNevada | — | $149.99 |
| NYC suburbs and Long Island, NYNew York | — | $187.94 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $166.79 |
| Queens, NYNew York | — | $176.95 |
| Rest of New YorkNew York | — | $145.34 |
| OhioOhio | — | $152.37 |
| OklahomaOklahoma | — | $145.86 |
| Portland, OROregon | — | $152.04 |
| Rest of OregonOregon | — | $146.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $162.22 |
| Rest of PennsylvaniaPennsylvania | — | $150.85 |
| Puerto RicoPuerto Rico | — | $154.19 |
| Rhode IslandRhode Island | — | $154.28 |
| South CarolinaSouth Carolina | — | $148.53 |
| South DakotaSouth Dakota | — | $137.01 |
| TennesseeTennessee | — | $140.00 |
| Austin, TXTexas | — | $152.98 |
| Beaumont, TXTexas | — | $150.24 |
| Brazoria, TXTexas | — | $149.19 |
| Dallas, TXTexas | — | $151.45 |
| Fort Worth, TXTexas | — | $151.54 |
| Galveston, TXTexas | — | $150.49 |
| Houston, TXTexas | — | $164.76 |
| Rest of TexasTexas | — | $150.52 |
| UtahUtah | — | $150.17 |
| VirginiaVirginia | — | $146.23 |
| Virgin Islands, VIUnited States Virgin Islands | — | $154.19 |
| VermontVermont | — | $141.19 |
| Rest of WashingtonWashington | — | $150.74 |
| King County, WAWashington | — | $160.33 |
| WisconsinWisconsin | — | $135.25 |
| West VirginiaWest Virginia | — | $162.30 |
| WyomingWyoming | — | $147.54 |
12017 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 12017 rate is calculated
Each of 12017’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 · 12017
RVUs × geographic indexes × conversion factor
Work3.10
3.10 RVUs× 1.000 GPCI
Practice expense0.74
0.74 RVUs× 1.000 GPCI
Malpractice0.78
0.78 RVUs× 1.000 GPCI
Adjusted RVUs
4.6200
Conversion factor
$33.4009
Medicare rate
$154.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,408
- Code
- 12017
- Physician work
- 3.10
- Practice expense
- 0.74
- Malpractice
- 0.78
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.10 | × 1.000 | 3.1000 |
| Practice expense | 0.74 | × 1.000 | 0.7400 |
| Malpractice | 0.78 | × 0.998 | 0.7784 |
| Total RVUs | 4.6184 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$154.26
Facility: (3.1 × 1 + 0.74 × 1 + 0.78 × 0.998) × $33.4009 = $154.26
Payment rules and modifiers for 12017
The CMS indicators that decide how 12017 is paid alongside other services.
CMS payment indicators · 12017
Wound repair, face and related sites, 20.1–30 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
12017 without 51 · national facility
$154.31
Wound repair, face and related sites, 20.1–30 cm
12017-51 · Second procedure: 50%
$77.16
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%).
How 12017 has changed in Montana
12017 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $154.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $154.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $154.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $154.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $148.32 | RVU25D |
| 2025-07-01 | Not available in this setting | $148.32 | RVU25C |
| 2025-04-01 | Not available in this setting | $148.32 | RVU25B |
| 2025-01-01 | Not available in this setting | $148.32 | RVU25A |
| 2024-10-01 | Not available in this setting | $152.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $152.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $152.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $152.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $150.13 | RVU24A |
| 2023-10-01 | Not available in this setting | $154.37 | RVU23D |
| 2023-07-01 | Not available in this setting | $154.37 | RVU23C |
| 2023-04-01 | Not available in this setting | $154.37 | RVU23B |
| 2023-01-01 | Not available in this setting | $154.37 | RVU23A |
| 2022-10-01 | Not available in this setting | $155.55 | RVU22D |
| 2022-07-01 | Not available in this setting | $155.55 | RVU22C |
| 2022-04-01 | Not available in this setting | $155.55 | RVU22B |
| 2022-01-01 | Not available in this setting | $155.55 | RVU22A |
| 2021-10-01 | Not available in this setting | $156.16 | RVU21D |
| 2021-07-01 | Not available in this setting | $156.16 | RVU21C |
| 2021-04-01 | Not available in this setting | $156.16 | RVU21B |
| 2021-01-01 | Not available in this setting | $156.16 | RVU21A |
| 2020-10-01 | Not available in this setting | $168.59 | RVU20D |
| 2020-07-01 | Not available in this setting | $168.59 | RVU20C |
| 2020-04-01 | Not available in this setting | $168.59 | RVU20B |
| 2020-01-01 | Not available in this setting | $168.59 | RVU20A |
| 2019-10-01 | Not available in this setting | $169.22 | RVU19D |
| 2019-07-01 | Not available in this setting | $169.22 | RVU19C |
| 2019-04-01 | Not available in this setting | $166.87 | RVU19B |
| 2019-01-01 | Not available in this setting | $166.87 | RVU19A |
| 2018-10-01 | Not available in this setting | $169.40 | RVU18D |
| 2018-07-01 | Not available in this setting | $169.40 | RVU18C |
| 2018-04-01 | Not available in this setting | $169.40 | RVU18B |
| 2018-01-01 | Not available in this setting | $169.40 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $168.48 | RVU17D |
| 2017-07-01 | Not available in this setting | $168.48 | RVU17C |
| 2017-04-01 | Not available in this setting | $168.48 | RVU17B |
| 2017-01-01 | Not available in this setting | $168.48 | RVU17A |
| 2016-10-01 | Not available in this setting | $162.02 | RVU16D |
| 2016-07-01 | Not available in this setting | $162.02 | RVU16C |
| 2016-04-01 | Not available in this setting | $162.02 | RVU16B |
| 2016-01-01 | Not available in this setting | $162.02 | RVU16A |
| 2015-10-01 | Not available in this setting | $163.13 | RVU15D |
| 2015-07-01 | Not available in this setting | $163.13 | RVU15C |
| 2015-04-01 | Not available in this setting | $162.32 | RVU15B |
| 2015-01-01 | Not available in this setting | $162.32 | RVU15A |
| 2014-10-01 | Not available in this setting | $161.89 | RVU14D |
| 2014-07-01 | Not available in this setting | $161.89 | RVU14C |
| 2014-04-01 | Not available in this setting | $161.89 | RVU14B |
| 2014-01-01 | Not available in this setting | $161.89 | RVU14A |
| 2013-10-01 | Not available in this setting | $155.75 | RVU13D |
| 2013-07-01 | Not available in this setting | $155.75 | RVU13C |
| 2013-04-01 | Not available in this setting | $155.75 | RVU13B |
| 2013-01-01 | Not available in this setting | $155.75 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
12017 billing questions
How is the 20.1–30.0 cm length determined when there are several wounds?
Add the lengths of the simple repairs in this anatomical group. Keep documentation of each wound’s site and measured length to support the total.
When should a more involved repair code be considered instead?
Choose the repair code that matches the documented closure complexity. This code is for simple superficial closure, not a repair requiring intermediate or complex techniques.
Can modifier 50 be reported for wounds on both sides of the face?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
What must be documented for an assistant at surgery?
Document the medical necessity for the assistant. CMS payment for an assistant at surgery is conditional on that documentation.
Does the global period include same-day follow-up care?
Yes. This minor procedure has a 0-day global period, which includes same-day preoperative and postoperative care.
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
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