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CMS RVU26D · Effective 2026-10-01

12031 in Austin

Office / nonfacility

$269.96

Base rate per service

Facility setting

$136.03

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound repair

About 12031: Intermediate wound repair, scalp or trunk

Reports intermediate layered repair of a scalp, axillary, trunk, or extremity wound, excluding hands and feet, when the repair length is 2.5 cm or less.

This service is for a wound requiring more than a straightforward skin closure: the clinician closes one or more deeper tissue layers as well as the skin, or extensively cleans a heavily contaminated wound before closure. Typical settings include emergency departments, outpatient clinics, and surgical practices. The covered locations are the scalp, axillae, trunk, and extremities, but not the hands or feet. Intermediate repairs of the face and other separately classified sites use different codes.

Choose the code by the repair’s anatomic group, complexity, and documented length. For multiple intermediate wounds in the same anatomic group, add their lengths when selecting the code; report this level when the combined length is 2.5 cm or less. The note should describe the wound location and length, the layered closure or extensive cleaning, and the work performed. CMS assigns a 10-day global period, so related postoperative visits during that period 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 multiple-procedure reduction. Bilateral adjustment is not appropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 12031

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.95 · 25%
  • Practice expense (office) RVU5.60 · 72%
  • Malpractice RVU0.23 · 3%

62.8K

Medicare services in 2024 · #701 by national volume

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.

12031 compared with similar codes

Office rates for Austin, from the same CMS release.

12032

Intermediate repair

2.6–7.5 cm, scalp/trunk/extremities

$311.24

Both codes cover intermediate repairs in the same site group. Choose 12032 when the combined length is 2.6–7.5 cm rather than 2.5 cm or less.

12041

Intermediate repair

Neck, hands, feet, genitalia, 2.5 cm or less

$272.84

This code is for intermediate repair of the neck, hands, feet, or external genitalia. Use 12031 for the scalp, axillae, trunk, or extremities excluding hands and feet.

12001

Simple wound repair

2.5 cm or less

$117.94

12001 describes a simple repair, generally a skin-only closure, in its applicable site group. 12031 is for intermediate repair involving layered closure or extensive cleaning of a heavily contaminated wound.

12051

Facial repair

Intermediate, 2.5 cm or less

$293.40

12051 is the intermediate-repair code for the face and specified facial sites. 12031 covers the scalp, axillae, trunk, and extremities excluding hands and feet.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 12031 is $242.48—$27.48 lower than the $269.96 rate in Austin. Both use the same code, release and participation basis.

12031 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $269.96

  2. Beaumont

    $242.48

    $27.48 lower than Austin

  3. Brazoria

    $257.01

    $12.95 lower than Austin

  4. Dallas

    $258.61

    $11.35 lower than Austin

  5. Fort Worth

    $256.84

    $13.12 lower than Austin

  6. Galveston

    $257.75

    $12.21 lower than Austin

  7. Houston

    $261.96

    $8.00 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 12031 ranges from $229.76 in Arkansas to $346.13 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 12031

    Office

    $249.57

    Facility

    $129.44

    $20.39 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 12031

    Office

    $294.18

    Facility

    $144.42

    $24.22 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 12031

    Office

    $297.54

    Facility

    $148.42

    $27.58 higher than Austin for the office setting.

  • Miami

    Florida · 12031

    Office

    $279.27

    Facility

    $147.49

    $9.31 higher than Austin for the office setting.

  • Chicago

    Illinois · 12031

    Office

    $271.20

    Facility

    $143.98

    $1.24 higher than Austin for the office setting.

  • Manhattan

    New York · 12031

    Office

    $298.83

    Facility

    $151.73

    $28.87 higher than Austin for the office setting.

  • Alaska*

    Alaska · 12031

    Office

    $301.13

    Facility

    $166.32

    $31.17 higher than Austin for the office setting.

  • Alabama

    Alabama · 12031

    Office

    $233.14

    Facility

    $122.38

    $36.82 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 12031

    Office

    $229.76

    Facility

    $121.02

    $40.20 lower than Austin for the office setting.

  • Arizona

    Arizona · 12031

    Office

    $252.95

    Facility

    $130.29

    $17.01 lower than Austin for the office setting.

  • Bakersfield

    California · 12031

    Office

    $276.05

    Facility

    $137.31

    $6.09 higher than Austin for the office setting.

  • Chico

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • El Centro

    California · 12031

    Office

    $275.40

    Facility

    $136.65

    $5.44 higher than Austin for the office setting.

  • Fresno

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Madera

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Merced

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Modesto

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Napa

    California · 12031

    Office

    $319.66

    Facility

    $152.82

    $49.70 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 12031

    Office

    $292.83

    Facility

    $143.20

    $22.87 higher than Austin for the office setting.

  • Redding

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Rest Of California

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 12031

    Office

    $277.86

    Facility

    $139.12

    $7.90 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 12031

    Office

    $289.13

    Facility

    $141.90

    $19.17 higher than Austin for the office setting.

  • Salinas

    California · 12031

    Office

    $288.05

    Facility

    $141.34

    $18.09 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 12031

    Office

    $294.96

    Facility

    $143.55

    $25.00 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 12031

    Office

    $338.58

    Facility

    $160.09

    $68.62 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 12031

    Office

    $338.32

    Facility

    $159.83

    $68.36 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 12031

    Office

    $346.13

    Facility

    $163.59

    $76.17 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 12031

    Office

    $345.07

    Facility

    $162.52

    $75.11 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 12031

    Office

    $283.40

    Facility

    $139.22

    $13.44 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 12031

    Office

    $297.88

    Facility

    $144.07

    $27.92 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 12031

    Office

    $289.17

    Facility

    $141.56

    $19.21 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 12031

    Office

    $300.89

    Facility

    $145.44

    $30.93 higher than Austin for the office setting.

  • Stockton

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Vallejo

    California · 12031

    Office

    $319.29

    Facility

    $152.44

    $49.33 higher than Austin for the office setting.

  • Visalia

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Yuba City

    California · 12031

    Office

    $275.36

    Facility

    $136.62

    $5.40 higher than Austin for the office setting.

  • Colorado

    Colorado · 12031

    Office

    $270.93

    Facility

    $136.24

    $0.97 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 12031

    Office

    $277.18

    Facility

    $140.84

    $7.22 higher than Austin for the office setting.

  • Delaware

    Delaware · 12031

    Office

    $257.16

    Facility

    $132.09

    $12.80 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 12031

    Office

    $268.50

    Facility

    $140.26

    $1.46 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 12031

    Office

    $255.49

    Facility

    $134.47

    $14.47 lower than Austin for the office setting.

  • Atlanta

    Georgia · 12031

    Office

    $264.59

    Facility

    $135.98

    $5.37 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 12031

    Office

    $241.13

    Facility

    $128.22

    $28.83 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 12031

    Office

    $282.25

    Facility

    $138.32

    $12.29 higher than Austin for the office setting.

  • Iowa

    Iowa · 12031

    Office

    $239.33

    Facility

    $123.50

    $30.63 lower than Austin for the office setting.

  • Idaho

    Idaho · 12031

    Office

    $240.85

    Facility

    $124.38

    $29.11 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 12031

    Office

    $252.69

    Facility

    $136.22

    $17.27 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 12031

    Office

    $247.91

    Facility

    $132.34

    $22.05 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 12031

    Office

    $271.30

    Facility

    $141.29

    $1.34 higher than Austin for the office setting.

  • Indiana

    Indiana · 12031

    Office

    $242.26

    Facility

    $124.91

    $27.70 lower than Austin for the office setting.

  • Kansas

    Kansas · 12031

    Office

    $238.09

    Facility

    $123.66

    $31.87 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 12031

    Office

    $238.44

    Facility

    $125.91

    $31.52 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 12031

    Office

    $249.87

    Facility

    $130.75

    $20.09 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 12031

    Office

    $238.03

    Facility

    $125.99

    $31.93 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 12031

    Office

    $297.97

    Facility

    $146.82

    $28.01 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 12031

    Office

    $269.26

    Facility

    $135.96

    $0.70 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 12031

    Office

    $276.38

    Facility

    $140.55

    $6.42 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 12031

    Office

    $262.12

    Facility

    $134.02

    $7.84 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 12031

    Office

    $241.99

    Facility

    $125.53

    $27.97 lower than Austin for the office setting.

  • Southern Maine

    Maine · 12031

    Office

    $255.34

    Facility

    $129.89

    $14.62 lower than Austin for the office setting.

  • Detroit

    Michigan · 12031

    Office

    $258.58

    Facility

    $136.42

    $11.38 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 12031

    Office

    $244.58

    Facility

    $129.00

    $25.38 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 12031

    Office

    $259.88

    Facility

    $129.61

    $10.08 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 12031

    Office

    $248.27

    Facility

    $129.41

    $21.69 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 12031

    Office

    $250.90

    Facility

    $130.38

    $19.06 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 12031

    Office

    $233.85

    Facility

    $124.73

    $36.11 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 12031

    Office

    $231.85

    Facility

    $122.86

    $38.11 lower than Austin for the office setting.

  • Montana**

    Montana · 12031

    Office

    $259.84

    Facility

    $133.25

    $10.12 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 12031

    Office

    $244.55

    Facility

    $126.45

    $25.41 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 12031

    Office

    $255.30

    Facility

    $128.71

    $14.66 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 12031

    Office

    $240.68

    Facility

    $123.84

    $29.28 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 12031

    Office

    $266.57

    Facility

    $134.79

    $3.39 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 12031

    Office

    $294.41

    Facility

    $147.57

    $24.45 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 12031

    Office

    $280.42

    Facility

    $142.18

    $10.46 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 12031

    Office

    $245.88

    Facility

    $129.80

    $24.08 lower than Austin for the office setting.

  • Nevada**

    Nevada · 12031

    Office

    $258.76

    Facility

    $132.05

    $11.20 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 12031

    Office

    $305.96

    Facility

    $155.45

    $36.00 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 12031

    Office

    $282.17

    Facility

    $143.56

    $12.21 higher than Austin for the office setting.

  • Queens

    New York · 12031

    Office

    $301.47

    Facility

    $151.84

    $31.51 higher than Austin for the office setting.

  • Rest Of New York

    New York · 12031

    Office

    $248.23

    Facility

    $127.97

    $21.73 lower than Austin for the office setting.

  • Ohio

    Ohio · 12031

    Office

    $243.65

    Facility

    $128.07

    $26.31 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 12031

    Office

    $238.13

    Facility

    $125.09

    $31.83 lower than Austin for the office setting.

  • Portland

    Oregon · 12031

    Office

    $279.70

    Facility

    $139.06

    $9.74 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 12031

    Office

    $256.83

    Facility

    $130.75

    $13.13 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 12031

    Office

    $270.18

    Facility

    $138.40

    $0.22 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 12031

    Office

    $244.10

    Facility

    $127.89

    $25.86 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 12031

    Office

    $261.80

    Facility

    $133.82

    $8.16 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 12031

    Office

    $266.44

    Facility

    $135.67

    $3.52 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 12031

    Office

    $244.49

    Facility

    $127.52

    $25.47 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 12031

    Office

    $254.76

    Facility

    $128.17

    $15.20 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 12031

    Office

    $239.28

    Facility

    $124.21

    $30.68 lower than Austin for the office setting.

  • Utah

    Utah · 12031

    Office

    $247.85

    Facility

    $128.86

    $22.11 lower than Austin for the office setting.

  • Virginia

    Virginia · 12031

    Office

    $254.42

    Facility

    $129.98

    $15.54 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 12031

    Office

    $261.80

    Facility

    $133.82

    $8.16 lower than Austin for the office setting.

  • Vermont

    Vermont · 12031

    Office

    $254.19

    Facility

    $128.87

    $15.77 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 12031

    Office

    $268.78

    Facility

    $135.48

    $1.18 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 12031

    Office

    $304.17

    Facility

    $148.84

    $34.21 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 12031

    Office

    $246.69

    Facility

    $125.41

    $23.27 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 12031

    Office

    $238.67

    Facility

    $128.66

    $31.29 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 12031

    Office

    $257.86

    Facility

    $131.27

    $12.10 lower than Austin for the office setting.

See how rates vary across the country

12031 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$229.76

$310.75

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$301.131
AL$233.141
AR$229.761
AZ$252.951
CA$275.36–$346.1329
CO$270.931
CT$277.181
DC$297.541
DE$257.161
FL$255.49–$279.273
GA$241.13–$264.592
GU$282.251
HI$282.251
IA$239.331
ID$240.851
IL$247.91–$271.304
IN$242.261
KS$238.091
KY$238.441
LA$238.03–$249.872
MA$269.26–$297.972
MD$262.12–$297.543
ME$241.99–$255.342
MI$244.58–$258.582
MN$259.881
MO$233.85–$250.903
MS$231.851
MT$259.841
NC$244.551
ND$255.301
NE$240.681
NH$266.571
NJ$280.42–$294.412
NM$245.881
NV$258.761
NY$248.23–$305.965
OH$243.651
OK$238.131
OR$256.83–$279.702
PA$244.10–$270.182
PR$261.801
RI$266.441
SC$244.491
SD$254.761
TN$239.281
TX$242.48–$269.968
UT$247.851
VA$254.42–$297.542
VI$261.801
VT$254.191
WA$268.78–$304.172
WI$246.691
WV$238.671
WY$257.861

Explore 12031 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 12031 in Austin, the physician’s office rate is $269.96 and the facility-setting rate is $136.03: a difference of $133.93.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 12031 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$296.96

$269.96 × 110% = $296.96

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 12031 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,412

Code
12031
Physician work
1.95
Practice expense
5.60
Malpractice
0.23

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 12031 in Austin
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0021.9539
Practice expense5.60× 1.0585.9248
Malpractice0.23× 0.8860.2038
Total RVUs8.0825
Conversion factor× 33.4009

Office / nonfacility rate, Austin$269.96

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 12031 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.951.002
Practice expense5.61.058
Malpractice0.230.886

(1.95 × 1.002 + 5.6 × 1.058 + 0.23 × 0.886) × $33.4009 = $269.96

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.951.002
Practice expense1.811.058
Malpractice0.230.886

(1.95 × 1.002 + 1.81 × 1.058 + 0.23 × 0.886) × $33.4009 = $136.03

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

12031 · Office / nonfacility

$269.96

Effective 2026-10-01

The base rate is $9.38 higher than on 2025-10-01, moving from $260.58 to $269.96 (3.6%).

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

    $260.58changed to$269.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 5.58 changed to 5.60
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $260.58

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$269.96$136.03RVU26D
2026-07-01$269.96$136.03RVU26C
2026-04-01$269.96$136.03RVU26B
2026-01-01$269.96$136.03RVU26A
2025-10-01$260.58$150.62RVU25D
2025-07-01$260.58$150.62RVU25C
2025-04-01$260.58$150.62RVU25B
2025-01-01$260.58$150.62RVU25A

12031 billing questions

When is 12031 appropriate instead of a simple repair code?

Use 12031 when the wound needs layered closure of deeper tissue and skin, or extensive cleaning because it is heavily contaminated. A straightforward skin-only closure is reported from the simple-repair family instead.

How do I select the length level for multiple wounds?

Add the lengths of intermediate repairs in the same anatomic group, then select the code for that combined length. This code covers a combined length of 2.5 cm or less.

Can I report 12031 for a hand or foot wound?

No. Hands and feet are assigned to the separate intermediate-repair site group represented by 12041 and its related length levels.

Are related postoperative visits separately reported?

Related postoperative visits during the 10-day global period are included in the procedure.

Can modifier 50 or an assistant-at-surgery modifier be used?

Bilateral adjustment does not apply to this code. CMS also identifies a statutory restriction on assistant-at-surgery payment.

What happens when another procedure is performed in the same session?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the 50% reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 12031PPRRVU2026_Oct_nonQPP.csv, line 1,412 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet