CPT code 12047: Intermediate repair, neck, hands, feet, genitalia; over 30 cm2026 Medicare rate & RVUs

Medicare pays $610.23 for 12047 nationally in the office and $345.70 in a hospital or facility. Local office rates run $532.12–$787.36.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 12047 covers

This code describes intermediate wound repair in the neck, hands, feet, or external genitalia when the qualifying total repaired length is more than 30 cm. The closure involves the skin and deeper tissue, such as subcutaneous tissue or superficial fascia, rather than skin sutures alone. Emergency physicians, surgeons, and other qualified clinicians may perform these repairs in emergency departments, operating rooms, or other settings. Typical cases include extensive traumatic lacerations requiring layered closure in one of these anatomic groups.

Choose the code by the wound location, repair method, and documented length; add lengths only when CPT instructions allow wounds in the same classification and anatomic group to be combined. The record should identify each site, its repaired length, and the tissue layers closed. This minor procedure has 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 others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and 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.

Where 12047 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

12047 rates by state

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

How the 12047 rate is calculated

Each of 12047’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 12047

12047 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

12047 compared with similar codes

How to choose

12046Intermediate repair20.1–30 cm, specified sites

Both codes cover intermediate repairs in the same anatomic group. Choose 12046 when the qualifying repaired length is 20.1–30 cm; this code is for lengths over 30 cm.

12037Intermediate repairOver 30 cm, scalp/trunk/extremities

Both represent intermediate repair for lengths over 30 cm, but 12037 applies to its specified body areas, not the neck, hands, feet, or external genitalia.

12018Wound repairFace group, over 30 cm

This code requires layered closure involving deeper tissue. Code 12018 is for simple repair, where closure involves the skin alone, in the corresponding site group and length range.

Codes related to 12047

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

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