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CPT code 12045: Intermediate wound repair, neck, hands, feet, or genitalia2026 Medicare rate & RVUs in Washington, DC area

Reports layered closure of qualifying wounds on the neck, hands, feet, or external genitalia when their combined repair length is 12.6 to 20 centimeters.

CMS RVU26DEffective Oct 1, 2026One payment locality354 Medicare services in 2024

In Washington, DC area, Medicare pays $517.64 for 12045 in the office and $299.67 when it’s performed in a hospital or facility.

$517.64Office (non-facility)
$299.67Hospital or facility
+14.1%vs the national office rate ($453.58)

Check a contract rate as a % of Medicare · 12045 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 12045 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 12045 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 12045 covers

This code describes intermediate closure of one or more wounds on the neck, hands, feet, or external genitalia, with a combined repair length of 12.6 to 20 centimeters. The repair involves more than skin-edge approximation, such as layered closure that includes subcutaneous tissue or superficial fascia. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, clinics, and operating rooms after traumatic lacerations or wound excisions.

Choose the code based on the wound’s anatomic group, repair complexity, and total repaired length—not length alone. Add lengths of wounds in this anatomic group when determining the code level, and document sites, measurements, tissue layers repaired, and closure technique. Medicare assigns a 10-day global period, including related postoperative visits during that 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 multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgery and team-surgery payment 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 Washington, DC area compares for 12045

Across 109 of 109 payment localities, the office rate for 12045 runs from $398.82 in Arkansas to $592.30 in San Benito County, CA. Washington, DC area pays $517.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

12045 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$517.64
  2. Los Angeles, CA · California$507.10−$10.54
  3. Miami, FL · Florida$501.96−$15.68
  4. Chicago, IL · Illinois$486.26−$31.38
  5. Manhattan, NY · New York$525.00+$7.36
  6. Alaska · Alaska$524.23+$6.59
  7. Alabama · Alabama$404.94−$112.70

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

Every other payment area

12045 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$398.82$239.87
ArizonaArizona$440.67$261.37
Bakersfield, CACalifornia$476.33$273.52
Chico, CACalifornia$474.38$271.57
El Centro, CACalifornia$474.49$271.69
Fresno, CACalifornia$474.38$271.57
Hanford, CACalifornia$474.38$271.57
Madera, CACalifornia$474.38$271.57

12045 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.

$398.82

$533.34

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

View every state and territory as a table
12045 office rate range by state
State / territoryOffice rate rangeLocalities
AK$524.231
AL$404.941
AR$398.821
AZ$440.671
CA$474.38–$592.3029
CO$469.641
CT$484.651
DC$517.641
DE$448.141
FL$451.79–$501.963
GA$424.81–$463.582
GU$485.931
HI$485.931
IA$413.311
ID$416.631
IL$439.96–$486.264
IN$419.091
KS$412.421
KY$417.411
LA$417.19–$438.592
MA$467.12–$515.772
MD$456.58–$517.643
ME$420.11–$442.192
MI$429.81–$458.842
MN$446.051
MO$410.48–$438.853
MS$404.681
MT$453.541
NC$424.511
ND$439.701
NE$415.331
NH$463.291
NJ$489.07–$512.152
NM$432.721
NV$449.991
NY$431.24–$539.655
OH$426.981
OK$415.421
OR$445.41–$483.742
PA$427.05–$472.922
PR$456.621
RI$463.541
SC$426.671
SD$438.061
TN$414.731
TX$424.21–$469.028
UT$432.721
VA$441.48–$517.642
VI$456.621
VT$438.951
WA$465.91–$525.322
WI$424.471
WV$423.321
WY$447.511

See 12045 in every payment locality

How the 12045 rate is calculated

Each of 12045’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 · 12045

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.66

3.66 RVUs× 1.000 GPCI

Practice expense9.22

9.22 RVUs× 1.000 GPCI

Malpractice0.70

0.70 RVUs× 1.000 GPCI

Adjusted RVUs

13.5800

Conversion factor

$33.4009

Medicare rate

$453.58

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

1,421

Code
12045
Physician work
3.66
Practice expense
9.22
Malpractice
0.70

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 12045 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.66× 1.0543.8576
Practice expense9.22× 1.17810.8612
Malpractice0.70× 1.1130.7791
Total RVUs15.4979
Conversion factor× 33.4009

Office rate, Washington, DC area$517.64

Office: (3.66 × 1.054 + 9.22 × 1.178 + 0.7 × 1.113) × $33.4009 = $517.64

Facility: (3.66 × 1.054 + 3.68 × 1.178 + 0.7 × 1.113) × $33.4009 = $299.67

Open 12045 in the RVU calculator

Payment rules and modifiers for 12045

12045 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12045

Intermediate wound repair, neck, hands, feet, or genitalia

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 · 12045

Intermediate wound repair, neck, hands, feet, or genitalia

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

12045 without 51 · national office

$453.58

Intermediate wound repair, neck, hands, feet, or genitalia

12045-51 · Second procedure: 50%

$226.79

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 12045

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

Codes related to 12045
CodeHow it relatesOffice range, Washington, DC area
Same family
12041Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or lessSame anatomic group and intermediate-repair method, for the shortest length tier.$300.62
12044Intermediate repair, neck, hands, feet, or genitaliaSame anatomic group and repair method, for the shorter length tier immediately below this one.$443.37
12046Intermediate repair, 20.1–30 cm, specified sitesSame anatomic group and repair method, for the next longer length tier.$636.51
Used instead
12035Wound repair, intermediate, 12.6–20 cmConsider for an intermediate repair in its designated site group at a comparable length.$472.42
12055Wound repair, face and mucous membranesConsider for an intermediate repair of the face or mucous membranes at a comparable length.$622.83

How 12045 has changed in Washington, DC area

12045 · Office / nonfacility

$517.64

Effective 2026-10-01

The base rate is $57.19 higher than on 2025-10-01, moving from $460.45 to $517.64 (12.4%).

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

    $460.45changed to$517.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.75 changed to 3.66
    • Practice expense RVU 7.97 changed to 9.22
    • Malpractice RVU 0.66 changed to 0.70
    • 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

    $476.20changed to$460.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.00 changed to 7.97
    • Malpractice RVU 0.69 changed to 0.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $468.43changed to$476.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $493.72changed to$468.43

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.06 changed to 8.00
    • Malpractice RVU 0.67 changed to 0.69
    • 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

    $499.52changed to$493.72

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.80 changed to 8.06
    • Malpractice RVU 0.65 changed to 0.67
    • 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

    $498.47changed to$499.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.69 changed to 7.80
    • Malpractice RVU 0.64 changed to 0.65

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $490.50changed to$498.47

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.24 changed to 7.69
    • 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

    $477.20changed to$490.50

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.14 changed to 7.24
    • Malpractice RVU 0.57 changed to 0.64
    • 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

    $474.12changed to$477.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.06 changed to 7.14
    • Malpractice RVU 0.59 changed to 0.57

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $472.00changed to$474.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.02 changed to 7.06
    • Malpractice RVU 0.60 changed to 0.59
    • 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

    $473.64changed to$472.00

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.07 changed to 7.02
    • 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

    $476.24changed to$473.64

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.08 changed to 7.07
    • Malpractice RVU 0.61 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $473.87changed to$476.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $464.06changed to$473.87

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.89 changed to 7.08
    • 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

    $473.11changed to$464.06

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.72 changed to 6.89
    • Malpractice RVU 0.64 changed to 0.61
    • 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: $473.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$517.64$299.67RVU26D
2026-07-01$517.64$299.67RVU26C
2026-04-01$517.64$299.67RVU26B
2026-01-01$517.64$299.67RVU26A
2025-10-01$460.45$300.44RVU25D
2025-07-01$460.45$300.44RVU25C
2025-04-01$460.45$300.44RVU25B
2025-01-01$460.45$300.44RVU25A
2024-10-01$476.20$308.76RVU24D
2024-07-01$476.20$308.76RVU24C
2024-04-01$476.20$308.76RVU24B
2024-03-09$476.20$308.76RVU24AR
2024-01-01$468.43$303.72RVU24A
2023-10-01$493.72$317.24RVU23D
2023-07-01$493.72$317.24RVU23C
2023-04-01$493.72$317.24RVU23B
2023-01-01$493.72$317.24RVU23A
2022-10-01$499.52$319.02RVU22D
2022-07-01$499.52$319.02RVU22C
2022-04-01$499.52$319.02RVU22B
2022-01-01$499.52$319.02RVU22A
2021-10-01$498.47$316.90RVU21D
2021-07-01$498.47$316.90RVU21C
2021-04-01$498.47$316.90RVU21B
2021-01-01$498.47$316.90RVU21A
2020-10-01$490.50$319.96RVU20D
2020-07-01$490.50$319.96RVU20C
2020-04-01$490.50$319.96RVU20B
2020-01-01$490.50$319.96RVU20A
2019-10-01$477.20$314.35RVU19D
2019-07-01$477.20$314.35RVU19C
2019-04-01$477.20$314.35RVU19B
2019-01-01$477.20$314.35RVU19A
2018-10-01$474.12$315.78RVU18D
2018-07-01$474.12$315.78RVU18C
2018-04-01$474.12$315.78RVU18B
2018-01-01$474.12$315.78RVU18AR1
2017-10-01$472.00$315.88RVU17D
2017-07-01$472.00$315.88RVU17C
2017-04-01$472.00$315.88RVU17B
2017-01-01$472.00$315.88RVU17A
2016-10-01$473.64$316.16RVU16D
2016-07-01$473.64$316.16RVU16C
2016-04-01$473.64$316.16RVU16B
2016-01-01$473.64$316.16RVU16A
2015-10-01$476.24$319.06RVU15D
2015-07-01$476.24$319.06RVU15C
2015-04-01$473.87$317.48RVU15B
2015-01-01$473.87$317.48RVU15A
2014-10-01$464.06$311.20RVU14D
2014-07-01$464.06$311.20RVU14C
2014-04-01$464.06$311.20RVU14B
2014-01-01$464.06$311.20RVU14A
2013-10-01$473.11$310.48RVU13D
2013-07-01$473.11$310.48RVU13C
2013-04-01$473.11$310.48RVU13B
2013-01-01$473.11$310.48RVU13AR

Price 12045 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

12045 billing questions

How is 12045 distinguished from 12044 or 12046?

Use the combined repair length for wounds in this anatomic group. 12044 is for the shorter length tier, while 12046 is for the next longer tier.

Does wound length alone support 12045?

No. The repair must also meet the intermediate-repair criteria, including layered closure beyond simple skin-edge approximation. Document the repaired layers and technique as well as the measurements.

Can separate qualifying wounds be combined to select this code?

Yes. Add the lengths of wounds repaired within this anatomic group to determine the applicable length tier, and document each wound’s site and measurement.

Can modifier 50 be used for wounds on both hands?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 to represent bilateral repairs.

Are related postoperative visits separately payable during the global period?

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

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. CMS also restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.

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 12045PPRRVU2026_Oct_nonQPP.csv, line 1,421 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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