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

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 Utah, Medicare pays $250.85 for 12041 in the office and $125.26 when it’s performed in a hospital or facility.

$250.85Office (non-facility)
$125.26Hospital or facility
−4.6%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 Utah
  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 Utah 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. Utah pays $250.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

12041 in Utah vs other payment areas
  1. Utah · this page$250.85
  2. Los Angeles, CA · California$296.91+$46.06
  3. Washington, DC area · District of Columbia$300.62+$49.77
  4. Miami, FL · Florida$283.26+$32.41
  5. Chicago, IL · Illinois$275.09+$24.24
  6. Manhattan, NY · New York$302.28+$51.43
  7. Alaska · Alaska$305.44+$54.59

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

Every other payment area

12041 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$235.99$119.08
ArkansasArkansas$232.58$117.82
ArizonaArizona$255.90$126.43
Bakersfield, CACalifornia$278.76$132.33
Chico, CACalifornia$278.01$131.59
El Centro, CACalifornia$278.06$131.63
Fresno, CACalifornia$278.01$131.59
Hanford, CACalifornia$278.01$131.59

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 12041 in Utah
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0002.0500
Practice expense5.57× 0.9405.2358
Malpractice0.25× 0.8980.2245
Total RVUs7.5103
Conversion factor× 33.4009

Office rate, Utah$250.85

Office: (2.05 × 1 + 5.57 × 0.94 + 0.25 × 0.898) × $33.4009 = $250.85

Facility: (2.05 × 1 + 1.57 × 0.94 + 0.25 × 0.898) × $33.4009 = $125.26

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, Utah
Same family
12042Intermediate wound repair, neck, hands, feet, or genitaliaNext length level for intermediate repair in this site grouping.$291.68
12044Intermediate repair, neck, hands, feet, or genitaliaHigher length level for intermediate repair in this site grouping.$370.45
12031Wound repair, scalp, trunk, or extremityIntermediate repair at a different anatomic site grouping.$247.85
12051Facial repair, intermediate, 2.5 cm or lessIntermediate repair for the face or mucous membranes.$270.07
Used instead
12001Simple wound repair, 2.5 cm or lessSimple repair option for a superficial wound in overlapping site groupings.$108.45

How 12041 has changed in Utah

12041 · Office / nonfacility

$250.85

Effective 2026-10-01

The base rate is $9.12 higher than on 2025-10-01, moving from $241.73 to $250.85 (3.8%).

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

    $241.73changed to$250.85

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $250.94changed to$241.73

    • 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

    $246.85changed to$250.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $254.20changed to$246.85

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.59 changed to 5.57
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $257.05changed to$254.20

    • 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
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $255.61changed to$257.05

    • 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

    $245.91changed to$255.61

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $240.95changed to$245.91

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $234.02changed to$240.95

    • 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

    $231.76changed to$234.02

    • 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 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $229.78changed to$231.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.29 changed to 4.32
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $234.50changed to$229.78

    • 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

    $233.33changed to$234.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $230.06changed to$233.33

    • 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
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $235.22changed to$230.06

    • 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
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $235.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$250.85$125.26RVU26D
2026-07-01$250.85$125.26RVU26C
2026-04-01$250.85$125.26RVU26B
2026-01-01$250.85$125.26RVU26A
2025-10-01$241.73$137.31RVU25D
2025-07-01$241.73$137.31RVU25C
2025-04-01$241.73$137.31RVU25B
2025-01-01$241.73$137.31RVU25A
2024-10-01$250.94$139.76RVU24D
2024-07-01$250.94$139.76RVU24C
2024-04-01$250.94$139.76RVU24B
2024-03-09$250.94$139.76RVU24AR
2024-01-01$246.85$137.48RVU24A
2023-10-01$254.20$139.97RVU23D
2023-07-01$254.20$139.97RVU23C
2023-04-01$254.20$139.97RVU23B
2023-01-01$254.20$139.97RVU23A
2022-10-01$257.05$138.74RVU22D
2022-07-01$257.05$138.74RVU22C
2022-04-01$257.05$138.74RVU22B
2022-01-01$257.05$138.74RVU22A
2021-10-01$255.61$140.17RVU21D
2021-07-01$255.61$140.17RVU21C
2021-04-01$255.61$140.17RVU21B
2021-01-01$255.61$140.17RVU21A
2020-10-01$245.91$146.98RVU20D
2020-07-01$245.91$146.98RVU20C
2020-04-01$245.91$146.98RVU20B
2020-01-01$245.91$146.98RVU20A
2019-10-01$240.95$151.42RVU19D
2019-07-01$240.95$151.42RVU19C
2019-04-01$240.95$151.42RVU19B
2019-01-01$240.95$151.42RVU19A
2018-10-01$234.02$152.59RVU18D
2018-07-01$234.02$152.59RVU18C
2018-04-01$234.02$152.59RVU18B
2018-01-01$234.02$152.59RVU18AR1
2017-10-01$231.76$152.42RVU17D
2017-07-01$231.76$152.42RVU17C
2017-04-01$231.76$152.42RVU17B
2017-01-01$231.76$152.42RVU17A
2016-10-01$229.78$151.22RVU16D
2016-07-01$229.78$151.22RVU16C
2016-04-01$229.78$151.22RVU16B
2016-01-01$229.78$151.22RVU16A
2015-10-01$234.50$157.31RVU15D
2015-07-01$234.50$157.31RVU15C
2015-04-01$233.33$156.52RVU15B
2015-01-01$233.33$156.52RVU15A
2014-10-01$230.06$154.67RVU14D
2014-07-01$230.06$154.67RVU14C
2014-04-01$230.06$154.67RVU14B
2014-01-01$230.06$154.67RVU14A
2013-10-01$235.22$153.88RVU13D
2013-07-01$235.22$153.88RVU13C
2013-04-01$235.22$153.88RVU13B
2013-01-01$235.22$153.88RVU13AR

Price 12041 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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