CPT code 12053: Wound repair, face and mucous membranes2026 Medicare rate & RVUs in Austin, TX

In Austin, TX, Medicare pays $373.99 for 12053 in the office and $189.87 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 12053 nationwide

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

What 12053 covers

This code covers intermediate repair of wounds involving the face, ears, eyelids, nose, lips, or mucous membranes, with a total repaired length of 5.1 to 7.5 cm. The closure involves layered repair, such as closing deeper tissue and the skin, or a single-layer closure of a heavily contaminated wound that requires extensive cleaning. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, offices, and outpatient settings after injuries such as facial lacerations.

Select the code based on the documented repair method, eligible anatomic group, and measured length of the repaired wound or wounds. For multiple qualifying wounds in the same anatomic group, report the code level supported by their combined repaired length. The note should identify the sites, lengths, and layered or contamination-related work supporting an intermediate repair. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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 Austin, TX compares for 12053

Across 109 of 109 payment localities, the office rate for 12053 runs from $320.23 in Arkansas to $474.59 in San Benito County, CA. Austin, TX pays $373.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

12053 rates by state

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

See 12053 in every payment locality

How the 12053 rate is calculated

Each of 12053’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 12053

12053 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

Codes related to 12053

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

How 12053 has changed in Austin, TX

Price 12053 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

• 12053 in Austin · multiple payment areas
• Barton Creek
• Bee Cave
• Briarcliff
• 12053 in Cedar Park · multiple payment areas
• 12053 in Creedmoor · multiple payment areas
• 12053 in Elgin · multiple payment areas
• Garfield

Browse all communities in Texas

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