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

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 Queens, NY, Medicare pays $753.11 for 12057 in the office and $438.45 when it’s performed in a hospital or facility.

$753.11Office (non-facility)
$438.45Hospital or facility
+16.1%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $753.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

12057 in Queens, NY vs other payment areas
  1. Queens, NY · this page$753.11
  2. Manhattan, NY · New York$750.01−$3.10
  3. NYC suburbs and Long Island, NY · New York$771.13+$18.02
  4. Poughkeepsie and northern NYC suburbs, NY · New York$704.68−$48.43
  5. Rest of New York · New York$616.99−$136.12
  6. Los Angeles, CA · California$720.71−$32.40
  7. Washington, DC area · District of Columbia$737.51−$15.60

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

Every other payment area

12057 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$721.40$444.28
Chicago, ILIllinois$699.24$431.71
AlaskaAlaska$757.09$473.58
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

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 12057 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work5.85× 1.0646.2244
Practice expense12.48× 1.18214.7514
Malpractice1.09× 1.4421.5718
Total RVUs22.5475
Conversion factor× 33.4009

Office rate, Queens, NY$753.11

Office: (5.85 × 1.064 + 12.48 × 1.182 + 1.09 × 1.442) × $33.4009 = $753.11

Facility: (5.85 × 1.064 + 4.51 × 1.182 + 1.09 × 1.442) × $33.4009 = $438.45

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, Queens, NY
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.$725.05
12055Wound repair, face and mucous membranesIntermediate repair of the same anatomic group for a combined length of 12.6 to 20.0 cm.$635.44
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.$623.71

How 12057 has changed in Queens, NY

12057 · Office / nonfacility

$753.11

Effective 2026-10-01

The base rate is $67.96 higher than on 2025-10-01, moving from $685.15 to $753.11 (9.9%).

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

    $685.15changed to$753.11

    • 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 1.065 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

    $709.15changed to$685.15

    • 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

    $697.58changed to$709.15

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $754.03changed to$697.58

    • 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 1.061 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

    $797.72changed to$754.03

    • 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 1.056 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

    $802.48changed to$797.72

    • 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

    $770.98changed to$802.48

    • 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 1.054 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

    $737.92changed to$770.98

    • 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 1.052 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. July 1, 2019

    RVU19C

    $731.04changed to$737.92

    • Malpractice RVU 0.93 changed to 1.02

    Held through RVU19D.

  10. January 1, 2019

    RVU19A

    $728.57changed to$731.04

    • 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

    $674.63changed to$728.57

    • 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
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $694.87changed to$674.63

    • 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
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $713.62changed to$694.87

    • 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

    $710.07changed to$713.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $661.98changed to$710.07

    • 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
    • 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.

  16. January 1, 2014

    RVU14A

    $654.60changed to$661.98

    • 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
    • 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.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $654.60

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$753.11$438.45RVU26D
2026-07-01$753.11$438.45RVU26C
2026-04-01$753.11$438.45RVU26B
2026-01-01$753.11$438.45RVU26A
2025-10-01$685.15$475.26RVU25D
2025-07-01$685.15$475.26RVU25C
2025-04-01$685.15$475.26RVU25B
2025-01-01$685.15$475.26RVU25A
2024-10-01$709.15$484.01RVU24D
2024-07-01$709.15$484.01RVU24C
2024-04-01$709.15$484.01RVU24B
2024-03-09$709.15$484.01RVU24AR
2024-01-01$697.58$476.11RVU24A
2023-10-01$754.03$513.76RVU23D
2023-07-01$754.03$513.76RVU23C
2023-04-01$754.03$513.76RVU23B
2023-01-01$754.03$513.76RVU23A
2022-10-01$797.72$542.75RVU22D
2022-07-01$797.72$542.75RVU22C
2022-04-01$797.72$542.75RVU22B
2022-01-01$797.72$542.75RVU22A
2021-10-01$802.48$546.67RVU21D
2021-07-01$802.48$546.67RVU21C
2021-04-01$802.48$546.67RVU21B
2021-01-01$802.48$546.67RVU21A
2020-10-01$770.98$547.98RVU20D
2020-07-01$770.98$547.98RVU20C
2020-04-01$770.98$547.98RVU20B
2020-01-01$770.98$547.98RVU20A
2019-10-01$737.92$533.79RVU19D
2019-07-01$737.92$533.79RVU19C
2019-04-01$731.04$526.91RVU19B
2019-01-01$731.04$526.91RVU19A
2018-10-01$728.57$538.06RVU18D
2018-07-01$728.57$538.06RVU18C
2018-04-01$728.57$538.06RVU18B
2018-01-01$728.57$538.06RVU18AR1
2017-10-01$674.63$495.90RVU17D
2017-07-01$674.63$495.90RVU17C
2017-04-01$674.63$495.90RVU17B
2017-01-01$674.63$495.90RVU17A
2016-10-01$694.87$511.56RVU16D
2016-07-01$694.87$511.56RVU16C
2016-04-01$694.87$511.56RVU16B
2016-01-01$694.87$511.56RVU16A
2015-10-01$713.62$471.06RVU15D
2015-07-01$713.62$471.06RVU15C
2015-04-01$710.07$468.71RVU15B
2015-01-01$710.07$468.71RVU15A
2014-10-01$661.98$452.29RVU14D
2014-07-01$661.98$452.29RVU14C
2014-04-01$661.98$452.29RVU14B
2014-01-01$661.98$452.29RVU14A
2013-10-01$654.60$434.65RVU13D
2013-07-01$654.60$434.65RVU13C
2013-04-01$654.60$434.65RVU13B
2013-01-01$654.60$434.65RVU13AR

Price 12057 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

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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