$178.12
Both cover simple repair in the same anatomic group. Choose 12014 when the total repaired length falls in its shorter range; choose 12015 for 7.6 to 12.5 cm.
On this page
CMS RVU26D · Effective 2026-10-01
12015 in Modesto
Office / nonfacility
$217.67
Base rate per service
Facility setting
$85.52
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 12015: Simple facial wound repair, 7.6-12.5 cm
Reports simple closure of superficial wounds totaling 7.6 to 12.5 cm on the face, ears, eyelids, nose, lips, or mucous membranes.
This service covers straightforward closure of superficial wounds in the face, ears, eyelids, nose, lips, or mucous membranes, when the total repaired length is 7.6 to 12.5 cm. A physician or other qualified clinician commonly performs it in an office, emergency department, or other acute-care setting. A typical situation is closure of a superficial facial laceration that needs a simple, rather than layered, repair.
Select the code by the wound’s anatomic group, repair complexity, and total repaired length. The record should identify the wound site, describe the simple closure, and support the length reported. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. 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 inappropriate. Assistant-at-surgery payment is statutorily restricted, and co-surgery and team surgery are not permitted.
CMS billing rules for 12015
- 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 RVU1.93 · 31%
- Practice expense (office) RVU3.94 · 62%
- Malpractice RVU0.44 · 7%
3.3K
Medicare services in 2024 · #2114 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.
12015 compared with similar codes
Office rates for Modesto, from the same CMS release.
$274.93
This is the next longer length range for simple repair of the same anatomic group. The repaired length, not wound severity alone, distinguishes it from 12015.
$167.68
This covers simple repair of a different anatomic group, including the trunk and other listed sites. Use 12015 for the face, ears, eyelids, nose, lips, or mucous membranes.
$298.65
This is for intermediate repair in the face and related-site group. Choose based on repair complexity: a layered intermediate repair is not the simple closure represented by 12015.
The same code, a different location
How does Modesto compare?
In Bakersfield, the office rate for 12015 is $218.87—$1.20 higher than the $217.67 rate in Modesto. Both use the same code, release and participation basis.
12015 across payment areas
Same release and payment basis · bars start at $0
Modesto · This locality
$217.67
$218.87
$1.20 higher than Modesto
$217.67
The same base rate than Modesto
$217.74
$0.07 higher than Modesto
$217.67
The same base rate than Modesto
$217.67
The same base rate than Modesto
$14.88 higher than Modesto
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, 12015 ranges from $185.08 in Arkansas to $269.20 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
Madera
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Merced
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Napa
California · 12015
Office
$249.44
Facility
$90.52
$31.77 higher than Modesto for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 12015
Office
$230.98
Facility
$88.45
$13.31 higher than Modesto for the office setting.
Redding
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Rest Of California
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Riverside-San Bernardino-Ontario
California · 12015
Office
$222.39
Facility
$90.24
$4.72 higher than Modesto for the office setting.
Sacramento-Roseville-Folsom
California · 12015
Office
$227.71
Facility
$87.48
$10.04 higher than Modesto for the office setting.
Salinas
California · 12015
Office
$226.86
Facility
$87.11
$9.19 higher than Modesto for the office setting.
San Diego-Chula Vista-Carlsbad
California · 12015
Office
$231.76
Facility
$87.55
$14.09 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 12015
Office
$262.89
Facility
$92.87
$45.22 higher than Modesto for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 12015
Office
$262.39
Facility
$92.38
$44.72 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 12015
Office
$269.20
Facility
$95.33
$51.53 higher than Modesto for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 12015
Office
$267.16
Facility
$93.28
$49.49 higher than Modesto for the office setting.
San Luis Obispo-Paso Robles
California · 12015
Office
$223.33
Facility
$85.99
$5.66 higher than Modesto for the office setting.
Santa Cruz-Watsonville
California · 12015
Office
$233.59
Facility
$87.09
$15.92 higher than Modesto for the office setting.
Santa Maria-Santa Barbara
California · 12015
Office
$227.59
Facility
$87.00
$9.92 higher than Modesto for the office setting.
Santa Rosa-Petaluma
California · 12015
Office
$235.88
Facility
$87.81
$18.21 higher than Modesto for the office setting.
Stockton
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Vallejo
California · 12015
Office
$248.72
Facility
$89.80
$31.05 higher than Modesto for the office setting.
Visalia
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Yuba City
California · 12015
Office
$217.67
Facility
$85.52
The same base rate than Modesto for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 12015
Office
$239.33
Facility
$97.29
$21.66 higher than Modesto for the office setting.
Miami
Florida · 12015
Office
$238.63
Facility
$113.11
$20.96 higher than Modesto for the office setting.
Chicago
Illinois · 12015
Office
$230.90
Facility
$109.72
$13.23 higher than Modesto for the office setting.
Manhattan
New York · 12015
Office
$244.82
Facility
$104.71
$27.15 higher than Modesto for the office setting.
Alaska*
Alaska · 12015
Office
$244.95
Facility
$116.53
$27.28 higher than Modesto for the office setting.
Alabama
Alabama · 12015
Office
$187.93
Facility
$82.43
$29.74 lower than Modesto for the office setting.
Arkansas
Arkansas · 12015
Office
$185.08
Facility
$81.50
$32.59 lower than Modesto for the office setting.
Arizona
Arizona · 12015
Office
$204.56
Facility
$87.72
$13.11 lower than Modesto for the office setting.
Colorado
Colorado · 12015
Office
$216.74
Facility
$88.44
$0.93 lower than Modesto for the office setting.
Connecticut
Connecticut · 12015
Office
$225.27
Facility
$95.41
$7.60 higher than Modesto for the office setting.
Delaware
Delaware · 12015
Office
$208.02
Facility
$88.89
$9.65 lower than Modesto for the office setting.
Fort Lauderdale
Florida · 12015
Office
$224.35
Facility
$102.20
$6.68 higher than Modesto for the office setting.
Rest Of Florida
Florida · 12015
Office
$212.36
Facility
$97.09
$5.31 lower than Modesto for the office setting.
Atlanta
Georgia · 12015
Office
$216.01
Facility
$93.51
$1.66 lower than Modesto for the office setting.
Rest Of Georgia
Georgia · 12015
Office
$199.37
Facility
$91.81
$18.30 lower than Modesto for the office setting.
Hawaii, Guam
Hawaii · 12015
Office
$222.60
Facility
$85.51
$4.93 higher than Modesto for the office setting.
Iowa
Iowa · 12015
Office
$190.71
Facility
$80.38
$26.96 lower than Modesto for the office setting.
Idaho
Idaho · 12015
Office
$192.49
Facility
$81.56
$25.18 lower than Modesto for the office setting.
East St. Louis
Illinois · 12015
Office
$215.13
Facility
$104.20
$2.54 lower than Modesto for the office setting.
Rest Of Illinois
Illinois · 12015
Office
$207.58
Facility
$97.50
$10.09 lower than Modesto for the office setting.
Suburban Chicago
Illinois · 12015
Office
$226.11
Facility
$102.28
$8.44 higher than Modesto for the office setting.
Indiana
Indiana · 12015
Office
$193.60
Facility
$81.82
$24.07 lower than Modesto for the office setting.
Kansas
Kansas · 12015
Office
$190.84
Facility
$81.83
$26.83 lower than Modesto for the office setting.
Kentucky
Kentucky · 12015
Office
$194.90
Facility
$87.71
$22.77 lower than Modesto for the office setting.
New Orleans
Louisiana · 12015
Office
$204.99
Facility
$91.53
$12.68 lower than Modesto for the office setting.
Rest Of Louisiana
Louisiana · 12015
Office
$195.01
Facility
$88.30
$22.66 lower than Modesto for the office setting.
Metropolitan Boston
Massachusetts · 12015
Office
$237.32
Facility
$93.35
$19.65 higher than Modesto for the office setting.
Rest Of Massachusetts
Massachusetts · 12015
Office
$215.78
Facility
$88.81
$1.89 lower than Modesto for the office setting.
Baltimore/Surr. Cntys
Maryland · 12015
Office
$224.88
Facility
$95.50
$7.21 higher than Modesto for the office setting.
Rest Of Maryland
Maryland · 12015
Office
$211.78
Facility
$89.75
$5.89 lower than Modesto for the office setting.
Rest Of Maine
Maine · 12015
Office
$194.68
Facility
$83.75
$22.99 lower than Modesto for the office setting.
Southern Maine
Maine · 12015
Office
$204.15
Facility
$84.66
$13.52 lower than Modesto for the office setting.
Detroit
Michigan · 12015
Office
$216.24
Facility
$99.88
$1.43 lower than Modesto for the office setting.
Rest Of Michigan
Michigan · 12015
Office
$201.21
Facility
$91.12
$16.46 lower than Modesto for the office setting.
Minnesota
Minnesota · 12015
Office
$204.23
Facility
$80.16
$13.44 lower than Modesto for the office setting.
Metropolitan Kansas City
Missouri · 12015
Office
$202.39
Facility
$89.17
$15.28 lower than Modesto for the office setting.
Metropolitan St. Louis
Missouri · 12015
Office
$204.47
Facility
$89.68
$13.20 lower than Modesto for the office setting.
Rest Of Missouri
Missouri · 12015
Office
$192.22
Facility
$88.28
$25.45 lower than Modesto for the office setting.
Mississippi
Mississippi · 12015
Office
$188.63
Facility
$84.81
$29.04 lower than Modesto for the office setting.
Montana**
Montana · 12015
Office
$210.73
Facility
$90.15
$6.94 lower than Modesto for the office setting.
North Carolina
North Carolina · 12015
Office
$196.64
Facility
$84.14
$21.03 lower than Modesto for the office setting.
North Dakota**
North Dakota · 12015
Office
$202.03
Facility
$81.45
$15.64 lower than Modesto for the office setting.
Nebraska
Nebraska · 12015
Office
$191.49
Facility
$80.19
$26.18 lower than Modesto for the office setting.
New Hampshire
New Hampshire · 12015
Office
$214.32
Facility
$88.80
$3.35 lower than Modesto for the office setting.
Northern Nj
New Jersey · 12015
Office
$236.88
Facility
$97.01
$19.21 higher than Modesto for the office setting.
Rest Of New Jersey
New Jersey · 12015
Office
$226.87
Facility
$95.20
$9.20 higher than Modesto for the office setting.
New Mexico
New Mexico · 12015
Office
$202.79
Facility
$92.22
$14.88 lower than Modesto for the office setting.
Nevada**
Nevada · 12015
Office
$208.44
Facility
$87.74
$9.23 lower than Modesto for the office setting.
Nyc Suburbs/Long Island
New York · 12015
Office
$252.35
Facility
$108.99
$34.68 higher than Modesto for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 12015
Office
$229.25
Facility
$97.22
$11.58 higher than Modesto for the office setting.
Queens
New York · 12015
Office
$245.33
Facility
$102.81
$27.66 higher than Modesto for the office setting.
Rest Of New York
New York · 12015
Office
$199.81
Facility
$85.27
$17.86 lower than Modesto for the office setting.
Ohio
Ohio · 12015
Office
$199.43
Facility
$89.34
$18.24 lower than Modesto for the office setting.
Oklahoma
Oklahoma · 12015
Office
$193.40
Facility
$85.73
$24.27 lower than Modesto for the office setting.
Portland
Oregon · 12015
Office
$222.64
Facility
$88.68
$4.97 higher than Modesto for the office setting.
Rest Of Oregon
Oregon · 12015
Office
$205.87
Facility
$85.77
$11.80 lower than Modesto for the office setting.
Metropolitan Philadelphia
Pennsylvania · 12015
Office
$220.15
Facility
$94.63
$2.48 higher than Modesto for the office setting.
Rest Of Pennsylvania
Pennsylvania · 12015
Office
$199.16
Facility
$88.47
$18.51 lower than Modesto for the office setting.
Puerto Rico
Puerto Rico · 12015
Office
$211.99
Facility
$90.08
$5.68 lower than Modesto for the office setting.
Rhode Island
Rhode Island · 12015
Office
$214.74
Facility
$90.18
$2.93 lower than Modesto for the office setting.
South Carolina
South Carolina · 12015
Office
$198.55
Facility
$87.14
$19.12 lower than Modesto for the office setting.
South Dakota**
South Dakota · 12015
Office
$201.00
Facility
$80.42
$16.67 lower than Modesto for the office setting.
Tennessee
Tennessee · 12015
Office
$191.98
Facility
$82.37
$25.69 lower than Modesto for the office setting.
Austin
Texas · 12015
Office
$216.85
Facility
$89.28
$0.82 lower than Modesto for the office setting.
Beaumont
Texas · 12015
Office
$197.87
Facility
$88.15
$19.80 lower than Modesto for the office setting.
Brazoria
Texas · 12015
Office
$206.86
Facility
$87.37
$10.81 lower than Modesto for the office setting.
Dallas
Texas · 12015
Office
$208.73
Facility
$88.63
$8.94 lower than Modesto for the office setting.
Fort Worth
Texas · 12015
Office
$207.60
Facility
$88.71
$10.07 lower than Modesto for the office setting.
Galveston
Texas · 12015
Office
$207.83
Facility
$88.09
$9.84 lower than Modesto for the office setting.
Houston
Texas · 12015
Office
$215.88
Facility
$96.15
$1.79 lower than Modesto for the office setting.
Rest Of Texas
Texas · 12015
Office
$202.62
Facility
$88.19
$15.05 lower than Modesto for the office setting.
Utah
Utah · 12015
Office
$201.36
Facility
$88.02
$16.31 lower than Modesto for the office setting.
Virginia
Virginia · 12015
Office
$204.20
Facility
$85.67
$13.47 lower than Modesto for the office setting.
Virgin Islands
United States Virgin Islands · 12015
Office
$211.99
Facility
$90.08
$5.68 lower than Modesto for the office setting.
Vermont
Vermont · 12015
Office
$202.18
Facility
$82.81
$15.49 lower than Modesto for the office setting.
Rest Of Washington
Washington · 12015
Office
$215.06
Facility
$88.09
$2.61 lower than Modesto for the office setting.
Seattle (King Cnty)
Washington · 12015
Office
$241.17
Facility
$93.22
$23.50 higher than Modesto for the office setting.
Wisconsin
Wisconsin · 12015
Office
$195.06
Facility
$79.55
$22.61 lower than Modesto for the office setting.
West Virginia
West Virginia · 12015
Office
$199.85
Facility
$95.07
$17.82 lower than Modesto for the office setting.
Wyoming**
Wyoming · 12015
Office
$206.94
Facility
$86.36
$10.73 lower than Modesto for the office setting.
See how rates vary across the country
12015 · 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.
$185.08
$244.95
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 | $244.95 | 1 |
| AL | $187.93 | 1 |
| AR | $185.08 | 1 |
| AZ | $204.56 | 1 |
| CA | $217.67–$269.20 | 29 |
| CO | $216.74 | 1 |
| CT | $225.27 | 1 |
| DC | $239.33 | 1 |
| DE | $208.02 | 1 |
| FL | $212.36–$238.63 | 3 |
| GA | $199.37–$216.01 | 2 |
| GU | $222.60 | 1 |
| HI | $222.60 | 1 |
| IA | $190.71 | 1 |
| ID | $192.49 | 1 |
| IL | $207.58–$230.90 | 4 |
| IN | $193.60 | 1 |
| KS | $190.84 | 1 |
| KY | $194.90 | 1 |
| LA | $195.01–$204.99 | 2 |
| MA | $215.78–$237.32 | 2 |
| MD | $211.78–$239.33 | 3 |
| ME | $194.68–$204.15 | 2 |
| MI | $201.21–$216.24 | 2 |
| MN | $204.23 | 1 |
| MO | $192.22–$204.47 | 3 |
| MS | $188.63 | 1 |
| MT | $210.73 | 1 |
| NC | $196.64 | 1 |
| ND | $202.03 | 1 |
| NE | $191.49 | 1 |
| NH | $214.32 | 1 |
| NJ | $226.87–$236.88 | 2 |
| NM | $202.79 | 1 |
| NV | $208.44 | 1 |
| NY | $199.81–$252.35 | 5 |
| OH | $199.43 | 1 |
| OK | $193.40 | 1 |
| OR | $205.87–$222.64 | 2 |
| PA | $199.16–$220.15 | 2 |
| PR | $211.99 | 1 |
| RI | $214.74 | 1 |
| SC | $198.55 | 1 |
| SD | $201.00 | 1 |
| TN | $191.98 | 1 |
| TX | $197.87–$216.85 | 8 |
| UT | $201.36 | 1 |
| VA | $204.20–$239.33 | 2 |
| VI | $211.99 | 1 |
| VT | $202.18 | 1 |
| WA | $215.06–$241.17 | 2 |
| WI | $195.06 | 1 |
| WV | $199.85 | 1 |
| WY | $206.94 | 1 |
Where does this rate apply?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 12015 in Modesto, the physician’s office rate is $217.67 and the facility-setting rate is $85.52: a difference of $132.15.
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 12015 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$239.44
$217.67 × 110% = $239.44
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 12015 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
1,406
- Code
- 12015
- Physician work
- 1.93
- Practice expense
- 3.94
- Malpractice
- 0.44
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.93 | × 1.017 | 1.9628 |
| Practice expense | 3.94 | × 1.096 | 4.3182 |
| Malpractice | 0.44 | × 0.536 | 0.2358 |
| Total RVUs | 6.5169 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Modesto$217.67
Open 12015 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1.017 |
| Practice expense | 3.94 | 1.096 |
| Malpractice | 0.44 | 0.536 |
(1.93 × 1.017 + 3.94 × 1.096 + 0.44 × 0.536) × $33.4009 = $217.67
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1.017 |
| Practice expense | 0.33 | 1.096 |
| Malpractice | 0.44 | 0.536 |
(1.93 × 1.017 + 0.33 × 1.096 + 0.44 × 0.536) × $33.4009 = $85.52
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
12015 · Office / nonfacility
$217.67
Effective 2026-10-01
The base rate is $46.13 higher than on 2025-10-01, moving from $171.54 to $217.67 (26.9%).
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
$171.54changed to$217.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.98 changed to 1.93
- Practice expense RVU 2.81 changed to 3.94
- Malpractice RVU 0.40 changed to 0.44
- 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: $171.54
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
12015 billing questions
How is this code distinguished from 12014 or 12016?
Use the total repaired length for the applicable facial and related-site group. Code 12014 is for a shorter length, while 12016 is for a longer length.
Can wounds at different facial sites be added together?
Document each wound’s location and repaired length, then apply the coding rules for wounds within the same anatomic group. Do not combine lengths across different code groups.
What documentation supports this simple repair?
Record the wound site, the total length repaired, and details supporting simple closure. The documentation should support that the repair was superficial and not a more complex or layered repair.
Is same-day evaluation or wound care included in the global period?
Yes. CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.
Can modifier 50 be used for wounds on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report services according to the applicable wound-repair coding rules.
How does CMS handle other procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
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.
1,40312011,,Rpr f/e/e/n/l/m 2.5 cm/<,A,,1.04,2.91,,0.36,,0.23,4.18,1.63,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40412013,,Rpr f/e/e/n/l/m 2.6-5.0 cm,A,,1.19,2.90,,0.21,,0.27,4.36,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40512014,,Rpr f/e/e/n/l/m 5.1-7.5 cm,A,,1.53,3.27,,0.27,,0.36,5.16,2.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40612015,,Rpr f/e/e/n/l/m 7.6-12.5 cm,A,,1.93,3.94,,0.33,,0.44,6.31,2.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40712016,,Rpr fe/e/en/l/m 12.6-20.0 cm,A,,2.61,4.79,,0.44,,0.61,8.01,3.66,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40812017,,Rpr fe/e/en/l/m 20.1-30.0 cm,A,,3.10,0.74,NA,0.74,,0.78,4.62,4.62,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40912018,,Rpr f/e/e/n/l/m >30.0 cm,A,,3.52,0.81,NA,0.81,,0.88,5.21,5.21,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536