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CMS RVU26D · Effective 2026-10-01

12051 in Redding

Office / nonfacility

$298.65

Base rate per service

Facility setting

$152.22

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 12051: Intermediate facial wound repair, 2.5 cm or less

Reports intermediate repair of a short wound involving the face or related structures when layered closure or extensive cleaning of a contaminated wound is required.

This service covers repair of a wound involving the face, ears, eyelids, nose, lips, or mucous membranes when the work requires closure of deeper tissue as well as the skin. It can also apply to a heavily contaminated wound closed in one layer after extensive cleaning or removal of embedded material. Emergency physicians, surgeons, dermatologists, and other qualified clinicians commonly perform these repairs in emergency departments, offices, and outpatient settings.

Select the code by repair class, applicable anatomic grouping, and documented total repaired length. For multiple eligible wounds, apply CPT aggregation rules within the appropriate site grouping and repair class rather than choosing by the longest wound alone. The record should describe the site, length, tissue layers repaired, and any extensive cleaning that supports intermediate classification. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same 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 restricted, and co-surgeons and team surgery are not permitted.

CMS billing rules for 12051

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 RVU2.27 · 27%
  • Practice expense (office) RVU5.91 · 70%
  • Malpractice RVU0.29 · 3%

51K

Medicare services in 2024 · #774 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.

12051 compared with similar codes

Office rates for Redding, from the same CMS release.

12052

Wound repair

Face, 2.6–5 cm

$328.17

Use 12052 when the intermediate repair in the same facial site group totals 2.6–5.0 cm; 12051 is for 2.5 cm or less.

12011

Wound repair

Face, 2.5 cm or less

$145.97

Both cover short wounds in the facial site group, but 12011 is for simple repair; 12051 requires intermediate repair criteria.

12031

Wound repair

Scalp, trunk, or extremity

$275.36

Both are intermediate repairs at the shortest length level. 12031 is for its designated nonfacial site group, while 12051 is for the face and related structures.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 12051 is $299.51—$0.86 higher than the $298.65 rate in Redding. Both use the same code, release and participation basis.

12051 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $298.65

  2. Bakersfield

    $299.51

    $0.86 higher than Redding

  3. Chico

    $298.65

    The same base rate than Redding

  4. El Centro

    $298.70

    $0.05 higher than Redding

  5. Fresno

    $298.65

    The same base rate than Redding

  6. Hanford-Corcoran

    $298.65

    The same base rate than Redding

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

    $318.88

    $20.23 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, 12051 ranges from $250.37 in Arkansas to $374.00 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 · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Merced

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Modesto

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Napa

    California · 12051

    Office

    $345.69

    Facility

    $169.60

    $47.04 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 12051

    Office

    $317.30

    Facility

    $159.38

    $18.65 higher than Redding for the office setting.

  • Rest Of California

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 12051

    Office

    $301.80

    Facility

    $155.37

    $3.15 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 12051

    Office

    $313.32

    Facility

    $157.94

    $14.67 higher than Redding for the office setting.

  • Salinas

    California · 12051

    Office

    $312.15

    Facility

    $157.30

    $13.50 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 12051

    Office

    $319.43

    Facility

    $159.64

    $20.78 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 12051

    Office

    $365.80

    Facility

    $177.42

    $67.15 higher than Redding for the office setting.

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

    California · 12051

    Office

    $365.47

    Facility

    $177.09

    $66.82 higher than Redding for the office setting.

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

    California · 12051

    Office

    $374.00

    Facility

    $181.35

    $75.35 higher than Redding for the office setting.

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

    California · 12051

    Office

    $372.66

    Facility

    $180.00

    $74.01 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 12051

    Office

    $307.14

    Facility

    $154.96

    $8.49 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 12051

    Office

    $322.44

    Facility

    $160.12

    $23.79 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 12051

    Office

    $313.30

    Facility

    $157.52

    $14.65 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 12051

    Office

    $325.69

    Facility

    $161.63

    $27.04 higher than Redding for the office setting.

  • Stockton

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 12051

    Office

    $345.22

    Facility

    $169.13

    $46.57 higher than Redding for the office setting.

  • Visalia

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 12051

    Office

    $298.65

    Facility

    $152.22

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 12051

    Office

    $323.23

    Facility

    $165.85

    $24.58 higher than Redding for the office setting.

  • Miami

    Florida · 12051

    Office

    $305.81

    Facility

    $166.73

    $7.16 higher than Redding for the office setting.

  • Chicago

    Illinois · 12051

    Office

    $296.97

    Facility

    $162.70

    $1.68 lower than Redding for the office setting.

  • Manhattan

    New York · 12051

    Office

    $325.41

    Facility

    $170.17

    $26.76 higher than Redding for the office setting.

  • Alaska*

    Alaska · 12051

    Office

    $329.30

    Facility

    $187.01

    $30.65 higher than Redding for the office setting.

  • Alabama

    Alabama · 12051

    Office

    $254.03

    Facility

    $137.12

    $44.62 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 12051

    Office

    $250.37

    Facility

    $135.61

    $48.28 lower than Redding for the office setting.

  • Arizona

    Arizona · 12051

    Office

    $275.39

    Facility

    $145.93

    $23.26 lower than Redding for the office setting.

  • Colorado

    Colorado · 12051

    Office

    $294.33

    Facility

    $152.17

    $4.32 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 12051

    Office

    $301.66

    Facility

    $157.76

    $3.01 higher than Redding for the office setting.

  • Delaware

    Delaware · 12051

    Office

    $279.94

    Facility

    $147.94

    $18.71 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 12051

    Office

    $293.30

    Facility

    $157.96

    $5.35 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 12051

    Office

    $279.09

    Facility

    $151.37

    $19.56 lower than Redding for the office setting.

  • Atlanta

    Georgia · 12051

    Office

    $288.24

    Facility

    $152.50

    $10.41 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 12051

    Office

    $263.45

    Facility

    $144.27

    $35.20 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 12051

    Office

    $305.87

    Facility

    $153.96

    $7.22 higher than Redding for the office setting.

  • Iowa

    Iowa · 12051

    Office

    $260.29

    Facility

    $138.04

    $38.36 lower than Redding for the office setting.

  • Idaho

    Idaho · 12051

    Office

    $262.01

    Facility

    $139.09

    $36.64 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 12051

    Office

    $276.94

    Facility

    $154.02

    $21.71 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 12051

    Office

    $271.19

    Facility

    $149.21

    $27.46 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 12051

    Office

    $296.24

    Facility

    $159.03

    $2.41 lower than Redding for the office setting.

  • Indiana

    Indiana · 12051

    Office

    $263.52

    Facility

    $139.67

    $35.13 lower than Redding for the office setting.

  • Kansas

    Kansas · 12051

    Office

    $259.15

    Facility

    $138.37

    $39.50 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 12051

    Office

    $260.17

    Facility

    $141.40

    $38.48 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 12051

    Office

    $272.58

    Facility

    $146.86

    $26.07 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 12051

    Office

    $259.80

    Facility

    $141.56

    $38.85 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 12051

    Office

    $323.24

    Facility

    $163.72

    $24.59 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 12051

    Office

    $292.61

    Facility

    $151.93

    $6.04 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 12051

    Office

    $300.82

    Facility

    $157.47

    $2.17 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 12051

    Office

    $285.24

    Facility

    $150.03

    $13.41 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 12051

    Office

    $263.45

    Facility

    $140.54

    $35.20 lower than Redding for the office setting.

  • Southern Maine

    Maine · 12051

    Office

    $277.55

    Facility

    $145.15

    $21.10 lower than Redding for the office setting.

  • Detroit

    Michigan · 12051

    Office

    $282.64

    Facility

    $153.71

    $16.01 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 12051

    Office

    $266.98

    Facility

    $145.00

    $31.67 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 12051

    Office

    $281.81

    Facility

    $144.33

    $16.84 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 12051

    Office

    $270.64

    Facility

    $145.19

    $28.01 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 12051

    Office

    $273.45

    Facility

    $146.26

    $25.20 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 12051

    Office

    $255.41

    Facility

    $140.25

    $43.24 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 12051

    Office

    $252.94

    Facility

    $137.91

    $45.71 lower than Redding for the office setting.

  • Montana**

    Montana · 12051

    Office

    $282.89

    Facility

    $149.28

    $15.76 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 12051

    Office

    $266.18

    Facility

    $141.53

    $32.47 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 12051

    Office

    $277.15

    Facility

    $143.55

    $21.50 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 12051

    Office

    $261.68

    Facility

    $138.36

    $36.97 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 12051

    Office

    $289.79

    Facility

    $150.71

    $8.86 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 12051

    Office

    $319.92

    Facility

    $164.94

    $21.27 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 12051

    Office

    $305.04

    Facility

    $159.14

    $6.39 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 12051

    Office

    $268.47

    Facility

    $145.95

    $30.18 lower than Redding for the office setting.

  • Nevada**

    Nevada · 12051

    Office

    $281.49

    Facility

    $147.75

    $17.16 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 12051

    Office

    $333.37

    Facility

    $174.51

    $34.72 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 12051

    Office

    $307.10

    Facility

    $160.81

    $8.45 higher than Redding for the office setting.

  • Queens

    New York · 12051

    Office

    $327.97

    Facility

    $170.05

    $29.32 higher than Redding for the office setting.

  • Rest Of New York

    New York · 12051

    Office

    $270.16

    Facility

    $143.24

    $28.49 lower than Redding for the office setting.

  • Ohio

    Ohio · 12051

    Office

    $265.81

    Facility

    $143.83

    $32.84 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 12051

    Office

    $259.62

    Facility

    $140.32

    $39.03 lower than Redding for the office setting.

  • Portland

    Oregon · 12051

    Office

    $303.55

    Facility

    $155.12

    $4.90 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 12051

    Office

    $279.24

    Facility

    $146.17

    $19.41 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 12051

    Office

    $294.23

    Facility

    $155.15

    $4.42 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 12051

    Office

    $266.19

    Facility

    $143.54

    $32.46 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 12051

    Office

    $284.93

    Facility

    $149.86

    $13.72 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 12051

    Office

    $289.81

    Facility

    $151.80

    $8.84 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 12051

    Office

    $266.45

    Facility

    $143.00

    $32.20 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 12051

    Office

    $276.47

    Facility

    $142.87

    $22.18 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 12051

    Office

    $260.46

    Facility

    $139.01

    $38.19 lower than Redding for the office setting.

  • Austin

    Texas · 12051

    Office

    $293.40

    Facility

    $152.05

    $5.25 lower than Redding for the office setting.

  • Beaumont

    Texas · 12051

    Office

    $264.45

    Facility

    $142.87

    $34.20 lower than Redding for the office setting.

  • Brazoria

    Texas · 12051

    Office

    $279.60

    Facility

    $147.20

    $19.05 lower than Redding for the office setting.

  • Dallas

    Texas · 12051

    Office

    $281.42

    Facility

    $148.35

    $17.23 lower than Redding for the office setting.

  • Fort Worth

    Texas · 12051

    Office

    $279.57

    Facility

    $147.84

    $19.08 lower than Redding for the office setting.

  • Galveston

    Texas · 12051

    Office

    $280.46

    Facility

    $147.80

    $18.19 lower than Redding for the office setting.

  • Houston

    Texas · 12051

    Office

    $285.77

    Facility

    $153.10

    $12.88 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 12051

    Office

    $271.90

    Facility

    $145.11

    $26.75 lower than Redding for the office setting.

  • Utah

    Utah · 12051

    Office

    $270.07

    Facility

    $144.49

    $28.58 lower than Redding for the office setting.

  • Virginia

    Virginia · 12051

    Office

    $276.70

    Facility

    $145.37

    $21.95 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 12051

    Office

    $284.93

    Facility

    $149.86

    $13.72 lower than Redding for the office setting.

  • Vermont

    Vermont · 12051

    Office

    $276.15

    Facility

    $143.88

    $22.50 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 12051

    Office

    $292.04

    Facility

    $151.35

    $6.61 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 12051

    Office

    $329.73

    Facility

    $165.80

    $31.08 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 12051

    Office

    $267.91

    Facility

    $139.92

    $30.74 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 12051

    Office

    $261.22

    Facility

    $145.12

    $37.43 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 12051

    Office

    $280.39

    Facility

    $146.78

    $18.26 lower than Redding for the office setting.

See how rates vary across the country

12051 · 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.

$250.37

$336.33

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$329.301
AL$254.031
AR$250.371
AZ$275.391
CA$298.65–$374.0029
CO$294.331
CT$301.661
DC$323.231
DE$279.941
FL$279.09–$305.813
GA$263.45–$288.242
GU$305.871
HI$305.871
IA$260.291
ID$262.011
IL$271.19–$296.974
IN$263.521
KS$259.151
KY$260.171
LA$259.80–$272.582
MA$292.61–$323.242
MD$285.24–$323.233
ME$263.45–$277.552
MI$266.98–$282.642
MN$281.811
MO$255.41–$273.453
MS$252.941
MT$282.891
NC$266.181
ND$277.151
NE$261.681
NH$289.791
NJ$305.04–$319.922
NM$268.471
NV$281.491
NY$270.16–$333.375
OH$265.811
OK$259.621
OR$279.24–$303.552
PA$266.19–$294.232
PR$284.931
RI$289.811
SC$266.451
SD$276.471
TN$260.461
TX$264.45–$293.408
UT$270.071
VA$276.70–$323.232
VI$284.931
VT$276.151
WA$292.04–$329.732
WI$267.911
WV$261.221
WY$280.391

Explore 12051 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 12051 in Redding, the physician’s office rate is $298.65 and the facility-setting rate is $152.22: a difference of $146.43.

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 12051 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$328.51

$298.65 × 110% = $328.51

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 12051 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,424

Code
12051
Physician work
2.27
Practice expense
5.91
Malpractice
0.29

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 12051 in Redding
ComponentRVULocality factorAdjusted
Physician work2.27× 1.0172.3086
Practice expense5.91× 1.0966.4774
Malpractice0.29× 0.5360.1554
Total RVUs8.9414
Conversion factor× 33.4009

Office / nonfacility rate, Redding$298.65

Open 12051 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.271.017
Practice expense5.911.096
Malpractice0.290.536

(2.27 × 1.017 + 5.91 × 1.096 + 0.29 × 0.536) × $33.4009 = $298.65

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.271.017
Practice expense1.911.096
Malpractice0.290.536

(2.27 × 1.017 + 1.91 × 1.096 + 0.29 × 0.536) × $33.4009 = $152.22

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

12051 · Office / nonfacility

$298.65

Effective 2026-10-01

The base rate is $11.56 higher than on 2025-10-01, moving from $287.09 to $298.65 (4.0%).

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

    $287.09changed to$298.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.33 changed to 2.27
    • Practice expense RVU 5.81 changed to 5.91
    • 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: $287.09

    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$298.65$152.22RVU26D
2026-07-01$298.65$152.22RVU26C
2026-04-01$298.65$152.22RVU26B
2026-01-01$298.65$152.22RVU26A
2025-10-01$287.09$169.36RVU25D
2025-07-01$287.09$169.36RVU25C
2025-04-01$287.09$169.36RVU25B
2025-01-01$287.09$169.36RVU25A

12051 billing questions

How does this differ from 12052?

Both describe intermediate repair in the same facial site group. Choose 12051 for a total repaired length of 2.5 cm or less; 12052 begins at 2.6 cm.

When is intermediate repair supported?

Documentation should show layered closure involving deeper tissue and skin, or a heavily contaminated wound closed in one layer after extensive cleaning or removal of particulate material.

Should separate short wounds be reported as separate units?

Apply CPT length-aggregation rules for wounds in the same repair class and applicable anatomic grouping. Document each wound's site and length so the combined code selection can be supported.

Can modifier 50 be used for wounds on both sides of the face?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are postoperative wound checks separately payable during the global period?

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

Can an assistant or co-surgeon be reported for this repair?

Medicare does not pay an assistant at surgery for this code. 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.

RVUs for 12051PPRRVU2026_Oct_nonQPP.csv, line 1,424 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet