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

In Vermont, Medicare pays $159.23 for 12018 in a facility. There’s no office rate.

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.

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 Vermont 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. Vermont pays $159.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

12018 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 12018

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

What modifiers do to the payment

When to use modifier 51

Codes related to 12018

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

How 12018 has changed in Vermont

Price 12018 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates