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CMS RVU26D · Effective 2026-10-01

12013 in Redding

Office / nonfacility

$151.42

Base rate per service

Facility setting

$52.94

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 12013: Simple repair of facial-area wound

Reports simple closure of a 2.6–5.0 cm superficial wound on the face, ears, eyelids, nose, lips, or mucous membranes.

This code covers simple repair of a superficial wound in the face, ears, eyelids, nose, lips, or mucous membranes when the repaired length is 2.6–5.0 cm. The closure is limited to the superficial tissue layers; it does not involve the layered closure of deeper tissue characteristic of an intermediate repair. Emergency clinicians, surgeons, and other qualified practitioners commonly perform these repairs in emergency departments, outpatient clinics, and offices.

Select the code by the wound’s anatomic group, repair complexity, and final repaired length. For multiple simple wounds in the same classification and anatomic group, combine lengths when determining the level; document the wound sites, lengths, and closure technique. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is 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; assistant-at-surgery payment is statutorily restricted, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 12013

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 RVU1.19 · 27%
  • Practice expense (office) RVU2.90 · 67%
  • Malpractice RVU0.27 · 6%

48.3K

Medicare services in 2024 · #793 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.

12013 compared with similar codes

Office rates for Redding, from the same CMS release.

12011

Wound repair

Face, 2.5 cm or less

$145.97

Both codes cover simple repairs in the same anatomic group. Use 12011 when the repaired length is 2.5 cm or less; use 12013 for 2.6–5.0 cm.

12014

Wound repair

Facial sites, 5.1–7.5 cm

$178.12

Both codes cover simple repairs in the same anatomic group. Use 12014 when the repaired length is 5.1–7.5 cm, rather than 2.6–5.0 cm.

12001

Simple wound repair

2.5 cm or less

$119.30

This code is for simple repairs in a different anatomic group, such as scalp, trunk, or extremities. Wounds on the face, ears, eyelids, nose, lips, or mucous membranes fall under 12013 when the length fits.

12052

Wound repair

Face, 2.6–5 cm

$328.17

Both codes cover the same anatomic group and length range, but 12052 is for an intermediate repair. Choose based on documented repair complexity, not wound length alone.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 12013 is $152.16—$0.74 higher than the $151.42 rate in Redding. Both use the same code, release and participation basis.

12013 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $151.42

  2. Bakersfield

    $152.16

    $0.74 higher than Redding

  3. Chico

    $151.42

    The same base rate than Redding

  4. El Centro

    $151.46

    $0.04 higher than Redding

  5. Fresno

    $151.42

    The same base rate than Redding

  6. Hanford-Corcoran

    $151.42

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $161.95

    $10.53 higher than Redding

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, 12013 ranges from $127.60 in Arkansas to $188.63 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 · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Merced

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Modesto

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Napa

    California · 12013

    Office

    $174.50

    Facility

    $56.08

    $23.08 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 12013

    Office

    $160.97

    Facility

    $54.77

    $9.55 higher than Redding for the office setting.

  • Rest Of California

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 12013

    Office

    $154.32

    Facility

    $55.84

    $2.90 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 12013

    Office

    $158.66

    Facility

    $54.17

    $7.24 higher than Redding for the office setting.

  • Salinas

    California · 12013

    Office

    $158.08

    Facility

    $53.94

    $6.66 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 12013

    Office

    $161.68

    Facility

    $54.22

    $10.26 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 12013

    Office

    $184.24

    Facility

    $57.55

    $32.82 higher than Redding for the office setting.

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

    California · 12013

    Office

    $183.93

    Facility

    $57.25

    $32.51 higher than Redding for the office setting.

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

    California · 12013

    Office

    $188.63

    Facility

    $59.07

    $37.21 higher than Redding for the office setting.

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

    California · 12013

    Office

    $187.38

    Facility

    $57.81

    $35.96 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 12013

    Office

    $155.58

    Facility

    $53.25

    $4.16 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 12013

    Office

    $163.10

    Facility

    $53.94

    $11.68 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 12013

    Office

    $158.64

    Facility

    $53.87

    $7.22 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 12013

    Office

    $164.72

    Facility

    $54.39

    $13.30 higher than Redding for the office setting.

  • Stockton

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 12013

    Office

    $174.06

    Facility

    $55.64

    $22.64 higher than Redding for the office setting.

  • Visalia

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 12013

    Office

    $151.42

    Facility

    $52.94

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 12013

    Office

    $166.03

    Facility

    $60.19

    $14.61 higher than Redding for the office setting.

  • Miami

    Florida · 12013

    Office

    $163.39

    Facility

    $69.86

    $11.97 higher than Redding for the office setting.

  • Chicago

    Illinois · 12013

    Office

    $158.07

    Facility

    $67.77

    $6.65 higher than Redding for the office setting.

  • Manhattan

    New York · 12013

    Office

    $169.15

    Facility

    $64.74

    $17.73 higher than Redding for the office setting.

  • Alaska*

    Alaska · 12013

    Office

    $167.75

    Facility

    $72.06

    $16.33 higher than Redding for the office setting.

  • Alabama

    Alabama · 12013

    Office

    $129.61

    Facility

    $50.99

    $21.81 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 12013

    Office

    $127.60

    Facility

    $50.42

    $23.82 lower than Redding for the office setting.

  • Arizona

    Arizona · 12013

    Office

    $141.33

    Facility

    $54.26

    $10.09 lower than Redding for the office setting.

  • Colorado

    Colorado · 12013

    Office

    $150.33

    Facility

    $54.73

    $1.09 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 12013

    Office

    $155.78

    Facility

    $59.01

    $4.36 higher than Redding for the office setting.

  • Delaware

    Delaware · 12013

    Office

    $143.75

    Facility

    $54.98

    $7.67 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 12013

    Office

    $154.17

    Facility

    $63.16

    $2.75 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 12013

    Office

    $145.90

    Facility

    $60.01

    $5.52 lower than Redding for the office setting.

  • Atlanta

    Georgia · 12013

    Office

    $149.11

    Facility

    $57.82

    $2.31 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 12013

    Office

    $136.90

    Facility

    $56.75

    $14.52 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 12013

    Office

    $155.10

    Facility

    $52.94

    $3.68 higher than Redding for the office setting.

  • Iowa

    Iowa · 12013

    Office

    $131.96

    Facility

    $49.75

    $19.46 lower than Redding for the office setting.

  • Idaho

    Idaho · 12013

    Office

    $133.13

    Facility

    $50.47

    $18.29 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 12013

    Office

    $147.02

    Facility

    $64.36

    $4.40 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 12013

    Office

    $142.28

    Facility

    $60.25

    $9.14 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 12013

    Office

    $155.48

    Facility

    $63.21

    $4.06 higher than Redding for the office setting.

  • Indiana

    Indiana · 12013

    Office

    $133.92

    Facility

    $50.63

    $17.50 lower than Redding for the office setting.

  • Kansas

    Kansas · 12013

    Office

    $131.86

    Facility

    $50.63

    $19.56 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 12013

    Office

    $134.11

    Facility

    $54.23

    $17.31 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 12013

    Office

    $141.14

    Facility

    $56.59

    $10.28 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 12013

    Office

    $134.11

    Facility

    $54.59

    $17.31 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 12013

    Office

    $165.06

    Facility

    $57.78

    $13.64 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 12013

    Office

    $149.57

    Facility

    $54.96

    $1.85 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 12013

    Office

    $155.47

    Facility

    $59.06

    $4.05 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 12013

    Office

    $146.45

    Facility

    $55.52

    $4.97 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 12013

    Office

    $134.47

    Facility

    $51.81

    $16.95 lower than Redding for the office setting.

  • Southern Maine

    Maine · 12013

    Office

    $141.43

    Facility

    $52.39

    $9.99 lower than Redding for the office setting.

  • Detroit

    Michigan · 12013

    Office

    $148.42

    Facility

    $61.72

    $3.00 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 12013

    Office

    $138.36

    Facility

    $56.33

    $13.06 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 12013

    Office

    $142.09

    Facility

    $49.63

    $9.33 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 12013

    Office

    $139.51

    Facility

    $55.14

    $11.91 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 12013

    Office

    $141.00

    Facility

    $55.46

    $10.42 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 12013

    Office

    $132.03

    Facility

    $54.58

    $19.39 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 12013

    Office

    $129.81

    Facility

    $52.45

    $21.61 lower than Redding for the office setting.

  • Montana**

    Montana · 12013

    Office

    $145.61

    Facility

    $55.76

    $5.81 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 12013

    Office

    $135.88

    Facility

    $52.05

    $15.54 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 12013

    Office

    $140.27

    Facility

    $50.42

    $11.15 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 12013

    Office

    $132.56

    Facility

    $49.63

    $18.86 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 12013

    Office

    $148.47

    Facility

    $54.94

    $2.95 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 12013

    Office

    $164.24

    Facility

    $60.02

    $12.82 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 12013

    Office

    $157.00

    Facility

    $58.89

    $5.58 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 12013

    Office

    $139.40

    Facility

    $57.01

    $12.02 lower than Redding for the office setting.

  • Nevada**

    Nevada · 12013

    Office

    $144.22

    Facility

    $54.28

    $7.20 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 12013

    Office

    $174.21

    Facility

    $67.38

    $22.79 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 12013

    Office

    $158.51

    Facility

    $60.13

    $7.09 higher than Redding for the office setting.

  • Queens

    New York · 12013

    Office

    $169.79

    Facility

    $63.59

    $18.37 higher than Redding for the office setting.

  • Rest Of New York

    New York · 12013

    Office

    $138.11

    Facility

    $52.75

    $13.31 lower than Redding for the office setting.

  • Ohio

    Ohio · 12013

    Office

    $137.27

    Facility

    $55.24

    $14.15 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 12013

    Office

    $133.25

    Facility

    $53.02

    $18.17 lower than Redding for the office setting.

  • Portland

    Oregon · 12013

    Office

    $154.71

    Facility

    $54.89

    $3.29 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 12013

    Office

    $142.56

    Facility

    $53.07

    $8.86 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 12013

    Office

    $152.06

    Facility

    $58.52

    $0.64 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 12013

    Office

    $137.19

    Facility

    $54.71

    $14.23 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 12013

    Office

    $146.56

    Facility

    $55.72

    $4.86 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 12013

    Office

    $148.61

    Facility

    $55.79

    $2.81 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 12013

    Office

    $136.91

    Facility

    $53.89

    $14.51 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 12013

    Office

    $139.64

    Facility

    $49.79

    $11.78 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 12013

    Office

    $132.64

    Facility

    $50.97

    $18.78 lower than Redding for the office setting.

  • Austin

    Texas · 12013

    Office

    $150.30

    Facility

    $55.24

    $1.12 lower than Redding for the office setting.

  • Beaumont

    Texas · 12013

    Office

    $136.27

    Facility

    $54.51

    $15.15 lower than Redding for the office setting.

  • Brazoria

    Texas · 12013

    Office

    $143.09

    Facility

    $54.05

    $8.33 lower than Redding for the office setting.

  • Dallas

    Texas · 12013

    Office

    $144.32

    Facility

    $54.83

    $7.10 lower than Redding for the office setting.

  • Fort Worth

    Texas · 12013

    Office

    $143.47

    Facility

    $54.88

    $7.95 lower than Redding for the office setting.

  • Galveston

    Texas · 12013

    Office

    $143.72

    Facility

    $54.50

    $7.70 lower than Redding for the office setting.

  • Houston

    Texas · 12013

    Office

    $148.66

    Facility

    $59.44

    $2.76 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 12013

    Office

    $139.81

    Facility

    $54.55

    $11.61 lower than Redding for the office setting.

  • Utah

    Utah · 12013

    Office

    $138.90

    Facility

    $54.44

    $12.52 lower than Redding for the office setting.

  • Virginia

    Virginia · 12013

    Office

    $141.33

    Facility

    $53.01

    $10.09 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 12013

    Office

    $146.56

    Facility

    $55.72

    $4.86 lower than Redding for the office setting.

  • Vermont

    Vermont · 12013

    Office

    $140.20

    Facility

    $51.25

    $11.22 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 12013

    Office

    $149.12

    Facility

    $54.51

    $2.30 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 12013

    Office

    $167.95

    Facility

    $57.71

    $16.53 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 12013

    Office

    $135.32

    Facility

    $49.24

    $16.10 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 12013

    Office

    $136.83

    Facility

    $58.75

    $14.59 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 12013

    Office

    $143.28

    Facility

    $53.43

    $8.14 lower than Redding for the office setting.

See how rates vary across the country

12013 · 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.

$127.60

$170.02

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$167.751
AL$129.611
AR$127.601
AZ$141.331
CA$151.42–$188.6329
CO$150.331
CT$155.781
DC$166.031
DE$143.751
FL$145.90–$163.393
GA$136.90–$149.112
GU$155.101
HI$155.101
IA$131.961
ID$133.131
IL$142.28–$158.074
IN$133.921
KS$131.861
KY$134.111
LA$134.11–$141.142
MA$149.57–$165.062
MD$146.45–$166.033
ME$134.47–$141.432
MI$138.36–$148.422
MN$142.091
MO$132.03–$141.003
MS$129.811
MT$145.611
NC$135.881
ND$140.271
NE$132.561
NH$148.471
NJ$157.00–$164.242
NM$139.401
NV$144.221
NY$138.11–$174.215
OH$137.271
OK$133.251
OR$142.56–$154.712
PA$137.19–$152.062
PR$146.561
RI$148.611
SC$136.911
SD$139.641
TN$132.641
TX$136.27–$150.308
UT$138.901
VA$141.33–$166.032
VI$146.561
VT$140.201
WA$149.12–$167.952
WI$135.321
WV$136.831
WY$143.281

Explore 12013 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 12013 in Redding, the physician’s office rate is $151.42 and the facility-setting rate is $52.94: a difference of $98.48.

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 12013 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$166.56

$151.42 × 110% = $166.56

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 12013 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,404

Code
12013
Physician work
1.19
Practice expense
2.90
Malpractice
0.27

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 12013 in Redding
ComponentRVULocality factorAdjusted
Physician work1.19× 1.0171.2102
Practice expense2.90× 1.0963.1784
Malpractice0.27× 0.5360.1447
Total RVUs4.5334
Conversion factor× 33.4009

Office / nonfacility rate, Redding$151.42

Open 12013 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.191.017
Practice expense2.91.096
Malpractice0.270.536

(1.19 × 1.017 + 2.9 × 1.096 + 0.27 × 0.536) × $33.4009 = $151.42

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.191.017
Practice expense0.211.096
Malpractice0.270.536

(1.19 × 1.017 + 0.21 × 1.096 + 0.27 × 0.536) × $33.4009 = $52.94

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

12013 · Office / nonfacility

$151.42

Effective 2026-10-01

The base rate is $34.58 higher than on 2025-10-01, moving from $116.84 to $151.42 (29.6%).

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

    $116.84changed to$151.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 2.05 changed to 2.90
    • Malpractice RVU 0.24 changed to 0.27
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $116.84

    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$151.42$52.94RVU26D
2026-07-01$151.42$52.94RVU26C
2026-04-01$151.42$52.94RVU26B
2026-01-01$151.42$52.94RVU26A
2025-10-01$116.84$53.91RVU25D
2025-07-01$116.84$53.91RVU25C
2025-04-01$116.84$53.91RVU25B
2025-01-01$116.84$53.91RVU25A

12013 billing questions

How does 12013 differ from 12011 and 12014?

These codes cover the same anatomic group and simple-repair level. Choose 12013 for a repaired length of 2.6–5.0 cm; 12011 is for shorter repairs and 12014 for longer repairs.

Can separate wound lengths be combined?

Combine lengths for multiple simple repairs in the same classification and anatomic group when selecting the length level. Document each site and length, along with the total used for code selection.

When is an intermediate repair code more appropriate?

Use an intermediate repair code when the documented repair involves layered closure of deeper tissue or otherwise meets the intermediate-repair criteria. A superficial, simple closure supports 12013 instead.

Should modifier 50 be reported for wounds on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not report modifier 50 for bilateral wounds.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in this code’s 0-day global period.

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 12013PPRRVU2026_Oct_nonQPP.csv, line 1,404 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet