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

Reports layered repair of wounds on the neck, hands, feet, or external genitalia when the qualifying repaired length exceeds 30 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality29 Medicare services in 2024

In Washington, DC area, Medicare pays $696.05 for 12047 in the office and $384.43 when it’s performed in a hospital or facility.

$696.05Office (non-facility)
$384.43Hospital or facility
+14.1%vs the national office rate ($610.23)

Check a contract rate as a % of Medicare · 12047 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 12047 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 12047 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 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.

How Washington, DC area compares for 12047

Across 109 of 109 payment localities, the office rate for 12047 runs from $532.12 in Arkansas to $787.36 in San Benito County, CA. Washington, DC area pays $696.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

12047 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$696.05
  2. Los Angeles, CA · California$676.64−$19.41
  3. Miami, FL · Florida$692.75−$3.30
  4. Chicago, IL · Illinois$669.19−$26.86
  5. Manhattan, NY · New York$711.55+$15.50
  6. Alaska · Alaska$697.93+$1.88
  7. Alabama · Alabama$540.81−$155.24

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

Every other payment area

12047 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$532.12$304.88
ArizonaArizona$591.45$335.11
Bakersfield, CACalifornia$635.41$345.48
Chico, CACalifornia$631.94$342.01
El Centro, CACalifornia$632.16$342.23
Fresno, CACalifornia$631.94$342.01
Hanford, CACalifornia$631.94$342.01
Madera, CACalifornia$631.94$342.01

12047 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.

$532.12

$709.65

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

View every state and territory as a table
12047 office rate range by state
State / territoryOffice rate rangeLocalities
AK$697.931
AL$540.811
AR$532.121
AZ$591.451
CA$631.94–$787.3629
CO$628.711
CT$653.761
DC$696.051
DE$601.821
FL$614.05–$692.753
GA$574.68–$625.872
GU$647.691
HI$647.691
IA$549.761
ID$555.061
IL$599.19–$669.194
IN$558.461
KS$549.901
KY$561.531
LA$561.76–$592.152
MA$625.58–$690.842
MD$613.18–$696.053
ME$561.48–$590.682
MI$580.49–$625.592
MN$591.671
MO$553.11–$590.843
MS$542.581
MT$610.151
NC$567.491
ND$584.641
NE$552.191
NH$621.491
NJ$658.20–$688.262
NM$585.211
NV$603.441
NY$577.15–$734.195
OH$575.271
OK$557.201
OR$595.81–$646.832
PA$574.59–$638.092
PR$614.051
RI$622.041
SC$572.931
SD$581.621
TN$553.361
TX$570.65–$629.188
UT$581.491
VA$590.67–$696.052
VI$614.051
VT$584.891
WA$623.54–$702.542
WI$563.371
WV$575.641
WY$599.031

See 12047 in every payment locality

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.

How the rate is built · 12047

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.83

4.83 RVUs× 1.000 GPCI

Practice expense12.15

12.15 RVUs× 1.000 GPCI

Malpractice1.29

1.29 RVUs× 1.000 GPCI

Adjusted RVUs

18.2700

Conversion factor

$33.4009

Medicare rate

$610.23

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

1,423

Code
12047
Physician work
4.83
Practice expense
12.15
Malpractice
1.29

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 12047 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.83× 1.0545.0908
Practice expense12.15× 1.17814.3127
Malpractice1.29× 1.1131.4358
Total RVUs20.8393
Conversion factor× 33.4009

Office rate, Washington, DC area$696.05

Office: (4.83 × 1.054 + 12.15 × 1.178 + 1.29 × 1.113) × $33.4009 = $696.05

Facility: (4.83 × 1.054 + 4.23 × 1.178 + 1.29 × 1.113) × $33.4009 = $384.43

Open 12047 in the RVU calculator

Payment rules and modifiers for 12047

12047 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12047

Intermediate repair, neck, hands, feet, genitalia; over 30 cm

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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
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 · 12047

Intermediate repair, neck, hands, feet, genitalia; over 30 cm

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

12047 without 51 · national office

$610.23

Intermediate repair, neck, hands, feet, genitalia; over 30 cm

12047-51 · Second procedure: 50%

$305.12

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 12047

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

Codes related to 12047
CodeHow it relatesOffice range, Washington, DC area
Same family
12046Intermediate repair, 20.1–30 cm, specified sitesSame repair group and anatomic sites, for a shorter qualifying total length.$636.51
12041Intermediate repair, neck, hands, feet, genitalia, 2.5 cm or lessSame repair group and sites, for a qualifying total length of 2.5 cm or less.$300.62
Used instead
12037Intermediate repair, over 30 cm, scalp/trunk/extremitiesIntermediate repair for the corresponding length range on other specified body areas.$608.97
12018Wound repair, face group, over 30 cmSimple repair for a qualifying length over 30 cm in the corresponding site group.No office rate

How 12047 has changed in Washington, DC area

12047 · Office / nonfacility

$696.05

Effective 2026-10-01

The base rate is $83.22 higher than on 2025-10-01, moving from $612.83 to $696.05 (13.6%).

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

    $612.83changed to$696.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.95 changed to 4.83
    • Practice expense RVU 10.27 changed to 12.15
    • Malpractice RVU 1.26 changed to 1.29
    • 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

    $631.44changed to$612.83

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.28 changed to 10.27
    • Malpractice RVU 1.27 changed to 1.26

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $621.13changed to$631.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $651.78changed to$621.13

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.27 changed to 10.28
    • Malpractice RVU 1.25 changed to 1.27
    • 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

    $677.95changed to$651.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.32 changed to 10.27
    • 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

    $679.17changed to$677.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 10.26 changed to 10.32
    • Malpractice RVU 1.21 changed to 1.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $651.65changed to$679.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.27 changed to 10.26
    • 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

    $634.41changed to$651.65

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.06 changed to 9.27
    • Malpractice RVU 1.20 changed to 1.21
    • 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. July 1, 2019

    RVU19C

    $631.68changed to$634.41

    • Malpractice RVU 1.14 changed to 1.20

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $628.48changed to$631.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.95 changed to 9.06
    • Malpractice RVU 1.19 changed to 1.14

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $647.27changed to$628.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.85 changed to 8.95
    • Malpractice RVU 0.77 changed to 1.19
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $610.55changed to$647.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.74 changed to 9.85
    • Malpractice RVU 1.03 changed to 0.77
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $660.74changed to$610.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.05 changed to 8.74
    • Malpractice RVU 0.84 changed to 1.03

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $657.45changed to$660.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $606.97changed to$657.45

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.85 changed to 10.05
    • Malpractice RVU 0.92 changed to 0.84
    • 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.

  16. January 1, 2014

    RVU14A

    $694.13changed to$606.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 11.79 changed to 8.85
    • Malpractice RVU 0.96 changed to 0.92
    • 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.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $694.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$696.05$384.43RVU26D
2026-07-01$696.05$384.43RVU26C
2026-04-01$696.05$384.43RVU26B
2026-01-01$696.05$384.43RVU26A
2025-10-01$612.83$389.20RVU25D
2025-07-01$612.83$389.20RVU25C
2025-04-01$612.83$389.20RVU25B
2025-01-01$612.83$389.20RVU25A
2024-10-01$631.44$398.13RVU24D
2024-07-01$631.44$398.13RVU24C
2024-04-01$631.44$398.13RVU24B
2024-03-09$631.44$398.13RVU24AR
2024-01-01$621.13$391.63RVU24A
2023-10-01$651.78$408.23RVU23D
2023-07-01$651.78$408.23RVU23C
2023-04-01$651.78$408.23RVU23B
2023-01-01$651.78$408.23RVU23A
2022-10-01$677.95$420.88RVU22D
2022-07-01$677.95$420.88RVU22C
2022-04-01$677.95$420.88RVU22B
2022-01-01$677.95$420.88RVU22A
2021-10-01$679.17$419.11RVU21D
2021-07-01$679.17$419.11RVU21C
2021-04-01$679.17$419.11RVU21B
2021-01-01$679.17$419.11RVU21A
2020-10-01$651.65$418.10RVU20D
2020-07-01$651.65$418.10RVU20C
2020-04-01$651.65$418.10RVU20B
2020-01-01$651.65$418.10RVU20A
2019-10-01$634.41$410.32RVU19D
2019-07-01$634.41$410.32RVU19C
2019-04-01$631.68$407.59RVU19B
2019-01-01$631.68$407.59RVU19A
2018-10-01$628.48$408.55RVU18D
2018-07-01$628.48$408.55RVU18C
2018-04-01$628.48$408.55RVU18B
2018-01-01$628.48$408.55RVU18AR1
2017-10-01$647.27$434.07RVU17D
2017-07-01$647.27$434.07RVU17C
2017-04-01$647.27$434.07RVU17B
2017-01-01$647.27$434.07RVU17A
2016-10-01$610.55$403.89RVU16D
2016-07-01$610.55$403.89RVU16C
2016-04-01$610.55$403.89RVU16B
2016-01-01$610.55$403.89RVU16A
2015-10-01$660.74$442.51RVU15D
2015-07-01$660.74$442.51RVU15C
2015-04-01$657.45$440.31RVU15B
2015-01-01$657.45$440.31RVU15A
2014-10-01$606.97$392.54RVU14D
2014-07-01$606.97$392.54RVU14C
2014-04-01$606.97$392.54RVU14B
2014-01-01$606.97$392.54RVU14A
2013-10-01$694.13$431.64RVU13D
2013-07-01$694.13$431.64RVU13C
2013-04-01$694.13$431.64RVU13B
2013-01-01$694.13$431.64RVU13AR

Price 12047 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

12047 billing questions

How is this code distinguished from 12037?

This code is for qualifying intermediate repairs on the neck, hands, feet, or external genitalia. Code 12037 covers the corresponding length range for other specified body areas, including the scalp, trunk, and extremities.

When should a simple repair code be used instead?

Use a simple repair code when the wound closure involves the skin alone. This code requires layered closure involving deeper tissue as well as the skin.

Can separate wound lengths be added together?

Lengths may be combined when CPT instructions permit combining wounds in the same repair classification and anatomic group. Document the location and repaired length of each wound.

What documentation supports this code?

Record the wound sites, measured lengths, and the deeper tissue layers closed. The documentation should support both the intermediate repair method and a qualifying total length greater than 30 cm.

Is modifier 50 appropriate for wounds on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are related postoperative visits included?

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

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 12047PPRRVU2026_Oct_nonQPP.csv, line 1,423 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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