CPT code 12031: Wound repair, scalp, trunk, or extremity2026 Medicare rate & RVUs in King County, WA
Reports intermediate layered repair of a scalp, axillary, trunk, or extremity wound, excluding hands and feet, when the repair length is 2.5 cm or less.
In King County, WA, Medicare pays $304.17 for 12031 in the office and $148.84 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 12031 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 12031 covers
This service is for a wound requiring more than a straightforward skin closure: the clinician closes one or more deeper tissue layers as well as the skin, or extensively cleans a heavily contaminated wound before closure. Typical settings include emergency departments, outpatient clinics, and surgical practices. The covered locations are the scalp, axillae, trunk, and extremities, but not the hands or feet. Intermediate repairs of the face and other separately classified sites use different codes.
Choose the code by the repair’s anatomic group, complexity, and documented length. For multiple intermediate wounds in the same anatomic group, add their lengths when selecting the code; report this level when the combined length is 2.5 cm or less. The note should describe the wound location and length, the layered closure or extensive cleaning, and the work performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. 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 not appropriate; assistant-at-surgery payment is statutorily restricted, and 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 King County, WA compares for 12031
Across 109 of 109 payment localities, the office rate for 12031 runs from $229.76 in Arkansas to $346.13 in San Benito County, CA. King County, WA pays $304.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- King County, WA · this page$304.17
- Rest of Washington · Washington$268.78−$35.39
- Los Angeles, CA · California$294.18−$9.99
- Washington, DC area · District of Columbia$297.54−$6.63
- Miami, FL · Florida$279.27−$24.90
- Chicago, IL · Illinois$271.20−$32.97
- Manhattan, NY · New York$298.83−$5.34
Other areas in Washington first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $301.13 | $166.32 |
| AlabamaAlabama | $233.14 | $122.38 |
| ArkansasArkansas | $229.76 | $121.02 |
| ArizonaArizona | $252.95 | $130.29 |
| Bakersfield, CACalifornia | $276.05 | $137.31 |
| Chico, CACalifornia | $275.36 | $136.62 |
| El Centro, CACalifornia | $275.40 | $136.65 |
| Fresno, CACalifornia | $275.36 | $136.62 |
| Hanford, CACalifornia | $275.36 | $136.62 |
| Madera, CACalifornia | $275.36 | $136.62 |
| Merced, CACalifornia | $275.36 | $136.62 |
| Modesto, CACalifornia | $275.36 | $136.62 |
| Napa, CACalifornia | $319.66 | $152.82 |
| Oxnard, CACalifornia | $292.83 | $143.20 |
| Redding, CACalifornia | $275.36 | $136.62 |
| Rest of CaliforniaCalifornia | $275.36 | $136.62 |
| Riverside, CACalifornia | $277.86 | $139.12 |
| Sacramento, CACalifornia | $289.13 | $141.90 |
| Salinas, CACalifornia | $288.05 | $141.34 |
| San Diego, CACalifornia | $294.96 | $143.55 |
| Marin County, CACalifornia | $338.58 | $160.09 |
| San Francisco, CACalifornia | $338.32 | $159.83 |
| San Benito County, CACalifornia | $346.13 | $163.59 |
| Santa Clara County, CACalifornia | $345.07 | $162.52 |
| San Luis Obispo, CACalifornia | $283.40 | $139.22 |
| Santa Cruz, CACalifornia | $297.88 | $144.07 |
| Santa Maria, CACalifornia | $289.17 | $141.56 |
| Santa Rosa, CACalifornia | $300.89 | $145.44 |
| Stockton, CACalifornia | $275.36 | $136.62 |
| Vallejo, CACalifornia | $319.29 | $152.44 |
| Visalia, CACalifornia | $275.36 | $136.62 |
| Yuba City, CACalifornia | $275.36 | $136.62 |
| ColoradoColorado | $270.93 | $136.24 |
| ConnecticutConnecticut | $277.18 | $140.84 |
| DelawareDelaware | $257.16 | $132.09 |
| Fort Lauderdale, FLFlorida | $268.50 | $140.26 |
| Rest of FloridaFlorida | $255.49 | $134.47 |
| Atlanta, GAGeorgia | $264.59 | $135.98 |
| Rest of GeorgiaGeorgia | $241.13 | $128.22 |
| Hawaii, Guam, HIHawaii | $282.25 | $138.32 |
| IowaIowa | $239.33 | $123.50 |
| IdahoIdaho | $240.85 | $124.38 |
| East St. Louis, ILIllinois | $252.69 | $136.22 |
| Rest of IllinoisIllinois | $247.91 | $132.34 |
| Suburban Chicago, ILIllinois | $271.30 | $141.29 |
| IndianaIndiana | $242.26 | $124.91 |
| KansasKansas | $238.09 | $123.66 |
| KentuckyKentucky | $238.44 | $125.91 |
| New Orleans, LALouisiana | $249.87 | $130.75 |
| Rest of LouisianaLouisiana | $238.03 | $125.99 |
| Metropolitan Boston, MAMassachusetts | $297.97 | $146.82 |
| Rest of MassachusettsMassachusetts | $269.26 | $135.96 |
| Baltimore area, MDMaryland | $276.38 | $140.55 |
| Rest of MarylandMaryland | $262.12 | $134.02 |
| Rest of MaineMaine | $241.99 | $125.53 |
| Southern Maine, MEMaine | $255.34 | $129.89 |
| Detroit, MIMichigan | $258.58 | $136.42 |
| Rest of MichiganMichigan | $244.58 | $129.00 |
| MinnesotaMinnesota | $259.88 | $129.61 |
| Metropolitan Kansas City, MOMissouri | $248.27 | $129.41 |
| Metropolitan St. Louis, MOMissouri | $250.90 | $130.38 |
| Rest of MissouriMissouri | $233.85 | $124.73 |
| MississippiMississippi | $231.85 | $122.86 |
| MontanaMontana | $259.84 | $133.25 |
| North CarolinaNorth Carolina | $244.55 | $126.45 |
| North DakotaNorth Dakota | $255.30 | $128.71 |
| NebraskaNebraska | $240.68 | $123.84 |
| New HampshireNew Hampshire | $266.57 | $134.79 |
| Northern New JerseyNew Jersey | $294.41 | $147.57 |
| Rest of New JerseyNew Jersey | $280.42 | $142.18 |
| New MexicoNew Mexico | $245.88 | $129.80 |
| NevadaNevada | $258.76 | $132.05 |
| NYC suburbs and Long Island, NYNew York | $305.96 | $155.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $282.17 | $143.56 |
| Queens, NYNew York | $301.47 | $151.84 |
| Rest of New YorkNew York | $248.23 | $127.97 |
| OhioOhio | $243.65 | $128.07 |
| OklahomaOklahoma | $238.13 | $125.09 |
| Portland, OROregon | $279.70 | $139.06 |
| Rest of OregonOregon | $256.83 | $130.75 |
| Metropolitan Philadelphia, PAPennsylvania | $270.18 | $138.40 |
| Rest of PennsylvaniaPennsylvania | $244.10 | $127.89 |
| Puerto RicoPuerto Rico | $261.80 | $133.82 |
| Rhode IslandRhode Island | $266.44 | $135.67 |
| South CarolinaSouth Carolina | $244.49 | $127.52 |
| South DakotaSouth Dakota | $254.76 | $128.17 |
| TennesseeTennessee | $239.28 | $124.21 |
| Austin, TXTexas | $269.96 | $136.03 |
| Beaumont, TXTexas | $242.48 | $127.28 |
| Brazoria, TXTexas | $257.01 | $131.56 |
| Dallas, TXTexas | $258.61 | $132.52 |
| Fort Worth, TXTexas | $256.84 | $132.02 |
| Galveston, TXTexas | $257.75 | $132.05 |
| Houston, TXTexas | $261.96 | $136.26 |
| Rest of TexasTexas | $249.57 | $129.44 |
| UtahUtah | $247.85 | $128.86 |
| VirginiaVirginia | $254.42 | $129.98 |
| Virgin Islands, VIUnited States Virgin Islands | $261.80 | $133.82 |
| VermontVermont | $254.19 | $128.87 |
| WisconsinWisconsin | $246.69 | $125.41 |
| West VirginiaWest Virginia | $238.67 | $128.66 |
| WyomingWyoming | $257.86 | $131.27 |
12031 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.
$229.76
$310.75
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $301.13 | 1 |
| AL | $233.14 | 1 |
| AR | $229.76 | 1 |
| AZ | $252.95 | 1 |
| CA | $275.36–$346.13 | 29 |
| CO | $270.93 | 1 |
| CT | $277.18 | 1 |
| DC | $297.54 | 1 |
| DE | $257.16 | 1 |
| FL | $255.49–$279.27 | 3 |
| GA | $241.13–$264.59 | 2 |
| GU | $282.25 | 1 |
| HI | $282.25 | 1 |
| IA | $239.33 | 1 |
| ID | $240.85 | 1 |
| IL | $247.91–$271.30 | 4 |
| IN | $242.26 | 1 |
| KS | $238.09 | 1 |
| KY | $238.44 | 1 |
| LA | $238.03–$249.87 | 2 |
| MA | $269.26–$297.97 | 2 |
| MD | $262.12–$297.54 | 3 |
| ME | $241.99–$255.34 | 2 |
| MI | $244.58–$258.58 | 2 |
| MN | $259.88 | 1 |
| MO | $233.85–$250.90 | 3 |
| MS | $231.85 | 1 |
| MT | $259.84 | 1 |
| NC | $244.55 | 1 |
| ND | $255.30 | 1 |
| NE | $240.68 | 1 |
| NH | $266.57 | 1 |
| NJ | $280.42–$294.41 | 2 |
| NM | $245.88 | 1 |
| NV | $258.76 | 1 |
| NY | $248.23–$305.96 | 5 |
| OH | $243.65 | 1 |
| OK | $238.13 | 1 |
| OR | $256.83–$279.70 | 2 |
| PA | $244.10–$270.18 | 2 |
| PR | $261.80 | 1 |
| RI | $266.44 | 1 |
| SC | $244.49 | 1 |
| SD | $254.76 | 1 |
| TN | $239.28 | 1 |
| TX | $242.48–$269.96 | 8 |
| UT | $247.85 | 1 |
| VA | $254.42–$297.54 | 2 |
| VI | $261.80 | 1 |
| VT | $254.19 | 1 |
| WA | $268.78–$304.17 | 2 |
| WI | $246.69 | 1 |
| WV | $238.67 | 1 |
| WY | $257.86 | 1 |
How the 12031 rate is calculated
Each of 12031’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 · 12031
RVUs × geographic indexes × conversion factor
Work1.95
1.95 RVUs× 1.000 GPCI
Practice expense5.60
5.60 RVUs× 1.000 GPCI
Malpractice0.23
0.23 RVUs× 1.000 GPCI
Adjusted RVUs
7.7800
Conversion factor
$33.4009
Medicare rate
$259.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact King County, WA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,412
- Code
- 12031
- Physician work
- 1.95
- Practice expense
- 5.60
- Malpractice
- 0.23
GPCI2026.csv
108
- Locality
- King County, WA
- Physician work
- 1.050
- Practice expense
- 1.227
- Malpractice
- 0.817
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.95 | × 1.050 | 2.0475 |
| Practice expense | 5.60 | × 1.227 | 6.8712 |
| Malpractice | 0.23 | × 0.817 | 0.1879 |
| Total RVUs | 9.1066 | ||
| Conversion factor | × 33.4009 | ||
Office rate, King County, WA$304.17
Office: (1.95 × 1.05 + 5.6 × 1.227 + 0.23 × 0.817) × $33.4009 = $304.17
Facility: (1.95 × 1.05 + 1.81 × 1.227 + 0.23 × 0.817) × $33.4009 = $148.84
Payment rules and modifiers for 12031
12031 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 12031
Wound repair, scalp, trunk, or extremity
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 12031
Wound repair, scalp, trunk, or extremity
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
12031 without 51 · national office
$259.86
Wound repair, scalp, trunk, or extremity
12031-51 · Second procedure: 50%
$129.93
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 12031 has changed in King County, WA
12031 · Office / nonfacility
$304.17
Effective 2026-10-01
The base rate is $9.87 higher than on 2025-10-01, moving from $294.30 to $304.17 (3.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$294.30changed to$304.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.00 changed to 1.95
- Practice expense RVU 5.58 changed to 5.60
- Malpractice RVU 0.24 changed to 0.23
- Work GPCI 1.043 changed to 1.050
- Practice expense GPCI 1.220 changed to 1.227
- Malpractice GPCI 0.853 changed to 0.817
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$306.39changed to$294.30
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.66 changed to 5.58
- Malpractice RVU 0.25 changed to 0.24
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$301.39changed to$306.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$309.24changed to$301.39
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.67 changed to 5.66
- Work GPCI 1.039 changed to 1.043
- Practice expense GPCI 1.207 changed to 1.220
- Malpractice GPCI 0.815 changed to 0.853
January 1, 2023
RVU23A
$311.87changed to$309.24
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.65 changed to 5.67
- Work GPCI 1.036 changed to 1.039
- Practice expense GPCI 1.194 changed to 1.207
- Malpractice GPCI 0.776 changed to 0.815
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$309.88changed to$311.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.54 changed to 5.65
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$289.75changed to$309.88
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.91 changed to 5.54
- Malpractice RVU 0.26 changed to 0.25
- Work GPCI 1.031 changed to 1.036
- Practice expense GPCI 1.170 changed to 1.194
- Malpractice GPCI 0.854 changed to 0.776
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$277.30changed to$289.75
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.67 changed to 4.91
- Malpractice RVU 0.31 changed to 0.26
- Work GPCI 1.027 changed to 1.031
- Practice expense GPCI 1.146 changed to 1.170
- Malpractice GPCI 0.931 changed to 0.854
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$268.82changed to$277.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.48 changed to 4.67
- Malpractice RVU 0.30 changed to 0.31
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$264.57changed to$268.82
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.43 changed to 4.48
- Malpractice RVU 0.31 changed to 0.30
- Work GPCI 1.026 changed to 1.027
- Practice expense GPCI 1.151 changed to 1.146
- Malpractice GPCI 0.713 changed to 0.931
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$260.44changed to$264.57
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.39 changed to 4.43
- Work GPCI 1.025 changed to 1.026
- Practice expense GPCI 1.155 changed to 1.151
- Malpractice GPCI 0.495 changed to 0.713
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$261.02changed to$260.44
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.29 changed to 0.31
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$259.72changed to$261.02
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$257.81changed to$259.72
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.29 changed to 4.39
- Malpractice RVU 0.31 changed to 0.29
- Practice expense GPCI 1.150 changed to 1.155
- Malpractice GPCI 0.688 changed to 0.495
Held through RVU15B.
January 1, 2014
RVU14A
$268.50changed to$257.81
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.86 changed to 4.29
- Malpractice RVU 0.32 changed to 0.31
- Practice expense GPCI 1.144 changed to 1.150
- Malpractice GPCI 0.881 changed to 0.688
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $268.50
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $304.17 | $148.84 | RVU26D |
| 2026-07-01 | $304.17 | $148.84 | RVU26C |
| 2026-04-01 | $304.17 | $148.84 | RVU26B |
| 2026-01-01 | $304.17 | $148.84 | RVU26A |
| 2025-10-01 | $294.30 | $166.04 | RVU25D |
| 2025-07-01 | $294.30 | $166.04 | RVU25C |
| 2025-04-01 | $294.30 | $166.04 | RVU25B |
| 2025-01-01 | $294.30 | $166.04 | RVU25A |
| 2024-10-01 | $306.39 | $169.53 | RVU24D |
| 2024-07-01 | $306.39 | $169.53 | RVU24C |
| 2024-04-01 | $306.39 | $169.53 | RVU24B |
| 2024-03-09 | $306.39 | $169.53 | RVU24AR |
| 2024-01-01 | $301.39 | $166.77 | RVU24A |
| 2023-10-01 | $309.24 | $169.76 | RVU23D |
| 2023-07-01 | $309.24 | $169.76 | RVU23C |
| 2023-04-01 | $309.24 | $169.76 | RVU23B |
| 2023-01-01 | $309.24 | $169.76 | RVU23A |
| 2022-10-01 | $311.87 | $168.08 | RVU22D |
| 2022-07-01 | $311.87 | $168.08 | RVU22C |
| 2022-04-01 | $311.87 | $168.08 | RVU22B |
| 2022-01-01 | $311.87 | $168.08 | RVU22A |
| 2021-10-01 | $309.88 | $168.64 | RVU21D |
| 2021-07-01 | $309.88 | $168.64 | RVU21C |
| 2021-04-01 | $309.88 | $168.64 | RVU21B |
| 2021-01-01 | $309.88 | $168.64 | RVU21A |
| 2020-10-01 | $289.75 | $171.10 | RVU20D |
| 2020-07-01 | $289.75 | $171.10 | RVU20C |
| 2020-04-01 | $289.75 | $171.10 | RVU20B |
| 2020-01-01 | $289.75 | $171.10 | RVU20A |
| 2019-10-01 | $277.30 | $170.74 | RVU19D |
| 2019-07-01 | $277.30 | $170.74 | RVU19C |
| 2019-04-01 | $277.30 | $170.74 | RVU19B |
| 2019-01-01 | $277.30 | $170.74 | RVU19A |
| 2018-10-01 | $268.82 | $171.05 | RVU18D |
| 2018-07-01 | $268.82 | $171.05 | RVU18C |
| 2018-04-01 | $268.82 | $171.05 | RVU18B |
| 2018-01-01 | $268.82 | $171.05 | RVU18AR1 |
| 2017-10-01 | $264.57 | $168.32 | RVU17D |
| 2017-07-01 | $264.57 | $168.32 | RVU17C |
| 2017-04-01 | $264.57 | $168.32 | RVU17B |
| 2017-01-01 | $264.57 | $168.32 | RVU17A |
| 2016-10-01 | $260.44 | $164.91 | RVU16D |
| 2016-07-01 | $260.44 | $164.91 | RVU16C |
| 2016-04-01 | $260.44 | $164.91 | RVU16B |
| 2016-01-01 | $260.44 | $164.91 | RVU16A |
| 2015-10-01 | $261.02 | $165.56 | RVU15D |
| 2015-07-01 | $261.02 | $165.56 | RVU15C |
| 2015-04-01 | $259.72 | $164.74 | RVU15B |
| 2015-01-01 | $259.72 | $164.74 | RVU15A |
| 2014-10-01 | $257.81 | $164.71 | RVU14D |
| 2014-07-01 | $257.81 | $164.71 | RVU14C |
| 2014-04-01 | $257.81 | $164.71 | RVU14B |
| 2014-01-01 | $257.81 | $164.71 | RVU14A |
| 2013-10-01 | $268.50 | $168.08 | RVU13D |
| 2013-07-01 | $268.50 | $168.08 | RVU13C |
| 2013-04-01 | $268.50 | $168.08 | RVU13B |
| 2013-01-01 | $268.50 | $168.08 | RVU13AR |
Where the King County, WA rate applies
King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.
- Seattle
- Algona
- Ames Lake
- 12031 in Auburn · multiple payment areas
- Baring
- Beaux Arts Village
- Bellevue
- Black Diamond
12031 billing questions
When is 12031 appropriate instead of a simple repair code?
Use 12031 when the wound needs layered closure of deeper tissue and skin, or extensive cleaning because it is heavily contaminated. A straightforward skin-only closure is reported from the simple-repair family instead.
How do I select the length level for multiple wounds?
Add the lengths of intermediate repairs in the same anatomic group, then select the code for that combined length. This code covers a combined length of 2.5 cm or less.
Can I report 12031 for a hand or foot wound?
No. Hands and feet are assigned to the separate intermediate-repair site group represented by 12041 and its related length levels.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 or an assistant-at-surgery modifier be used?
Bilateral adjustment does not apply to this code. CMS also identifies a statutory restriction on assistant-at-surgery payment.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the 50% reduction.
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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