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

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 Puerto Rico, Medicare pays $614.05 for 12047 in the office and $346.61 when it’s performed in a hospital or facility.

$614.05Office (non-facility)
$346.61Hospital or facility
+0.6%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $614.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

12047 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$614.05
  2. Los Angeles, CA · California$676.64+$62.59
  3. Washington, DC area · District of Columbia$696.05+$82.00
  4. Miami, FL · Florida$692.75+$78.70
  5. Chicago, IL · Illinois$669.19+$55.14
  6. Manhattan, NY · New York$711.55+$97.50
  7. Alaska · Alaska$697.93+$83.88

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

Every other payment area

12047 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$540.81$309.34
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

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 12047 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work4.83× 1.0004.8300
Practice expense12.15× 1.01112.2836
Malpractice1.29× 0.9851.2707
Total RVUs18.3843
Conversion factor× 33.4009

Office rate, Puerto Rico$614.05

Office: (4.83 × 1 + 12.15 × 1.011 + 1.29 × 0.985) × $33.4009 = $614.05

Facility: (4.83 × 1 + 4.23 × 1.011 + 1.29 × 0.985) × $33.4009 = $346.61

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, Puerto Rico
Same family
12046Intermediate repair, 20.1–30 cm, specified sitesSame repair group and anatomic sites, for a shorter qualifying total length.$560.74
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.$264.79
Used instead
12037Intermediate repair, over 30 cm, scalp/trunk/extremitiesIntermediate repair for the corresponding length range on other specified body areas.$539.26
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 Puerto Rico

12047 · Office / nonfacility

$614.05

Effective 2026-10-01

The base rate is $79.39 higher than on 2025-10-01, moving from $534.66 to $614.05 (14.8%).

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

    $534.66changed to$614.05

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $550.88changed to$534.66

    • 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

    $541.89changed to$550.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $560.23changed to$541.89

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $558.12changed to$560.23

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $573.95changed to$558.12

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 10.32 changed to 10.27
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $575.22changed to$573.95

    • 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.

  8. January 1, 2021

    RVU21A

    $559.01changed to$575.22

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.27 changed to 10.26
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $550.01changed to$559.01

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. July 1, 2019

    RVU19C

    $547.87changed to$550.01

    • Malpractice RVU 1.14 changed to 1.20

    Held through RVU19D.

  11. January 1, 2019

    RVU19A

    $545.06changed to$547.87

    • 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.

  12. January 1, 2018

    RVU18AR1

    $497.99changed to$545.06

    • 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
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  13. January 1, 2017

    RVU17A

    $408.65changed to$497.99

    • 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
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  14. January 1, 2016

    RVU16A

    $441.31changed to$408.65

    • 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.

  15. July 1, 2015

    RVU15C

    $439.12changed to$441.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  16. January 1, 2015

    RVU15A

    $405.64changed to$439.12

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  17. January 1, 2014

    RVU14A

    $448.51changed to$405.64

    • 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
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  18. January 1, 2013

    RVU13AR

    Earliest loaded release: $448.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$614.05$346.61RVU26D
2026-07-01$614.05$346.61RVU26C
2026-04-01$614.05$346.61RVU26B
2026-01-01$614.05$346.61RVU26A
2025-10-01$534.66$345.74RVU25D
2025-07-01$534.66$345.74RVU25C
2025-04-01$534.66$345.74RVU25B
2025-01-01$534.66$345.74RVU25A
2024-10-01$550.88$353.78RVU24D
2024-07-01$550.88$353.78RVU24C
2024-04-01$550.88$353.78RVU24B
2024-03-09$550.88$353.78RVU24AR
2024-01-01$541.89$348.00RVU24A
2023-10-01$560.23$358.01RVU23D
2023-07-01$558.12$357.51RVU23C
2023-04-01$558.12$357.51RVU23B
2023-01-01$558.12$357.51RVU23A
2022-10-01$573.95$364.30RVU22D
2022-07-01$573.95$364.30RVU22C
2022-04-01$573.95$364.30RVU22B
2022-01-01$573.95$364.30RVU22A
2021-10-01$575.22$363.13RVU21D
2021-07-01$575.22$363.13RVU21C
2021-04-01$575.22$363.13RVU21B
2021-01-01$575.22$363.13RVU21A
2020-10-01$559.01$366.21RVU20D
2020-07-01$559.01$366.21RVU20C
2020-04-01$559.01$366.21RVU20B
2020-01-01$559.01$366.21RVU20A
2019-10-01$550.01$362.74RVU19D
2019-07-01$550.01$362.74RVU19C
2019-04-01$547.87$360.60RVU19B
2019-01-01$547.87$360.60RVU19A
2018-10-01$545.06$361.27RVU18D
2018-07-01$545.06$361.27RVU18C
2018-04-01$545.06$361.27RVU18B
2018-01-01$545.06$361.27RVU18AR1
2017-10-01$497.99$346.54RVU17D
2017-07-01$497.99$346.54RVU17C
2017-04-01$497.99$346.54RVU17B
2017-01-01$497.99$346.54RVU17A
2016-10-01$408.65$287.74RVU16D
2016-07-01$408.65$287.74RVU16C
2016-04-01$408.65$287.74RVU16B
2016-01-01$408.65$287.74RVU16A
2015-10-01$441.31$313.63RVU15D
2015-07-01$441.31$313.63RVU15C
2015-04-01$439.12$312.07RVU15B
2015-01-01$439.12$312.07RVU15A
2014-10-01$405.64$282.19RVU14D
2014-07-01$405.64$282.19RVU14C
2014-04-01$405.64$282.19RVU14B
2014-01-01$405.64$282.19RVU14A
2013-10-01$448.51$299.96RVU13D
2013-07-01$448.51$299.96RVU13C
2013-04-01$448.51$299.96RVU13B
2013-01-01$448.51$299.96RVU13AR

Price 12047 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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