CPT code 12034: Wound repair, intermediate, 7.6–12.5 cm2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $332.03 for 12034 in the office and $172.89 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 12034 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 12034 covers

This service covers closure of a wound that needs more than a simple skin-layer repair, such as layered closure involving deeper subcutaneous tissue or superficial fascia. It can also describe single-layer closure of a heavily contaminated wound after extensive cleaning. The wound must be on the scalp, axillae, trunk, or an extremity; hands and feet are classified elsewhere. Physicians and other qualified practitioners commonly perform these repairs in offices, emergency departments, and other outpatient settings after lacerations or similar injuries.

Select the code based on repair complexity, anatomic group, and total repaired length. Add lengths of qualifying wounds in the same repair category and anatomic group; document each wound’s site, length, tissue layers closed, and any extensive cleaning. The service has a 10-day global period, which includes related postoperative visits during that period. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this service; 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 Minnesota compares for 12034

Across 109 of 109 payment localities, the office rate for 12034 runs from $296.66 in Arkansas to $438.64 in San Benito County, CA. Minnesota pays $332.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

12034 rates by state

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

See 12034 in every payment locality

How the 12034 rate is calculated

Each of 12034’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 12034

12034 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 12034

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

How 12034 has changed in Minnesota

Price 12034 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

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