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CPT code 12035: Wound repair, intermediate, 12.6–20 cm2026 Medicare rate & RVUs in Los Angeles, CA

Reports intermediate repair of qualifying scalp, axillary, trunk, or extremity wounds when the summed repair length is 12.6 to 20.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality5.7K Medicare services in 2024

In Los Angeles, CA, Medicare pays $463.04 for 12035 in the office and $238.61 when it’s performed in a hospital or facility.

$463.04Office (non-facility)
$238.61Hospital or facility
+11.8%vs the national office rate ($414.17)

Check a contract rate as a % of Medicare · 12035 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 12035 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 12035 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 12035 covers

This code covers intermediate repair of wounds on the scalp, axillae, trunk, or extremities, excluding the hands and feet. The repair generally closes deeper subcutaneous tissue or superficial fascia as well as the skin. A heavily contaminated wound may qualify when extensive cleaning is needed, even if closure is in one layer. Emergency physicians, surgeons, and other clinicians who repair traumatic or surgical wounds may perform this service in an office, emergency department, or operating room.

Select the code by the qualifying wound site, repair complexity, and summed length of wounds in the same anatomic grouping and repair classification; the total must be 12.6 to 20.0 cm. Document each wound’s location and length, the closure technique and layers repaired, and extensive cleaning when that is the basis for intermediate repair. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is not appropriate for this code. Assistant-at-surgery payment is 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 Los Angeles, CA compares for 12035

Across 109 of 109 payment localities, the office rate for 12035 runs from $364.71 in Arkansas to $540.66 in San Benito County, CA. Los Angeles, CA pays $463.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

12035 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$463.04
  2. Bakersfield, CA · California$435.08−$27.96
  3. Chico, CA · California$433.34−$29.70
  4. El Centro, CA · California$433.44−$29.60
  5. Fresno, CA · California$433.34−$29.70
  6. Hanford, CA · California$433.34−$29.70
  7. Madera, CA · California$433.34−$29.70

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

Every other payment area

12035 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$433.34$225.41
Modesto, CACalifornia$433.34$225.41
Napa, CACalifornia$500.06$250.01
Oxnard, CACalifornia$460.43$236.19
Redding, CACalifornia$433.34$225.41
Rest of CaliforniaCalifornia$433.34$225.41
Riverside, CACalifornia$440.02$232.09
Sacramento, CACalifornia$454.23$233.59

12035 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$364.71

$487.00

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
12035 office rate range by state
State / territoryOffice rate rangeLocalities
AK$479.991
AL$370.241
AR$364.711
AZ$402.521
CA$433.34–$540.6629
CO$428.891
CT$442.321
DC$472.421
DE$409.291
FL$412.29–$457.303
GA$387.95–$423.152
GU$443.751
HI$443.751
IA$377.921
ID$380.891
IL$401.51–$443.184
IN$383.121
KS$377.061
KY$381.381
LA$381.15–$400.492
MA$426.61–$470.802
MD$416.97–$472.423
ME$383.98–$404.012
MI$392.52–$418.592
MN$407.701
MO$375.05–$400.793
MS$369.911
MT$414.131
NC$387.961
ND$401.871
NE$379.761
NH$423.041
NJ$446.46–$467.492
NM$395.131
NV$410.991
NY$394.04–$492.055
OH$390.011
OK$379.641
OR$406.90–$441.722
PA$390.11–$431.682
PR$416.941
RI$423.321
SC$389.821
SD$400.421
TN$379.141
TX$387.54–$428.258
UT$395.281
VA$403.33–$472.422
VI$416.941
VT$401.151
WA$425.52–$479.542
WI$388.101
WV$386.471
WY$408.791

See 12035 in every payment locality

How the 12035 rate is calculated

Each of 12035’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 · 12035

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense8.37

8.37 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

12.4000

Conversion factor

$33.4009

Medicare rate

$414.17

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,415

Code
12035
Physician work
3.41
Practice expense
8.37
Malpractice
0.62

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 12035 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0413.5498
Practice expense8.37× 1.1839.9017
Malpractice0.62× 0.6640.4117
Total RVUs13.8632
Conversion factor× 33.4009

Office rate, Los Angeles, CA$463.04

Office: (3.41 × 1.041 + 8.37 × 1.183 + 0.62 × 0.664) × $33.4009 = $463.04

Facility: (3.41 × 1.041 + 2.69 × 1.183 + 0.62 × 0.664) × $33.4009 = $238.61

Open 12035 in the RVU calculator

Payment rules and modifiers for 12035

12035 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12035

Wound repair, intermediate, 12.6–20 cm

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 12035

Wound repair, intermediate, 12.6–20 cm

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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

12035 without 51 · national office

$414.17

Wound repair, intermediate, 12.6–20 cm

12035-51 · Second procedure: 50%

$207.09

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

Codes related to 12035

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

Codes related to 12035
CodeHow it relatesOffice range, Los Angeles, CA
Same family
12034Wound repair, intermediate, 7.6–12.5 cmIntermediate repair for the same general site group, at a shorter total length.$375.41
12036Wound repair, intermediate, 20.1–30 cmIntermediate repair for the same general site group, at a longer total length.$532.66
12037Intermediate repair, over 30 cm, scalp/trunk/extremitiesIntermediate repair for the same general site group, when total length exceeds 30 cm.$592.49
Used instead
12045Intermediate wound repair, neck, hands, feet, or genitaliaIntermediate repair at a different anatomic site group, for 12.6 to 20 cm.$507.10
12055Wound repair, face and mucous membranesIntermediate repair of face or mucous membrane sites, for 12.6 to 20 cm.$609.57
12016Simple wound repair, face group, 12.6–20 cmSimple repair of specified face sites at the same length range, when intermediate repair criteria are not met.$293.55

How 12035 has changed in Los Angeles, CA

12035 · Office / nonfacility

$463.04

Effective 2026-10-01

The base rate is $39.42 higher than on 2025-10-01, moving from $423.62 to $463.04 (9.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $423.62changed to$463.04

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 7.55 changed to 8.37
    • Malpractice RVU 0.63 changed to 0.62
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $437.14changed to$423.62

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.58 changed to 7.55

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $430.00changed to$437.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $443.63changed to$430.00

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.57 changed to 7.58
    • Malpractice RVU 0.64 changed to 0.63
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $449.08changed to$443.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.51 changed to 7.57
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $455.67changed to$449.08

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.58 changed to 7.51

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $441.74changed to$455.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.91 changed to 7.58
    • Malpractice RVU 0.62 changed to 0.64
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $436.83changed to$441.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.84 changed to 6.91
    • Malpractice RVU 0.59 changed to 0.62
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $432.97changed to$436.83

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.76 changed to 6.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $430.27changed to$432.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.71 changed to 6.76
    • Malpractice RVU 0.60 changed to 0.59
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $430.88changed to$430.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.74 changed to 6.71
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $430.86changed to$430.88

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.71 changed to 6.74
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $428.72changed to$430.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $424.96changed to$428.72

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.68 changed to 6.71
    • Malpractice RVU 0.62 changed to 0.59
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $433.60changed to$424.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.54 changed to 6.68
    • Malpractice RVU 0.65 changed to 0.62
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$433.60

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$463.04$238.61RVU26D
2026-07-01$463.04$238.61RVU26C
2026-04-01$463.04$238.61RVU26B
2026-01-01$463.04$238.61RVU26A
2025-10-01$423.62$254.46RVU25D
2025-07-01$423.62$254.46RVU25C
2025-04-01$423.62$254.46RVU25B
2025-01-01$423.62$254.46RVU25A
2024-10-01$437.14$259.48RVU24D
2024-07-01$437.14$259.48RVU24C
2024-04-01$437.14$259.48RVU24B
2024-03-09$437.14$259.48RVU24AR
2024-01-01$430.00$255.24RVU24A
2023-10-01$443.63$261.72RVU23D
2023-07-01$443.63$261.72RVU23C
2023-04-01$443.63$261.72RVU23B
2023-01-01$443.63$261.72RVU23A
2022-10-01$449.08$263.66RVU22D
2022-07-01$449.08$263.66RVU22C
2022-04-01$449.08$263.66RVU22B
2022-01-01$449.08$263.66RVU22A
2021-10-01$455.67$264.61RVU21D
2021-07-01$455.67$264.61RVU21C
2021-04-01$455.67$264.61RVU21B
2021-01-01$455.67$264.61RVU21A
2020-10-01$441.74$268.16RVU20D
2020-07-01$441.74$268.16RVU20C
2020-04-01$441.74$268.16RVU20B
2020-01-01$441.74$268.16RVU20A
2019-10-01$436.83$266.31RVU19D
2019-07-01$436.83$266.31RVU19C
2019-04-01$436.83$266.31RVU19B
2019-01-01$436.83$266.31RVU19A
2018-10-01$432.97$266.45RVU18D
2018-07-01$432.97$266.45RVU18C
2018-04-01$432.97$266.45RVU18B
2018-01-01$432.97$266.45RVU18AR1
2017-10-01$430.27$266.65RVU17D
2017-07-01$430.27$266.65RVU17C
2017-04-01$430.27$266.65RVU17B
2017-01-01$430.27$266.65RVU17A
2016-10-01$430.88$267.52RVU16D
2016-07-01$430.88$267.52RVU16C
2016-04-01$430.88$267.52RVU16B
2016-01-01$430.88$267.52RVU16A
2015-10-01$430.86$268.16RVU15D
2015-07-01$430.86$268.16RVU15C
2015-04-01$428.72$266.82RVU15B
2015-01-01$428.72$266.82RVU15A
2014-10-01$424.96$263.60RVU14D
2014-07-01$424.96$263.60RVU14C
2014-04-01$424.96$263.60RVU14B
2014-01-01$424.96$263.60RVU14A
2013-10-01$433.60$258.89RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 12035 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

12035 billing questions

How is 12035 distinguished from 12034 or 12036?

Use 12035 when the qualifying intermediate repairs total 12.6 to 20.0 cm. Code 12034 covers the shorter 7.6-to-12.5-cm range, while 12036 covers 20.1 to 30.0 cm.

Which wound sites belong under 12035?

This code is for qualifying wounds of the scalp, axillae, trunk, or extremities, excluding hands and feet. Neck, hand, foot, and external genitalia repairs are represented in a different intermediate-repair series.

Does a single-layer closure ever qualify as intermediate repair?

Yes. A heavily contaminated wound can qualify when extensive cleaning is required, even if it is closed in one layer. Document the contamination and cleaning performed.

What length should be documented when several wounds are repaired?

Record each wound’s length and site. Lengths may be combined when the wounds share the same repair classification and anatomic grouping; the qualifying total for 12035 is 12.6 to 20.0 cm.

Can modifier 50 be reported for bilateral wounds?

Modifier 50 is not appropriate for 12035. Select and report the repair based on the applicable site, complexity, and length.

Are follow-up visits included after the repair?

Related postoperative visits for 10 days are included in the global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple-procedure 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
RVUs for 12035PPRRVU2026_Oct_nonQPP.csv, line 1,415 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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