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CPT code 12041: Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or less2026 Medicare rate & RVUs in Houston, TX

Reports intermediate closure of a wound 2.5 cm or shorter on the neck, hand, foot, or external genitalia, including layered closure or qualifying contaminated-wound repair.

CMS RVU26DEffective Oct 1, 2026One payment locality20.7K Medicare services in 2024

In Houston, TX, Medicare pays $265.25 for 12041 in the office and $132.58 when it’s performed in a hospital or facility.

$265.25Office (non-facility)
$132.58Hospital or facility
+0.9%vs the national office rate ($262.87)

Check a contract rate as a % of Medicare · 12041 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 12041 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 12041 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 12041 covers

This service covers closure of a wound in the code’s site group when the repair requires more than a simple skin closure. Typically, the clinician closes deeper subcutaneous tissue and superficial fascia as well as the skin. It can also cover a single-layer closure of a heavily contaminated wound that needs extensive cleaning or removal of embedded material. Emergency physicians, surgeons, and other clinicians who repair traumatic lacerations may perform it in an emergency department, clinic, or operating setting.

Select the code by the documented wound site, repair complexity, and total length repaired; combine lengths for wounds of the same complexity in the same anatomic grouping. Documentation should identify each site and length and describe the layered closure or qualifying extensive cleaning. CMS assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting 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 Houston, TX compares for 12041

Across 109 of 109 payment localities, the office rate for 12041 runs from $232.58 in Arkansas to $348.75 in San Benito County, CA. Houston, TX pays $265.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

12041 in Houston, TX vs other payment areas
  1. Houston, TX · this page$265.25
  2. Austin, TX · Texas$272.84+$7.59
  3. Beaumont, TX · Texas$245.53−$19.72
  4. Brazoria, TX · Texas$259.90−$5.35
  5. Dallas, TX · Texas$261.55−$3.70
  6. Fort Worth, TX · Texas$259.80−$5.45
  7. Galveston, TX · Texas$260.67−$4.58

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

Every other payment area

12041 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$252.57$125.78
Los Angeles, CACalifornia$296.91$138.86
Washington, DC areaDistrict of Columbia$300.62$143.24
Miami, FLFlorida$283.26$144.18
Chicago, ILIllinois$275.09$140.82
Manhattan, NYNew York$302.28$147.03
AlaskaAlaska$305.44$163.16
AlabamaAlabama$235.99$119.08

12041 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.

$232.58

$313.38

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

View every state and territory as a table
12041 office rate range by state
State / territoryOffice rate rangeLocalities
AK$305.441
AL$235.991
AR$232.581
AZ$255.901
CA$278.01–$348.7529
CO$273.761
CT$280.311
DC$300.621
DE$260.131
FL$258.88–$283.263
GA$244.38–$267.732
GU$284.841
HI$284.841
IA$242.021
ID$243.581
IL$251.38–$275.094
IN$244.991
KS$240.861
KY$241.501
LA$241.12–$253.022
MA$272.13–$300.852
MD$265.10–$300.623
ME$244.83–$258.112
MI$247.76–$262.082
MN$262.381
MO$236.97–$253.953
MS$234.831
MT$262.851
NC$247.391
ND$257.911
NE$243.351
NH$269.451
NJ$283.53–$297.512
NM$249.101
NV$261.661
NY$251.08–$309.575
OH$246.751
OK$241.101
OR$259.64–$282.472
PA$247.15–$273.342
PR$264.791
RI$269.401
SC$247.471
SD$257.321
TN$242.071
TX$245.53–$272.848
UT$250.851
VA$257.25–$300.622
VI$264.791
VT$256.881
WA$271.62–$306.992
WI$249.271
WV$242.091
WY$260.691

See 12041 in every payment locality

How the 12041 rate is calculated

Each of 12041’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 · 12041

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.05

2.05 RVUs× 1.000 GPCI

Practice expense5.57

5.57 RVUs× 1.000 GPCI

Malpractice0.25

0.25 RVUs× 1.000 GPCI

Adjusted RVUs

7.8700

Conversion factor

$33.4009

Medicare rate

$262.87

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

The exact Houston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,418

Code
12041
Physician work
2.05
Practice expense
5.57
Malpractice
0.25

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 12041 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0082.0664
Practice expense5.57× 0.9935.5310
Malpractice0.25× 1.3760.3440
Total RVUs7.9414
Conversion factor× 33.4009

Office rate, Houston, TX$265.25

Office: (2.05 × 1.008 + 5.57 × 0.993 + 0.25 × 1.376) × $33.4009 = $265.25

Facility: (2.05 × 1.008 + 1.57 × 0.993 + 0.25 × 1.376) × $33.4009 = $132.58

Open 12041 in the RVU calculator

Payment rules and modifiers for 12041

12041 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12041

Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or less

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 · 12041

Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or less

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

12041 without 51 · national office

$262.87

Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or less

12041-51 · Second procedure: 50%

$131.44

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 12041

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

Codes related to 12041
CodeHow it relatesOffice range, Houston, TX
Same family
12042Intermediate wound repair, neck, hands, feet, or genitaliaNext length level for intermediate repair in this site grouping.$308.02
12044Intermediate repair, neck, hands, feet, or genitaliaHigher length level for intermediate repair in this site grouping.$392.59
12031Wound repair, scalp, trunk, or extremityIntermediate repair at a different anatomic site grouping.$261.96
12051Facial repair, intermediate, 2.5 cm or lessIntermediate repair for the face or mucous membranes.$285.77
Used instead
12001Simple wound repair, 2.5 cm or lessSimple repair option for a superficial wound in overlapping site groupings.$115.81

How 12041 has changed in Houston, TX

12041 · Office / nonfacility

$265.25

Effective 2026-10-01

The base rate is $5.95 higher than on 2025-10-01, moving from $259.30 to $265.25 (2.3%).

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

    $259.30changed to$265.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.10 changed to 2.05
    • Practice expense RVU 5.49 changed to 5.57
    • Malpractice RVU 0.27 changed to 0.25
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $269.04changed to$259.30

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.57 changed to 5.49
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $264.65changed to$269.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $275.43changed to$264.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.59 changed to 5.57
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $281.49changed to$275.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.58 changed to 5.59
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $279.83changed to$281.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.46 changed to 5.58
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $264.13changed to$279.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.82 changed to 5.46
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $253.99changed to$264.13

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.57 changed to 4.82
    • Malpractice RVU 0.30 changed to 0.27
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $246.43changed to$253.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.37 changed to 4.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $243.83changed to$246.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.32 changed to 4.37
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $241.74changed to$243.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.29 changed to 4.32
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $246.97changed to$241.74

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.42 changed to 4.29
    • Malpractice RVU 0.30 changed to 0.31

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $245.74changed to$246.97

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $242.08changed to$245.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.32 changed to 4.42
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $248.16changed to$242.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.87 changed to 4.32
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $248.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$265.25$132.58RVU26D
2026-07-01$265.25$132.58RVU26C
2026-04-01$265.25$132.58RVU26B
2026-01-01$265.25$132.58RVU26A
2025-10-01$259.30$147.04RVU25D
2025-07-01$259.30$147.04RVU25C
2025-04-01$259.30$147.04RVU25B
2025-01-01$259.30$147.04RVU25A
2024-10-01$269.04$149.52RVU24D
2024-07-01$269.04$149.52RVU24C
2024-04-01$269.04$149.52RVU24B
2024-03-09$269.04$149.52RVU24AR
2024-01-01$264.65$147.08RVU24A
2023-10-01$275.43$150.10RVU23D
2023-07-01$275.43$150.10RVU23C
2023-04-01$275.43$150.10RVU23B
2023-01-01$275.43$150.10RVU23A
2022-10-01$281.49$149.02RVU22D
2022-07-01$281.49$149.02RVU22C
2022-04-01$281.49$149.02RVU22B
2022-01-01$281.49$149.02RVU22A
2021-10-01$279.83$150.57RVU21D
2021-07-01$279.83$150.57RVU21C
2021-04-01$279.83$150.57RVU21B
2021-01-01$279.83$150.57RVU21A
2020-10-01$264.13$154.80RVU20D
2020-07-01$264.13$154.80RVU20C
2020-04-01$264.13$154.80RVU20B
2020-01-01$264.13$154.80RVU20A
2019-10-01$253.99$156.25RVU19D
2019-07-01$253.99$156.25RVU19C
2019-04-01$253.99$156.25RVU19B
2019-01-01$253.99$156.25RVU19A
2018-10-01$246.43$157.53RVU18D
2018-07-01$246.43$157.53RVU18C
2018-04-01$246.43$157.53RVU18B
2018-01-01$246.43$157.53RVU18AR1
2017-10-01$243.83$157.29RVU17D
2017-07-01$243.83$157.29RVU17C
2017-04-01$243.83$157.29RVU17B
2017-01-01$243.83$157.29RVU17A
2016-10-01$241.74$156.01RVU16D
2016-07-01$241.74$156.01RVU16C
2016-04-01$241.74$156.01RVU16B
2016-01-01$241.74$156.01RVU16A
2015-10-01$246.97$162.74RVU15D
2015-07-01$246.97$162.74RVU15C
2015-04-01$245.74$161.93RVU15B
2015-01-01$245.74$161.93RVU15A
2014-10-01$242.08$159.72RVU14D
2014-07-01$242.08$159.72RVU14C
2014-04-01$242.08$159.72RVU14B
2014-01-01$242.08$159.72RVU14A
2013-10-01$248.16$159.19RVU13D
2013-07-01$248.16$159.19RVU13C
2013-04-01$248.16$159.19RVU13B
2013-01-01$248.16$159.19RVU13AR

Price 12041 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

12041 billing questions

What wound length qualifies for this code?

Use it for a qualifying intermediate repair with a total repaired length of 2.5 cm or less in the neck, hands, feet, or external genitalia. A longer repair in the same site group falls into a higher length level.

What makes the repair intermediate rather than simple?

The repair generally includes closure of deeper subcutaneous tissue and superficial fascia in addition to skin. A single-layer closure may also qualify when the wound is heavily contaminated and requires extensive cleaning or removal of embedded material.

Can lengths from multiple wounds be added together?

Yes, combine lengths for wounds of the same complexity within the same anatomic grouping. Document each wound’s location and length so the combined measurement is supported.

Are related postoperative visits separately reported during the global period?

Related postoperative visits for 10 days are included in the minor-procedure global period.

Can modifier 50 or an assistant-at-surgery modifier be reported?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery reporting are also 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 12041PPRRVU2026_Oct_nonQPP.csv, line 1,418 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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