$223.21
Both describe simple repair in the same broad site group; 12005 is for a shorter total length, while 12006 covers 20.1 to 30 cm.
On this page
CMS RVU26D · Effective 2026-10-01
12006 Simple wound repair Medicare reimbursement rates in Guam
Reports simple, single-layer closure of qualifying superficial wounds totaling 20.1 to 30 cm on the scalp, neck, trunk, extremities, or specified sites. Compare 12006 office and facility rates across CMS payment localities in Guam.
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 12006 in Guam?
Guam 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
$252.89
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$104.02
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Wound repair
About 12006: Simple wound repair, 20.1 to 30 cm
Reports simple, single-layer closure of qualifying superficial wounds totaling 20.1 to 30 cm on the scalp, neck, trunk, extremities, or specified sites.
This code covers simple closure of superficial wounds on the scalp, neck, axillae, external genitalia, trunk, or extremities, including hands and feet. The repair involves a single layer of closure without significant deeper-structure involvement. Emergency physicians, urgent care clinicians, and office-based practitioners commonly perform these repairs after lacerations from falls, sharp objects, or other injuries.
Select the code by repair complexity, anatomic grouping, and total repaired length. Add lengths of wounds in the same classification and anatomic grouping; document each wound’s site, length, depth, and closure technique. A 0-day global period includes 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 50% multiple procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Report by site and length rather than appending modifier 50.
CMS billing rules for 12006
- 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 RVU2.33 · 32%
- Practice expense (office) RVU4.35 · 61%
- Malpractice RVU0.51 · 7%
920
Medicare services in 2024 · #3030 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.
12006 compared with similar codes
Office rates for Guam, from the same CMS release.
$266.40
Use 12007 when the qualifying simple repairs total more than 30 cm. Use 12006 when the combined length is 20.1 to 30 cm.
No office rate
Both cover simple repair in the 20.1-to-30-cm length band. 12017 is for face, ears, eyelids, nose, lips, or mucous membranes; 12006 covers its specified site group.
$510.10
12036 is an intermediate repair code for its specified sites and length band. Select it only when the repair meets intermediate-complexity criteria, not merely because the wound is long.
Compare 12006 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
Hawaii, Guam →
Office / nonfacility
$252.89
Facility
$104.02
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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 12006 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,400
- Code
- 12006
- Physician work
- 2.33
- Practice expense
- 4.35
- Malpractice
- 0.51
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.33 | × 1.000 | 2.3300 |
| Practice expense | 4.35 | × 1.137 | 4.9459 |
| Malpractice | 0.51 | × 0.579 | 0.2953 |
| Total RVUs | 7.5712 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$252.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1 |
| Practice expense | 4.35 | 1.137 |
| Malpractice | 0.51 | 0.579 |
(2.33 × 1 + 4.35 × 1.137 + 0.51 × 0.579) × $33.4009 = $252.89
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.33 | 1 |
| Practice expense | 0.43 | 1.137 |
| Malpractice | 0.51 | 0.579 |
(2.33 × 1 + 0.43 × 1.137 + 0.51 × 0.579) × $33.4009 = $104.02
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.
12006 billing questions
How is 12006 distinguished from 12005 or 12007?
Use 12006 for qualifying simple repairs totaling 20.1 to 30 cm. The shorter length band is reported with 12005, and repairs longer than 30 cm with 12007.
Can lengths of separate wounds be added together?
Yes, when the wounds share the applicable repair classification and anatomic grouping. Record each wound’s location and length so the summed measurement is supported.
When should an intermediate repair code be used instead?
Choose an intermediate repair code when the documented repair requires layered closure or another feature of intermediate complexity. Do not select 12006 solely from the wound’s length.
Is modifier 50 appropriate for wounds on both sides?
No. Report the applicable repair based on the qualifying anatomic grouping and length; modifier 50 is not appropriate for this code.
What same-day payment rules affect 12006?
Same-day preoperative and postoperative care is included in its 0-day global period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 12006. 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.
1,39712002,,Rpr s/n/ax/gen/trnk2.6-7.5cm,A,,1.11,2.82,,0.37,,0.24,4.17,1.72,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39812004,,Rpr s/n/ax/gen/trk7.6-12.5cm,A,,1.40,3.12,,0.43,,0.33,4.85,2.16,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,39912005,,Rpr s/n/a/gen/trk12.6-20.0cm,A,,1.92,3.97,,0.34,,0.43,6.32,2.69,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40012006,,Rpr s/n/a/gen/trk20.1-30.0cm,A,,2.33,4.35,,0.43,,0.51,7.19,3.27,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40112007,,Rpr s/n/ax/gen/trnk >30.0 cm,A,,2.83,4.21,,0.56,,0.62,7.66,4.01,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014