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

In Tennessee, Medicare pays $488.84 for 12037 in the office and $281.17 when it’s performed in a hospital or facility.

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.

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 Tennessee 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. Tennessee pays $488.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

12037 rates by state

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

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.

Payment rules and modifiers for 12037

12037 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 12037

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

How 12037 has changed in Tennessee

Price 12037 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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