$141.33
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 Wound repair Medicare reimbursement rates in Arizona
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. Compare 12014 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 12014 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$167.23
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$70.13
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Arizona, from the same CMS release.
$204.56
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.
$135.21
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.
$351.60
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.
Compare 12014 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
$167.23
Facility
$70.13
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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 Arizona.
PPRRVU2026_Oct_nonQPP.csv
1,405
- Code
- 12014
- Physician work
- 1.53
- Practice expense
- 3.27
- Malpractice
- 0.36
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.53 | × 1.000 | 1.5300 |
| Practice expense | 3.27 | × 0.969 | 3.1686 |
| Malpractice | 0.36 | × 0.856 | 0.3082 |
| Total RVUs | 5.0068 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$167.23
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.53 | 1 |
| Practice expense | 3.27 | 0.969 |
| Malpractice | 0.36 | 0.856 |
(1.53 × 1 + 3.27 × 0.969 + 0.36 × 0.856) × $33.4009 = $167.23
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.53 | 1 |
| Practice expense | 0.27 | 0.969 |
| Malpractice | 0.36 | 0.856 |
(1.53 × 1 + 0.27 × 0.969 + 0.36 × 0.856) × $33.4009 = $70.13
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.
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.
1,4021200F,,Seizure type& frequ docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536