CPT code 12057: Wound repair, face and related sites, over 30 cm2026 Medicare rate & RVUs in Missouri
Reports intermediate-complexity repair of wounds on the face or related sites when the combined repaired length exceeds 30.0 cm.
Medicare pays $590.17–$628.71 for 12057 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 12057 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$590.17 to $628.71
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $622.38 | $372.41 |
| Metropolitan St. Louis, MO | $628.71 | $375.28 |
| Rest of Missouri | $590.17 | $360.71 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
12057 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 12056Wound repairFace, 20.1–30 cm
- Both are intermediate repairs in the same anatomic group; choose 12057 only when the combined repaired length exceeds 30.0 cm.
- 12018Wound repairFace group, over 30 cm
- This code is for simple repair over 30.0 cm at these sites. Choose 12057 when the documented repair meets intermediate-complexity criteria.
- 12037Intermediate repairOver 30 cm, scalp/trunk/extremities
- Both describe intermediate repair over 30.0 cm, but 12037 applies to scalp, trunk, or extremity sites rather than the face-related group.
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
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