FeeBase
Log inGet started
Menu

CPT code 12057: Wound repair, face and related sites, over 30 cm2026 Medicare rate & RVUs in Delaware

Reports intermediate-complexity repair of wounds on the face or related sites when the combined repaired length exceeds 30.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality11 Medicare services in 2024

In Delaware, Medicare pays $640.94 for 12057 in the office and $377.93 when it’s performed in a hospital or facility.

$640.94Office (non-facility)
$377.93Hospital or facility
−1.2%vs the national office rate ($648.65)

Check a contract rate as a % of Medicare · 12057 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 12057 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 12057 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 12057 covers

This code covers intermediate repair of wounds on the face, ears, eyelids, nose, lips, or mucous membranes when the total repaired length is more than 30.0 cm. Intermediate complexity generally involves layered closure, including closure of deeper tissue beneath the skin, or single-layer closure of a heavily contaminated wound requiring extensive cleaning. Emergency physicians, plastic surgeons, dermatologists, and other clinicians who repair traumatic lacerations may perform this service in an emergency department, outpatient facility, or operating room.

Select the code based on the repair method, anatomic group, and documented final length; combine lengths of wounds repaired at the same complexity in the same anatomic group. The record should identify wound sites, lengths, tissue layers closed, and any extensive cleaning that supports intermediate complexity. Medicare assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires 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 Delaware compares for 12057

Across 109 of 109 payment localities, the office rate for 12057 runs from $572.21 in Arkansas to $837.49 in San Benito County, CA. Delaware pays $640.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

12057 in Delaware vs other payment areas
  1. Delaware · this page$640.94
  2. Los Angeles, CA · California$720.71+$79.77
  3. Washington, DC area · District of Columbia$737.51+$96.57
  4. Miami, FL · Florida$721.40+$80.46
  5. Chicago, IL · Illinois$699.24+$58.30
  6. Manhattan, NY · New York$750.01+$109.07
  7. Alaska · Alaska$757.09+$116.15

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

Every other payment area

12057 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$580.74$347.81
ArkansasArkansas$572.21$343.54
ArizonaArizona$630.48$372.53
Bakersfield, CACalifornia$678.14$386.38
Chico, CACalifornia$675.09$383.33
El Centro, CACalifornia$675.27$383.51
Fresno, CACalifornia$675.09$383.33
Hanford, CACalifornia$675.09$383.33

12057 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.

$572.21

$757.09

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

View every state and territory as a table
12057 office rate range by state
State / territoryOffice rate rangeLocalities
AK$757.091
AL$580.741
AR$572.211
AZ$630.481
CA$675.09–$837.4929
CO$669.701
CT$692.301
DC$737.511
DE$640.941
FL$648.62–$721.403
GA$610.62–$663.222
GU$690.431
HI$690.431
IA$591.261
ID$596.111
IL$632.88–$699.244
IN$599.501
KS$590.571
KY$599.281
LA$599.18–$629.002
MA$666.47–$733.522
MD$652.62–$737.513
ME$601.54–$631.462
MI$617.08–$659.032
MN$635.101
MO$590.17–$628.713
MS$581.201
MT$648.571
NC$607.571
ND$627.021
NE$593.901
NH$661.191
NJ$698.34–$730.132
NM$621.371
NV$642.981
NY$616.99–$771.135
OH$612.671
OK$595.921
OR$636.17–$688.722
PA$612.46–$676.282
PR$652.681
RI$662.181
SC$611.501
SD$624.471
TN$593.861
TX$608.54–$669.068
UT$619.921
VA$630.86–$737.512
VI$652.681
VT$626.491
WA$664.58–$746.382
WI$605.941
WV$609.731
WY$639.181

See 12057 in every payment locality

How the 12057 rate is calculated

Each of 12057’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 · 12057

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.85

5.85 RVUs× 1.000 GPCI

Practice expense12.48

12.48 RVUs× 1.000 GPCI

Malpractice1.09

1.09 RVUs× 1.000 GPCI

Adjusted RVUs

19.4200

Conversion factor

$33.4009

Medicare rate

$648.65

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,430

Code
12057
Physician work
5.85
Practice expense
12.48
Malpractice
1.09

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 12057 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.85× 1.0055.8792
Practice expense12.48× 0.98812.3302
Malpractice1.09× 0.8990.9799
Total RVUs19.1894
Conversion factor× 33.4009

Office rate, Delaware$640.94

Office: (5.85 × 1.005 + 12.48 × 0.988 + 1.09 × 0.899) × $33.4009 = $640.94

Facility: (5.85 × 1.005 + 4.51 × 0.988 + 1.09 × 0.899) × $33.4009 = $377.93

Open 12057 in the RVU calculator

Payment rules and modifiers for 12057

12057 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 12057

Wound repair, face and related sites, 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 · 12057

Wound repair, face and related sites, 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

12057 without 51 · national office

$648.65

Wound repair, face and related sites, over 30 cm

12057-51 · Second procedure: 50%

$324.33

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 12057

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

Codes related to 12057
CodeHow it relatesOffice range, Delaware
Same family
12056Wound repair, face, 20.1–30 cmIntermediate repair of the same anatomic group for a combined length of 20.1 to 30.0 cm.$616.19
12055Wound repair, face and mucous membranesIntermediate repair of the same anatomic group for a combined length of 12.6 to 20.0 cm.$539.10
Used instead
12018Wound repair, face group, over 30 cmSimple repair of the same general anatomic group when the combined length exceeds 30.0 cm.No office rate
12037Intermediate repair, over 30 cm, scalp/trunk/extremitiesIntermediate repair over 30.0 cm in a different anatomic group, including scalp, trunk, or extremities.$529.24

How 12057 has changed in Delaware

12057 · Office / nonfacility

$640.94

Effective 2026-10-01

The base rate is $57.43 higher than on 2025-10-01, moving from $583.51 to $640.94 (9.8%).

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

    $583.51changed to$640.94

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.00 changed to 5.85
    • Practice expense RVU 11.02 changed to 12.48
    • Malpractice RVU 1.11 changed to 1.09
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $603.77changed to$583.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.11 changed to 11.02
    • Malpractice RVU 1.12 changed to 1.11

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $593.91changed to$603.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $623.66changed to$593.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.27 changed to 11.11
    • Malpractice RVU 1.08 changed to 1.12
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $641.53changed to$623.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.25 changed to 11.27
    • Malpractice RVU 1.09 changed to 1.08
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $646.20changed to$641.53

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 1.07 changed to 1.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $636.87changed to$646.20

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.32 changed to 11.25
    • Malpractice RVU 1.05 changed to 1.07
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $626.12changed to$636.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.00 changed to 10.32
    • Malpractice RVU 1.02 changed to 1.05
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. July 1, 2019

    RVU19C

    $622.49changed to$626.12

    • Malpractice RVU 0.93 changed to 1.02

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $618.43changed to$622.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.82 changed to 10.00
    • Malpractice RVU 1.01 changed to 0.93

    Held through RVU19B.

  11. January 1, 2018

    RVU18AR1

    $567.73changed to$618.43

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.20 changed to 9.82
    • Malpractice RVU 1.23 changed to 1.01
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $587.95changed to$567.73

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.83 changed to 8.20
    • Malpractice RVU 1.15 changed to 1.23
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $608.31changed to$587.95

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.48 changed to 8.83
    • Malpractice RVU 1.00 changed to 1.15

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $605.29changed to$608.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $575.88changed to$605.29

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.02 changed to 9.48
    • Malpractice RVU 0.73 changed to 1.00
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $572.77changed to$575.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.82 changed to 9.02
    • Malpractice RVU 0.76 changed to 0.73
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $572.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$640.94$377.93RVU26D
2026-07-01$640.94$377.93RVU26C
2026-04-01$640.94$377.93RVU26B
2026-01-01$640.94$377.93RVU26A
2025-10-01$583.51$409.27RVU25D
2025-07-01$583.51$409.27RVU25C
2025-04-01$583.51$409.27RVU25B
2025-01-01$583.51$409.27RVU25A
2024-10-01$603.77$416.87RVU24D
2024-07-01$603.77$416.87RVU24C
2024-04-01$603.77$416.87RVU24B
2024-03-09$603.77$416.87RVU24AR
2024-01-01$593.91$410.06RVU24A
2023-10-01$623.66$424.03RVU23D
2023-07-01$623.66$424.03RVU23C
2023-04-01$623.66$424.03RVU23B
2023-01-01$623.66$424.03RVU23A
2022-10-01$641.53$429.32RVU22D
2022-07-01$641.53$429.32RVU22C
2022-04-01$641.53$429.32RVU22B
2022-01-01$641.53$429.32RVU22A
2021-10-01$646.20$433.30RVU21D
2021-07-01$646.20$433.30RVU21C
2021-04-01$646.20$433.30RVU21B
2021-01-01$646.20$433.30RVU21A
2020-10-01$636.87$449.31RVU20D
2020-07-01$636.87$449.31RVU20C
2020-04-01$636.87$449.31RVU20B
2020-01-01$636.87$449.31RVU20A
2019-10-01$626.12$452.78RVU19D
2019-07-01$626.12$452.78RVU19C
2019-04-01$622.49$449.15RVU19B
2019-01-01$622.49$449.15RVU19A
2018-10-01$618.43$456.65RVU18D
2018-07-01$618.43$456.65RVU18C
2018-04-01$618.43$456.65RVU18B
2018-01-01$618.43$456.65RVU18AR1
2017-10-01$567.73$415.07RVU17D
2017-07-01$567.73$415.07RVU17C
2017-04-01$567.73$415.07RVU17B
2017-01-01$567.73$415.07RVU17A
2016-10-01$587.95$430.33RVU16D
2016-07-01$587.95$430.33RVU16C
2016-04-01$587.95$430.33RVU16B
2016-01-01$587.95$430.33RVU16A
2015-10-01$608.31$399.74RVU15D
2015-07-01$608.31$399.74RVU15C
2015-04-01$605.29$397.75RVU15B
2015-01-01$605.29$397.75RVU15A
2014-10-01$575.88$394.05RVU14D
2014-07-01$575.88$394.05RVU14C
2014-04-01$575.88$394.05RVU14B
2014-01-01$575.88$394.05RVU14A
2013-10-01$572.77$380.61RVU13D
2013-07-01$572.77$380.61RVU13C
2013-04-01$572.77$380.61RVU13B
2013-01-01$572.77$380.61RVU13AR

Price 12057 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

12057 billing questions

How is 12057 distinguished from 12056?

Both cover intermediate repair in the same anatomic group. Use 12057 when the combined repaired length exceeds 30.0 cm; 12056 covers 20.1 to 30.0 cm.

Can lengths from multiple facial wounds be combined?

Yes. Combine lengths for wounds repaired at the same complexity within the same anatomic group, and report the applicable code for the resulting total.

When is 12018 a better choice?

Use 12018 for a simple repair of these anatomic sites when the total length exceeds 30.0 cm. 12057 requires intermediate repair complexity.

What documentation supports intermediate complexity?

Document the wound locations and lengths, the closure method and tissue layers closed, and extensive cleaning when a single-layer closure of a heavily contaminated wound supports intermediate repair.

Should modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does Medicare treat other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Related postoperative visits are included for 10 days.

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 12057PPRRVU2026_Oct_nonQPP.csv, line 1,430 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 12057 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 12057 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist