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CPT code 12037: Intermediate repair, over 30 cm, scalp/trunk/extremities2026 Medicare rate & RVUs in Washington, DC area

Reports intermediate layered closure of qualifying scalp, axillary, trunk, or extremity wounds when the combined repair length exceeds 30 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality560 Medicare services in 2024

In Washington, DC area, Medicare pays $608.97 for 12037 in the office and $339.84 when it’s performed in a hospital or facility.

$608.97Office (non-facility)
$339.84Hospital or facility
+13.6%vs the national office rate ($536.08)

Check a contract rate as a % of Medicare · 12037 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 12037 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 12037 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 12037 covers

This service covers closure of qualifying wounds in the scalp, axillae, trunk, or extremities other than the hands and feet. Intermediate repair involves layered closure, such as closing deeper subcutaneous tissue and superficial fascia as well as the skin. It may also describe a single-layer closure when a heavily contaminated wound requires extensive cleaning. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, clinics, and operating or procedure rooms.

Select the code when the combined length of intermediate repairs in this anatomic group is more than 30 cm. Document each wound’s location, length, and closure technique, including the deeper-layer work or extensive cleaning that supports intermediate complexity. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon payment require supporting documentation; team surgery is 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 Washington, DC area compares for 12037

Across 109 of 109 payment localities, the office rate for 12037 runs from $471.18 in Arkansas to $686.54 in San Benito County, CA. Washington, DC area pays $608.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

12037 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$608.97
  2. Los Angeles, CA · California$592.49−$16.48
  3. Miami, FL · Florida$604.56−$4.41
  4. Chicago, IL · Illinois$585.19−$23.78
  5. Manhattan, NY · New York$622.11+$13.14
  6. Alaska · Alaska$623.46+$14.49
  7. Alabama · Alabama$478.41−$130.56

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

12037 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$471.18$274.94
ArizonaArizona$520.48$299.10
Bakersfield, CACalifornia$557.59$307.20
Chico, CACalifornia$554.66$304.26
El Centro, CACalifornia$554.84$304.44
Fresno, CACalifornia$554.66$304.26
Hanford, CACalifornia$554.66$304.26
Madera, CACalifornia$554.66$304.26

12037 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.

$471.18

$623.46

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

View every state and territory as a table
12037 office rate range by state
State / territoryOffice rate rangeLocalities
AK$623.461
AL$478.411
AR$471.181
AZ$520.481
CA$554.66–$686.5429
CO$551.801
CT$572.831
DC$608.971
DE$529.241
FL$539.22–$604.563
GA$506.51–$549.152
GU$567.261
HI$567.261
IA$485.861
ID$490.261
IL$526.86–$585.194
IN$493.091
KS$485.971
KY$495.601
LA$495.79–$521.042
MA$549.32–$604.282
MD$538.83–$608.973
ME$495.59–$519.862
MI$511.35–$548.792
MN$520.711
MO$488.60–$519.963
MS$479.871
MT$536.011
NC$500.581
ND$514.861
NE$487.881
NH$545.451
NJ$577.11–$602.762
NM$515.271
NV$530.451
NY$508.60–$640.905
OH$507.021
OK$492.021
OR$524.12–$566.992
PA$506.46–$559.752
PR$539.261
RI$546.451
SC$505.091
SD$512.351
TN$488.841
TX$503.19–$551.908
UT$512.201
VA$519.84–$608.972
VI$539.261
VT$515.061
WA$547.54–$614.272
WI$497.181
WV$507.301
WY$526.791

See 12037 in every payment locality

How the 12037 rate is calculated

Each of 12037’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 · 12037

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.88

4.88 RVUs× 1.000 GPCI

Practice expense10.10

10.10 RVUs× 1.000 GPCI

Malpractice1.07

1.07 RVUs× 1.000 GPCI

Adjusted RVUs

16.0500

Conversion factor

$33.4009

Medicare rate

$536.08

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,417

Code
12037
Physician work
4.88
Practice expense
10.10
Malpractice
1.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 12037 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.88× 1.0545.1435
Practice expense10.10× 1.17811.8978
Malpractice1.07× 1.1131.1909
Total RVUs18.2322
Conversion factor× 33.4009

Office rate, Washington, DC area$608.97

Office: (4.88 × 1.054 + 10.1 × 1.178 + 1.07 × 1.113) × $33.4009 = $608.97

Facility: (4.88 × 1.054 + 3.26 × 1.178 + 1.07 × 1.113) × $33.4009 = $339.84

Open 12037 in the RVU calculator

Payment rules and modifiers for 12037

12037 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12037

Intermediate repair, over 30 cm, scalp/trunk/extremities

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)0Not paid without supporting documentation.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 12037

Intermediate repair, over 30 cm, scalp/trunk/extremities

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

12037 without 51 · national office

$536.08

Intermediate repair, over 30 cm, scalp/trunk/extremities

12037-51 · Second procedure: 50%

$268.04

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 12037

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

Codes related to 12037
CodeHow it relatesOffice range, Washington, DC area
Same family
12036Wound repair, intermediate, 20.1–30 cmIntermediate repair in the same anatomic group when combined length is 20.1–30 cm.$546.39
12034Wound repair, intermediate, 7.6–12.5 cmIntermediate repair in the same anatomic group when combined length is 7.6–12.5 cm.$381.39
Used instead
12047Intermediate repair, neck, hands, feet, genitalia; over 30 cmIntermediate repair for the neck, hands, feet, or external genitalia.$696.05
12057Wound repair, face and related sites, over 30 cmIntermediate repair for the face and specified facial or mucosal sites.$737.51
13101Complex repair, trunk, 2.6–7.5 cmComplex repair of a trunk wound when the documented closure meets complex-repair criteria.$444.97

How 12037 has changed in Washington, DC area

12037 · Office / nonfacility

$608.97

Effective 2026-10-01

The base rate is $66.37 higher than on 2025-10-01, moving from $542.60 to $608.97 (12.2%).

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

    $542.60changed to$608.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.00 changed to 4.88
    • Practice expense RVU 8.62 changed to 10.10
    • Malpractice RVU 1.04 changed to 1.07
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $558.37changed to$542.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.60 changed to 8.62
    • Malpractice RVU 1.06 changed to 1.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $549.26changed to$558.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $572.38changed to$549.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.54 changed to 8.60
    • Malpractice RVU 1.01 changed to 1.06
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $590.81changed to$572.38

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.46 changed to 8.54
    • Malpractice RVU 1.04 changed to 1.01
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $594.37changed to$590.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.45 changed to 8.46
    • Malpractice RVU 1.02 changed to 1.04

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $588.38changed to$594.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.99 changed to 8.45
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $568.08changed to$588.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.73 changed to 7.99
    • Malpractice RVU 0.97 changed to 1.02
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $568.30changed to$568.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.76 changed to 7.73
    • Malpractice RVU 0.96 changed to 0.97

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $565.70changed to$568.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.72 changed to 7.76
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $559.53changed to$565.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.62 changed to 7.72
    • Malpractice RVU 0.93 changed to 0.96
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $565.50changed to$559.53

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.69 changed to 7.62
    • Malpractice RVU 0.95 changed to 0.93

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $562.69changed to$565.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $550.29changed to$562.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.49 changed to 7.69
    • Malpractice RVU 0.92 changed to 0.95
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $543.47changed to$550.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.05 changed to 7.49
    • Malpractice RVU 0.96 changed to 0.92
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $543.47

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$608.97$339.84RVU26D
2026-07-01$608.97$339.84RVU26C
2026-04-01$608.97$339.84RVU26B
2026-01-01$608.97$339.84RVU26A
2025-10-01$542.60$358.69RVU25D
2025-07-01$542.60$358.69RVU25C
2025-04-01$542.60$358.69RVU25B
2025-01-01$542.60$358.69RVU25A
2024-10-01$558.37$367.12RVU24D
2024-07-01$558.37$367.12RVU24C
2024-04-01$558.37$367.12RVU24B
2024-03-09$558.37$367.12RVU24AR
2024-01-01$549.26$361.13RVU24A
2023-10-01$572.38$374.51RVU23D
2023-07-01$572.38$374.51RVU23C
2023-04-01$572.38$374.51RVU23B
2023-01-01$572.38$374.51RVU23A
2022-10-01$590.81$384.64RVU22D
2022-07-01$590.81$384.64RVU22C
2022-04-01$590.81$384.64RVU22B
2022-01-01$590.81$384.64RVU22A
2021-10-01$594.37$385.63RVU21D
2021-07-01$594.37$385.63RVU21C
2021-04-01$594.37$385.63RVU21B
2021-01-01$594.37$385.63RVU21A
2020-10-01$588.38$390.97RVU20D
2020-07-01$588.38$390.97RVU20C
2020-04-01$588.38$390.97RVU20B
2020-01-01$588.38$390.97RVU20A
2019-10-01$568.08$381.78RVU19D
2019-07-01$568.08$381.78RVU19C
2019-04-01$568.08$381.78RVU19B
2019-01-01$568.08$381.78RVU19A
2018-10-01$568.30$383.51RVU18D
2018-07-01$568.30$383.51RVU18C
2018-04-01$568.30$383.51RVU18B
2018-01-01$568.30$383.51RVU18AR1
2017-10-01$565.70$383.64RVU17D
2017-07-01$565.70$383.64RVU17C
2017-04-01$565.70$383.64RVU17B
2017-01-01$565.70$383.64RVU17A
2016-10-01$559.53$380.48RVU16D
2016-07-01$559.53$380.48RVU16C
2016-04-01$559.53$380.48RVU16B
2016-01-01$559.53$380.48RVU16A
2015-10-01$565.50$384.08RVU15D
2015-07-01$565.50$384.08RVU15C
2015-04-01$562.69$382.16RVU15B
2015-01-01$562.69$382.16RVU15A
2014-10-01$550.29$376.77RVU14D
2014-07-01$550.29$376.77RVU14C
2014-04-01$550.29$376.77RVU14B
2014-01-01$550.29$376.77RVU14A
2013-10-01$543.47$365.35RVU13D
2013-07-01$543.47$365.35RVU13C
2013-04-01$543.47$365.35RVU13B
2013-01-01$543.47$365.35RVU13AR

Price 12037 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

12037 billing questions

How is the length threshold determined when there are several wounds?

Combine the lengths of qualifying intermediate repairs in this anatomic group. Report this code when that combined length is more than 30 cm, and retain each wound’s location and measurement in the record.

What distinguishes intermediate repair from simple repair?

Intermediate repair involves layered closure of deeper tissue along with skin closure, or single-layer closure of a heavily contaminated wound requiring extensive cleaning. A superficial wound closed without those features may support a simple repair code instead.

Can wounds on the hands or feet be included in this code?

No. The 12031–12037 group covers the scalp, axillae, trunk, and extremities other than the hands and feet; those sites are classified in another intermediate-repair group.

Does this code have a postoperative global period?

Yes. Related postoperative visits during the 10-day global period are included in the procedure payment.

Can modifier 50 be used for bilateral wounds?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its descriptor or anatomy.

When can an assistant or co-surgeon be paid?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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 12037PPRRVU2026_Oct_nonQPP.csv, line 1,417 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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