CPT code 12018: Wound repair, face group, over 30 cm2026 Medicare rate & RVUs in New Mexico

Reports simple, single-layer closure of superficial wounds in the face-and-related-site group when the combined repair length exceeds 30 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality16 Medicare services in 2024

In New Mexico, Medicare pays $177.68 for 12018 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$177.68Hospital or facility

Check a contract rate as a % of Medicare · 12018 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 12018 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 12018 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 12018 covers

This code is for straightforward closure of superficial wounds involving the face, ears, eyelids, nose, lips, or mucous membranes. The repair is limited to a simple closure, typically a single layer, without the deeper layered work that characterizes an intermediate repair. Emergency physicians and surgeons may perform this service in an emergency department or another acute-care setting; extensive wounds in this anatomic group are less typical in an office setting.

Choose the code from the documented repair type, anatomic group, and total length. For multiple wounds with the same repair classification in this group, combine their lengths; document each wound’s site, length, depth, and closure method. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; 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 New Mexico compares for 12018

Across 109 of 109 payment localities, the facility rate for 12018 runs from $152.54 in Wisconsin to $221.37 in Alaska. New Mexico pays $177.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

12018 in New Mexico vs other payment areas
  1. New Mexico · this page$177.68
  2. Los Angeles, CA · California$173.91−$3.77
  3. Washington, DC area · District of Columbia$188.50+$10.82
  4. Miami, FL · Florida$220.07+$42.39
  5. Chicago, IL · Illinois$213.04+$35.36
  6. Manhattan, NY · New York$203.15+$25.47
  7. Alaska · Alaska$221.37+$43.69

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

Every other payment area

12018 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$157.88
ArkansasArkansas—$155.95
ArizonaArizona—$168.95
Bakersfield, CACalifornia—$167.36
Chico, CACalifornia—$164.98
El Centro, CACalifornia—$165.12
Fresno, CACalifornia—$164.98
Hanford, CACalifornia—$164.98

12018 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
12018 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 12018 in every payment locality

How the 12018 rate is calculated

Each of 12018’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 · 12018

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.52

3.52 RVUs× 1.000 GPCI

Practice expense0.81

0.81 RVUs× 1.000 GPCI

Malpractice0.88

0.88 RVUs× 1.000 GPCI

Adjusted RVUs

5.2100

Conversion factor

$33.4009

Medicare rate

$174.02

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,409

Code
12018
Physician work
3.52
Practice expense
0.81
Malpractice
0.88

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 12018 in New Mexico
ComponentRVULocality factorAdjusted
Physician work3.52× 1.0003.5200
Practice expense0.81× 0.9170.7428
Malpractice0.88× 1.2011.0569
Total RVUs5.3196
Conversion factor× 33.4009

Facility rate, New Mexico$177.68

Facility: (3.52 × 1 + 0.81 × 0.917 + 0.88 × 1.201) × $33.4009 = $177.68

Open 12018 in the RVU calculator

Payment rules and modifiers for 12018

The CMS indicators that decide how 12018 is paid alongside other services.

CMS payment indicators · 12018

Wound repair, face group, 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)2Paid.
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

12018 without 51 · national facility

$174.02

Wound repair, face group, over 30 cm

12018-51 · Second procedure: 50%

$87.01

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 12018 has changed in New Mexico

12018 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$177.68RVU26D
2026-07-01Not available in this setting$177.68RVU26C
2026-04-01Not available in this setting$177.68RVU26B
2026-01-01Not available in this setting$177.68RVU26A
2025-10-01Not available in this setting$170.34RVU25D
2025-07-01Not available in this setting$170.34RVU25C
2025-04-01Not available in this setting$170.34RVU25B
2025-01-01Not available in this setting$170.34RVU25A
2024-10-01Not available in this setting$174.39RVU24D
2024-07-01Not available in this setting$174.39RVU24C
2024-04-01Not available in this setting$174.39RVU24B
2024-03-09Not available in this setting$174.39RVU24AR
2024-01-01Not available in this setting$171.54RVU24A
2023-10-01Not available in this setting$176.50RVU23D
2023-07-01Not available in this setting$176.50RVU23C
2023-04-01Not available in this setting$176.50RVU23B
2023-01-01Not available in this setting$176.50RVU23A
2022-10-01Not available in this setting$178.94RVU22D
2022-07-01Not available in this setting$178.94RVU22C
2022-04-01Not available in this setting$178.94RVU22B
2022-01-01Not available in this setting$178.94RVU22A
2021-10-01Not available in this setting$179.21RVU21D
2021-07-01Not available in this setting$179.21RVU21C
2021-04-01Not available in this setting$179.21RVU21B
2021-01-01Not available in this setting$179.21RVU21A
2020-10-01Not available in this setting$186.33RVU20D
2020-07-01Not available in this setting$186.33RVU20C
2020-04-01Not available in this setting$186.33RVU20B
2020-01-01Not available in this setting$186.33RVU20A
2019-10-01Not available in this setting$181.61RVU19D
2019-07-01Not available in this setting$181.61RVU19C
2019-04-01Not available in this setting$179.81RVU19B
2019-01-01Not available in this setting$179.81RVU19A
2018-10-01Not available in this setting$181.74RVU18D
2018-07-01Not available in this setting$181.74RVU18C
2018-04-01Not available in this setting$181.74RVU18B
2018-01-01Not available in this setting$181.74RVU18AR1
2017-10-01Not available in this setting$183.37RVU17D
2017-07-01Not available in this setting$183.37RVU17C
2017-04-01Not available in this setting$183.37RVU17B
2017-01-01Not available in this setting$183.37RVU17A
2016-10-01Not available in this setting$179.93RVU16D
2016-07-01Not available in this setting$179.93RVU16C
2016-04-01Not available in this setting$179.93RVU16B
2016-01-01Not available in this setting$179.93RVU16A
2015-10-01Not available in this setting$181.67RVU15D
2015-07-01Not available in this setting$181.67RVU15C
2015-04-01Not available in this setting$180.77RVU15B
2015-01-01Not available in this setting$180.77RVU15A
2014-10-01Not available in this setting$178.88RVU14D
2014-07-01Not available in this setting$178.88RVU14C
2014-04-01Not available in this setting$178.88RVU14B
2014-01-01Not available in this setting$178.88RVU14A
2013-10-01Not available in this setting$198.76RVU13D
2013-07-01Not available in this setting$198.76RVU13C
2013-04-01Not available in this setting$198.76RVU13B
2013-01-01Not available in this setting$198.76RVU13AR

Price 12018 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

12018 billing questions

How is the length selected when there are several wounds?

Combine the lengths of wounds repaired with the same simple technique in this anatomic group. Keep lengths in different anatomic groups or repair classifications separate.

When is this code preferable to 12017?

Both codes describe simple repair in the face, ears, eyelids, nose, lips, or mucous membranes. Use 12018 when the total repair length exceeds 30 cm; 12017 covers 20.1–30 cm.

How does this differ from an intermediate repair?

Use 12018 for a simple, superficial closure. A repair requiring layered closure or work on deeper tissue is intermediate; select the intermediate code for the anatomic group and total length.

Can modifier 50 be reported for this repair?

No. CMS identifies bilateral adjustment as inappropriate for this code because its descriptor and anatomy do not support modifier 50.

What documentation supports reporting 12018?

Document the wound sites, individual lengths, superficial nature of the injuries, simple closure technique, and the total length for wounds in this group.

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 12018PPRRVU2026_Oct_nonQPP.csv, line 1,409 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12018 pays in New Mexico?

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

Fee sheets

Put 12018 and the rest of your codes on one sheet

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

Build my fee sheet