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CPT code 12052: Wound repair, face, 2.6–5 cm2026 Medicare rate & RVUs in Queens, NY

Report this code for an intermediate repair of facial or related wounds when the total repaired length falls within the 2.6-to-5-centimeter range.

CMS RVU26DEffective Oct 1, 2026One payment locality99.2K Medicare services in 2024

In Queens, NY, Medicare pays $360.66 for 12052 in the office and $196.03 when it’s performed in a hospital or facility.

$360.66Office (non-facility)
$196.03Hospital or facility
+15.6%vs the national office rate ($311.96)

Check a contract rate as a % of Medicare · 12052 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 12052 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 12052 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 12052 covers

This code covers intermediate repair of wounds involving the face, ears, eyelids, nose, lips, or mucous membranes. A typical case is a facial laceration closed in layers, with repair of deeper tissue as well as the skin. A single-layer closure can also qualify when a heavily contaminated wound requires extensive cleaning or removal of particulate matter. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, offices, and operating rooms.

Select the code by the repair’s complexity, anatomic group, and total length. Add together the lengths of wounds in the same anatomic and repair classification, and document the sites, measured lengths, and closure technique or qualifying wound cleaning. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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 Queens, NY compares for 12052

Across 109 of 109 payment localities, the office rate for 12052 runs from $277.26 in Arkansas to $408.51 in San Benito County, CA. Queens, NY pays $360.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

12052 in Queens, NY vs other payment areas
  1. Queens, NY · this page$360.66
  2. Manhattan, NY · New York$358.15−$2.51
  3. NYC suburbs and Long Island, NY · New York$366.82+$6.16
  4. Poughkeepsie and northern NYC suburbs, NY · New York$338.23−$22.43
  5. Rest of New York · New York$298.24−$62.42
  6. Los Angeles, CA · California$349.88−$10.78
  7. Washington, DC area · District of Columbia$355.16−$5.50

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

Every other payment area

12052 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$337.82$192.83
Chicago, ILIllinois$328.36$188.38
AlaskaAlaska$367.09$218.75
AlabamaAlabama$281.15$159.28
ArkansasArkansas$277.26$157.61
ArizonaArizona$303.91$168.95
Bakersfield, CACalifornia$329.18$176.53
Chico, CACalifornia$328.17$175.51

12052 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.

$277.26

$368.34

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

View every state and territory as a table
12052 office rate range by state
State / territoryOffice rate rangeLocalities
AK$367.091
AL$281.151
AR$277.261
AZ$303.911
CA$328.17–$408.5129
CO$323.851
CT$332.171
DC$355.161
DE$308.801
FL$308.56–$337.823
GA$291.78–$317.842
GU$335.551
HI$335.551
IA$287.511
ID$289.411
IL$300.34–$328.364
IN$291.011
KS$286.451
KY$288.011
LA$287.67–$301.292
MA$322.13–$354.722
MD$314.45–$355.163
ME$291.10–$305.912
MI$295.41–$312.512
MN$309.981
MO$283.09–$302.053
MS$280.221
MT$311.941
NC$293.991
ND$305.221
NE$288.961
NH$319.041
NJ$335.86–$351.762
NM$297.061
NV$310.271
NY$298.24–$366.825
OH$294.041
OK$287.271
OR$307.76–$333.542
PA$294.36–$324.332
PR$314.071
RI$319.351
SC$294.521
SD$304.421
TN$287.861
TX$292.52–$322.878
UT$298.381
VA$305.11–$355.162
VI$314.071
VT$304.281
WA$321.44–$361.572
WI$295.411
WV$289.731
WY$309.011

See 12052 in every payment locality

How the 12052 rate is calculated

Each of 12052’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 · 12052

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.80

2.80 RVUs× 1.000 GPCI

Practice expense6.20

6.20 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

9.3400

Conversion factor

$33.4009

Medicare rate

$311.96

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,425

Code
12052
Physician work
2.80
Practice expense
6.20
Malpractice
0.34

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 12052 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.80× 1.0642.9792
Practice expense6.20× 1.1827.3284
Malpractice0.34× 1.4420.4903
Total RVUs10.7979
Conversion factor× 33.4009

Office rate, Queens, NY$360.66

Office: (2.8 × 1.064 + 6.2 × 1.182 + 0.34 × 1.442) × $33.4009 = $360.66

Facility: (2.8 × 1.064 + 2.03 × 1.182 + 0.34 × 1.442) × $33.4009 = $196.03

Open 12052 in the RVU calculator

Payment rules and modifiers for 12052

12052 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12052

Wound repair, face, 2.6–5 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)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 · 12052

Wound repair, face, 2.6–5 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

12052 without 51 · national office

$311.96

Wound repair, face, 2.6–5 cm

12052-51 · Second procedure: 50%

$155.98

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 12052

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

Codes related to 12052
CodeHow it relatesOffice range, Queens, NY
Same family
12051Facial repair, intermediate, 2.5 cm or lessIntermediate repair in the same facial and related-site category for wounds 2.5 cm or less.$327.97
12053Wound repair, face and mucous membranesIntermediate repair in the same category for wounds 5.1–7.5 cm.$417.99
12054Wound repair, face, 7.6–12.5 cmIntermediate repair in the same category for wounds 7.6–12.5 cm.$453.69
Used instead
12013Wound repair, face-area, 2.6–5.0 cmFacial repair for this length range when the wound requires simple rather than intermediate repair.$169.79

How 12052 has changed in Queens, NY

12052 · Office / nonfacility

$360.66

Effective 2026-10-01

The base rate is $5.58 higher than on 2025-10-01, moving from $355.08 to $360.66 (1.6%).

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

    $355.08changed to$360.66

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.87 changed to 2.80
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $368.19changed to$355.08

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.27 changed to 6.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $362.18changed to$368.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $385.56changed to$362.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.28 changed to 6.27
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $400.52changed to$385.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.22 changed to 6.28
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $398.70changed to$400.52

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.10 changed to 6.22

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $376.88changed to$398.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.48 changed to 6.10
    • Malpractice RVU 0.32 changed to 0.34
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $368.39changed to$376.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.26 changed to 5.48
    • Malpractice RVU 0.42 changed to 0.32
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $361.41changed to$368.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.09 changed to 5.26
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $359.04changed to$361.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.05 changed to 5.09
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $357.61changed to$359.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.03 changed to 5.05
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $356.12changed to$357.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.02 changed to 5.03
    • Malpractice RVU 0.40 changed to 0.43

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $354.35changed to$356.12

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $345.95changed to$354.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.92 changed to 5.02
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $350.25changed to$345.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.54 changed to 4.92
    • Malpractice RVU 0.42 changed to 0.40
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $350.25

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$360.66$196.03RVU26D
2026-07-01$360.66$196.03RVU26C
2026-04-01$360.66$196.03RVU26B
2026-01-01$360.66$196.03RVU26A
2025-10-01$355.08$223.65RVU25D
2025-07-01$355.08$223.65RVU25C
2025-04-01$355.08$223.65RVU25B
2025-01-01$355.08$223.65RVU25A
2024-10-01$368.19$228.17RVU24D
2024-07-01$368.19$228.17RVU24C
2024-04-01$368.19$228.17RVU24B
2024-03-09$368.19$228.17RVU24AR
2024-01-01$362.18$224.45RVU24A
2023-10-01$385.56$238.94RVU23D
2023-07-01$385.56$238.94RVU23C
2023-04-01$385.56$238.94RVU23B
2023-01-01$385.56$238.94RVU23A
2022-10-01$400.52$246.68RVU22D
2022-07-01$400.52$246.68RVU22C
2022-04-01$400.52$246.68RVU22B
2022-01-01$400.52$246.68RVU22A
2021-10-01$398.70$247.87RVU21D
2021-07-01$398.70$247.87RVU21C
2021-04-01$398.70$247.87RVU21B
2021-01-01$398.70$247.87RVU21A
2020-10-01$376.88$248.51RVU20D
2020-07-01$376.88$248.51RVU20C
2020-04-01$376.88$248.51RVU20B
2020-01-01$376.88$248.51RVU20A
2019-10-01$368.39$251.63RVU19D
2019-07-01$368.39$251.63RVU19C
2019-04-01$368.39$251.63RVU19B
2019-01-01$368.39$251.63RVU19A
2018-10-01$361.41$252.98RVU18D
2018-07-01$361.41$252.98RVU18C
2018-04-01$361.41$252.98RVU18B
2018-01-01$361.41$252.98RVU18AR1
2017-10-01$359.04$253.09RVU17D
2017-07-01$359.04$253.09RVU17C
2017-04-01$359.04$253.09RVU17B
2017-01-01$359.04$253.09RVU17A
2016-10-01$357.61$251.58RVU16D
2016-07-01$357.61$251.58RVU16C
2016-04-01$357.61$251.58RVU16B
2016-01-01$357.61$251.58RVU16A
2015-10-01$356.12$250.57RVU15D
2015-07-01$356.12$250.57RVU15C
2015-04-01$354.35$249.32RVU15B
2015-01-01$354.35$249.32RVU15A
2014-10-01$345.95$242.18RVU14D
2014-07-01$345.95$242.18RVU14C
2014-04-01$345.95$242.18RVU14B
2014-01-01$345.95$242.18RVU14A
2013-10-01$350.25$238.44RVU13D
2013-07-01$350.25$238.44RVU13C
2013-04-01$350.25$238.44RVU13B
2013-01-01$350.25$238.44RVU13AR

Price 12052 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

12052 billing questions

How is this code distinguished from 12051 or 12053?

Choose by total repaired length within the same facial and intermediate-repair category: 12051 is for 2.5 cm or less, this code is for 2.6–5.0 cm, and 12053 is for 5.1–7.5 cm.

When does a facial wound qualify as an intermediate repair?

The repair generally involves layered closure, including deeper tissue and skin. A single-layer closure may qualify when extensive cleaning is required for a heavily contaminated wound.

Can separate closure codes be reported for the layers?

No separate code is reported for the skin closure that is part of this intermediate repair. Document the repair method and the wound’s length and location.

Should modifier 50 be used for wounds on both sides of the face?

No. Modifier 50 is inappropriate for this code; report the applicable repair code based on the documented wounds and their combined length within the classification.

How does the 10-day global period affect follow-up visits?

Related postoperative visits during the 10 days after the repair are included in the global period.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple-procedure reduction are paid at 50%.

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 12052PPRRVU2026_Oct_nonQPP.csv, line 1,425 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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