CPT code 21012: Soft-tissue excision, subcutaneous, 2 cm or larger2026 Medicare rate & RVUs in Ohio

In Ohio, Medicare pays $311.30 for 21012 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21012 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 21012 covers

Code 21012 describes surgical removal of a soft-tissue tumor in the subcutaneous layer of the face or scalp when the lesion measures 2 cm or more. An otolaryngologist, plastic surgeon, or oral and maxillofacial surgeon may perform the procedure in an office procedure room or operating room, depending on the lesion and setting. The word “tumor” identifies the mass being removed; it does not by itself establish malignancy. This code is not selected for a lesion confined to the skin or for a mass removed from a deeper plane.

Choose the code based on the tumor’s documented size and tissue plane, not the incision length. The operative report should identify the face or scalp site, subcutaneous location, and lesion measurement. CMS treats this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 Ohio compares for 21012

Across 109 of 109 payment localities, the facility rate for 21012 runs from $288.29 in Arkansas to $392.48 in Alaska. Ohio pays $311.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21012 rates by state

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

See 21012 in every payment locality

How the 21012 rate is calculated

Each of 21012’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 21012

21012 has a 90-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 21012

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

How 21012 has changed in Ohio

Price 21012 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Ada
• Adamsville
• Addyston
• Adelphi
• Adena
• Ai
• Akron

Browse all communities in Ohio

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