Both describe simple repair in the same anatomic group, but 12013 is for a shorter total repair length. Use 12014 when the combined length reaches 5.1 cm and remains within 7.5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
12014 in Madera
Office / nonfacility
$178.12
Base rate per service
Facility setting
$68.30
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.
Laceration repair
About 12014: Simple facial wound repair, 5.1–7.5 cm
Report this code for a simple, one-layer repair of a superficial wound on the face or related sites when the repair length totals 5.1–7.5 cm.
This code covers simple closure of a superficial wound on the face, ear, eyelid, nose, lip, or mucous membrane when the repair involves one layer. It is commonly performed by emergency physicians, surgeons, and other qualified practitioners in emergency departments, offices, and urgent care settings. A facial laceration closed with a single layer of sutures is a typical situation; a repair requiring layered closure belongs in the intermediate-repair family instead.
Select the code using the total repair length for simple wounds in this anatomic group; when multiple such wounds are repaired, combine their lengths. Document the wound sites, lengths, and closure complexity. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 12014
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.53 · 30%
- Practice expense (office) RVU3.27 · 63%
- Malpractice RVU0.36 · 7%
6.7K
Medicare services in 2024 · #1682 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.
12014 compared with similar codes
Office rates for Madera, from the same CMS release.
This is the next longer simple-repair interval for the same anatomic group. Use 12015 when the combined repair length exceeds 7.5 cm and falls within its range.
This code covers simple repairs on other listed body sites, such as the scalp, trunk, or extremities. The length may be similar, but the anatomic group differs.
Both apply to facial-site repairs in the 5.1–7.5 cm interval. Use 12053 when the closure meets intermediate-repair criteria rather than simple, one-layer repair.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 12014 is $179.10—$0.98 higher than the $178.12 rate in Madera. Both use the same code, release and participation basis.
12014 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$178.12
$179.10
$0.98 higher than Madera
$178.12
The same base rate than Madera
$178.18
$0.06 higher than Madera
$178.12
The same base rate than Madera
$178.12
The same base rate than Madera
$12.27 higher than Madera
Other payment areas listed in California 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, 12014 ranges from $151.12 in Arkansas to $220.67 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
Merced
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Modesto
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Napa
California · 12014
Office
$204.38
Facility
$72.32
$26.26 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 12014
Office
$189.12
Facility
$70.68
$11.00 higher than Madera for the office setting.
Redding
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Rest Of California
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 12014
Office
$181.99
Facility
$72.16
$3.87 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 12014
Office
$186.41
Facility
$69.88
$8.29 higher than Madera for the office setting.
Salinas
California · 12014
Office
$185.72
Facility
$69.58
$7.60 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 12014
Office
$189.78
Facility
$69.94
$11.66 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 12014
Office
$215.48
Facility
$74.19
$37.36 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 12014
Office
$215.07
Facility
$73.78
$36.95 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 12014
Office
$220.67
Facility
$76.17
$42.55 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 12014
Office
$219.00
Facility
$74.50
$40.88 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 12014
Office
$182.82
Facility
$68.69
$4.70 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 12014
Office
$191.33
Facility
$69.58
$13.21 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 12014
Office
$186.33
Facility
$69.49
$8.21 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 12014
Office
$193.20
Facility
$70.16
$15.08 higher than Madera for the office setting.
Stockton
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Vallejo
California · 12014
Office
$203.80
Facility
$71.73
$25.68 higher than Madera for the office setting.
Visalia
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Yuba City
California · 12014
Office
$178.12
Facility
$68.30
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 12014
Office
$195.91
Facility
$77.87
$17.79 higher than Madera for the office setting.
Miami
Florida · 12014
Office
$195.21
Facility
$90.90
$17.09 higher than Madera for the office setting.
Chicago
Illinois · 12014
Office
$188.82
Facility
$88.12
$10.70 higher than Madera for the office setting.
Manhattan
New York · 12014
Office
$200.36
Facility
$83.92
$22.24 higher than Madera for the office setting.
Alaska*
Alaska · 12014
Office
$199.60
Facility
$92.88
$21.48 higher than Madera for the office setting.
Alabama
Alabama · 12014
Office
$153.48
Facility
$65.80
$24.64 lower than Madera for the office setting.
Arkansas
Arkansas · 12014
Office
$151.12
Facility
$65.04
$27.00 lower than Madera for the office setting.
Arizona
Arizona · 12014
Office
$167.23
Facility
$70.13
$10.89 lower than Madera for the office setting.
Colorado
Colorado · 12014
Office
$177.32
Facility
$70.70
$0.80 lower than Madera for the office setting.
Connecticut
Connecticut · 12014
Office
$184.31
Facility
$76.39
$6.19 higher than Madera for the office setting.
Delaware
Delaware · 12014
Office
$170.08
Facility
$71.08
$8.04 lower than Madera for the office setting.
Fort Lauderdale
Florida · 12014
Office
$183.48
Facility
$81.98
$5.36 higher than Madera for the office setting.
Rest Of Florida
Florida · 12014
Office
$173.59
Facility
$77.80
$4.53 lower than Madera for the office setting.
Atlanta
Georgia · 12014
Office
$176.67
Facility
$74.86
$1.45 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 12014
Office
$162.86
Facility
$73.48
$15.26 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 12014
Office
$182.25
Facility
$68.32
$4.13 higher than Madera for the office setting.
Iowa
Iowa · 12014
Office
$155.81
Facility
$64.13
$22.31 lower than Madera for the office setting.
Idaho
Idaho · 12014
Office
$157.27
Facility
$65.09
$20.85 lower than Madera for the office setting.
East St. Louis
Illinois · 12014
Office
$175.80
Facility
$83.62
$2.32 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 12014
Office
$169.62
Facility
$78.13
$8.50 lower than Madera for the office setting.
Suburban Chicago
Illinois · 12014
Office
$184.94
Facility
$82.03
$6.82 higher than Madera for the office setting.
Indiana
Indiana · 12014
Office
$158.20
Facility
$65.31
$19.92 lower than Madera for the office setting.
Kansas
Kansas · 12014
Office
$155.90
Facility
$65.32
$22.22 lower than Madera for the office setting.
Kentucky
Kentucky · 12014
Office
$159.20
Facility
$70.12
$18.92 lower than Madera for the office setting.
New Orleans
Louisiana · 12014
Office
$167.54
Facility
$73.25
$10.58 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 12014
Office
$159.28
Facility
$70.60
$18.84 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 12014
Office
$194.31
Facility
$74.67
$16.19 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 12014
Office
$176.51
Facility
$71.00
$1.61 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 12014
Office
$183.99
Facility
$76.47
$5.87 higher than Madera for the office setting.
Rest Of Maryland
Maryland · 12014
Office
$173.18
Facility
$71.78
$4.94 lower than Madera for the office setting.
Rest Of Maine
Maine · 12014
Office
$159.07
Facility
$66.88
$19.05 lower than Madera for the office setting.
Southern Maine
Maine · 12014
Office
$166.93
Facility
$67.63
$11.19 lower than Madera for the office setting.
Detroit
Michigan · 12014
Office
$176.77
Facility
$80.08
$1.35 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 12014
Office
$164.40
Facility
$72.91
$13.72 lower than Madera for the office setting.
Minnesota
Minnesota · 12014
Office
$167.05
Facility
$63.94
$11.07 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 12014
Office
$165.41
Facility
$71.32
$12.71 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 12014
Office
$167.13
Facility
$71.74
$10.99 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 12014
Office
$156.96
Facility
$70.59
$21.16 lower than Madera for the office setting.
Mississippi
Mississippi · 12014
Office
$154.03
Facility
$67.75
$24.09 lower than Madera for the office setting.
Montana**
Montana · 12014
Office
$172.32
Facility
$72.12
$5.80 lower than Madera for the office setting.
North Carolina
North Carolina · 12014
Office
$160.69
Facility
$67.20
$17.43 lower than Madera for the office setting.
North Dakota**
North Dakota · 12014
Office
$165.21
Facility
$65.00
$12.91 lower than Madera for the office setting.
Nebraska
Nebraska · 12014
Office
$156.46
Facility
$63.97
$21.66 lower than Madera for the office setting.
New Hampshire
New Hampshire · 12014
Office
$175.32
Facility
$71.01
$2.80 lower than Madera for the office setting.
Northern Nj
New Jersey · 12014
Office
$193.86
Facility
$77.63
$15.74 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 12014
Office
$185.61
Facility
$76.19
$7.49 higher than Madera for the office setting.
New Mexico
New Mexico · 12014
Office
$165.70
Facility
$73.81
$12.42 lower than Madera for the office setting.
Nevada**
Nevada · 12014
Office
$170.45
Facility
$70.15
$7.67 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 12014
Office
$206.57
Facility
$87.43
$28.45 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 12014
Office
$187.55
Facility
$77.83
$9.43 higher than Madera for the office setting.
Queens
New York · 12014
Office
$200.81
Facility
$82.37
$22.69 higher than Madera for the office setting.
Rest Of New York
New York · 12014
Office
$163.32
Facility
$68.12
$14.80 lower than Madera for the office setting.
Ohio
Ohio · 12014
Office
$162.94
Facility
$71.46
$15.18 lower than Madera for the office setting.
Oklahoma
Oklahoma · 12014
Office
$157.98
Facility
$68.50
$20.14 lower than Madera for the office setting.
Portland
Oregon · 12014
Office
$182.21
Facility
$70.89
$4.09 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 12014
Office
$168.34
Facility
$68.54
$9.78 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 12014
Office
$180.07
Facility
$75.76
$1.95 higher than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 12014
Office
$162.73
Facility
$70.75
$15.39 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 12014
Office
$173.37
Facility
$72.06
$4.75 lower than Madera for the office setting.
Rhode Island
Rhode Island · 12014
Office
$175.63
Facility
$72.12
$2.49 lower than Madera for the office setting.
South Carolina
South Carolina · 12014
Office
$162.24
Facility
$69.66
$15.88 lower than Madera for the office setting.
South Dakota**
South Dakota · 12014
Office
$164.36
Facility
$64.16
$13.76 lower than Madera for the office setting.
Tennessee
Tennessee · 12014
Office
$156.84
Facility
$65.76
$21.28 lower than Madera for the office setting.
Austin
Texas · 12014
Office
$177.41
Facility
$71.40
$0.71 lower than Madera for the office setting.
Beaumont
Texas · 12014
Office
$161.67
Facility
$70.48
$16.45 lower than Madera for the office setting.
Brazoria
Texas · 12014
Office
$169.13
Facility
$69.83
$8.99 lower than Madera for the office setting.
Dallas
Texas · 12014
Office
$170.66
Facility
$70.86
$7.46 lower than Madera for the office setting.
Fort Worth
Texas · 12014
Office
$169.73
Facility
$70.93
$8.39 lower than Madera for the office setting.
Galveston
Texas · 12014
Office
$169.92
Facility
$70.42
$8.20 lower than Madera for the office setting.
Houston
Texas · 12014
Office
$176.51
Facility
$77.01
$1.61 lower than Madera for the office setting.
Rest Of Texas
Texas · 12014
Office
$165.61
Facility
$70.52
$12.51 lower than Madera for the office setting.
Utah
Utah · 12014
Office
$164.57
Facility
$70.38
$13.55 lower than Madera for the office setting.
Virginia
Virginia · 12014
Office
$166.96
Facility
$68.46
$11.16 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 12014
Office
$173.37
Facility
$72.06
$4.75 lower than Madera for the office setting.
Vermont
Vermont · 12014
Office
$165.32
Facility
$66.12
$12.80 lower than Madera for the office setting.
Rest Of Washington
Washington · 12014
Office
$175.93
Facility
$70.41
$2.19 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 12014
Office
$197.50
Facility
$74.55
$19.38 higher than Madera for the office setting.
Wisconsin
Wisconsin · 12014
Office
$159.44
Facility
$63.45
$18.68 lower than Madera for the office setting.
West Virginia
West Virginia · 12014
Office
$163.22
Facility
$76.15
$14.90 lower than Madera for the office setting.
Wyoming**
Wyoming · 12014
Office
$169.22
Facility
$69.02
$8.90 lower than Madera for the office setting.
See how rates vary across the country
12014 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$151.12
$199.60
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $199.60 | 1 |
| AL | $153.48 | 1 |
| AR | $151.12 | 1 |
| AZ | $167.23 | 1 |
| CA | $178.12–$220.67 | 29 |
| CO | $177.32 | 1 |
| CT | $184.31 | 1 |
| DC | $195.91 | 1 |
| DE | $170.08 | 1 |
| FL | $173.59–$195.21 | 3 |
| GA | $162.86–$176.67 | 2 |
| GU | $182.25 | 1 |
| HI | $182.25 | 1 |
| IA | $155.81 | 1 |
| ID | $157.27 | 1 |
| IL | $169.62–$188.82 | 4 |
| IN | $158.20 | 1 |
| KS | $155.90 | 1 |
| KY | $159.20 | 1 |
| LA | $159.28–$167.54 | 2 |
| MA | $176.51–$194.31 | 2 |
| MD | $173.18–$195.91 | 3 |
| ME | $159.07–$166.93 | 2 |
| MI | $164.40–$176.77 | 2 |
| MN | $167.05 | 1 |
| MO | $156.96–$167.13 | 3 |
| MS | $154.03 | 1 |
| MT | $172.32 | 1 |
| NC | $160.69 | 1 |
| ND | $165.21 | 1 |
| NE | $156.46 | 1 |
| NH | $175.32 | 1 |
| NJ | $185.61–$193.86 | 2 |
| NM | $165.70 | 1 |
| NV | $170.45 | 1 |
| NY | $163.32–$206.57 | 5 |
| OH | $162.94 | 1 |
| OK | $157.98 | 1 |
| OR | $168.34–$182.21 | 2 |
| PA | $162.73–$180.07 | 2 |
| PR | $173.37 | 1 |
| RI | $175.63 | 1 |
| SC | $162.24 | 1 |
| SD | $164.36 | 1 |
| TN | $156.84 | 1 |
| TX | $161.67–$177.41 | 8 |
| UT | $164.57 | 1 |
| VA | $166.96–$195.91 | 2 |
| VI | $173.37 | 1 |
| VT | $165.32 | 1 |
| WA | $175.93–$197.50 | 2 |
| WI | $159.44 | 1 |
| WV | $163.22 | 1 |
| WY | $169.22 | 1 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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.
Why are the office and facility amounts different?
For 12014 in Madera, the physician’s office rate is $178.12 and the facility-setting rate is $68.30: a difference of $109.82.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 12014 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$195.93
$178.12 × 110% = $195.93
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.
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 12014 in Madera.
PPRRVU2026_Oct_nonQPP.csv
1,405
- Code
- 12014
- Physician work
- 1.53
- Practice expense
- 3.27
- Malpractice
- 0.36
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.53 | × 1.017 | 1.5560 |
| Practice expense | 3.27 | × 1.096 | 3.5839 |
| Malpractice | 0.36 | × 0.536 | 0.1930 |
| Total RVUs | 5.3329 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$178.12
Open 12014 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.53 | 1.017 |
| Practice expense | 3.27 | 1.096 |
| Malpractice | 0.36 | 0.536 |
(1.53 × 1.017 + 3.27 × 1.096 + 0.36 × 0.536) × $33.4009 = $178.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.53 | 1.017 |
| Practice expense | 0.27 | 1.096 |
| Malpractice | 0.36 | 0.536 |
(1.53 × 1.017 + 0.27 × 1.096 + 0.36 × 0.536) × $33.4009 = $68.30
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
12014 · Office / nonfacility
$178.12
Effective 2026-10-01
The base rate is $36.69 higher than on 2025-10-01, moving from $141.43 to $178.12 (25.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$141.43changed to$178.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.57 changed to 1.53
- Practice expense RVU 2.39 changed to 3.27
- Malpractice RVU 0.30 changed to 0.36
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $141.43
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
12014 billing questions
How does this code differ from 12013 or 12015?
All three are simple repairs in the same anatomic group. Choose 12014 when the combined repair length is 5.1–7.5 cm; 12013 covers a shorter interval and 12015 a longer one.
When should an intermediate repair code be used instead?
Use an intermediate-repair code when the wound closure requires layered repair or otherwise meets the criteria for intermediate complexity. For a facial-site repair measuring 5.1–7.5 cm, compare with 12053.
Can separate facial wounds be coded individually?
For multiple simple repairs in this same anatomic group, combine the repair lengths to select the length code rather than reporting a separate code for each wound.
Is modifier 50 appropriate for wounds on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its anatomic descriptor.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care associated with the repair.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple-procedure rule are paid at 50%.
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.
