$157.27
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 Simple wound repair Medicare reimbursement rates in Idaho
Reports simple closure of superficial wounds totaling 7.6 to 12.5 cm on the face, ears, eyelids, nose, lips, or mucous membranes. Compare 12015 office and facility rates across CMS payment localities in Idaho.
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 12015 in Idaho?
Idaho 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
$192.49
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$81.56
1 of 1 localities have a supported rate.
Payment area: Idaho
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 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 Idaho, from the same CMS release.
$244.00
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.
$147.85
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.
$262.01
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.
Compare 12015 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
Idaho →
Office / nonfacility
$192.49
Facility
$81.56
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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 12015 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
1,406
- Code
- 12015
- Physician work
- 1.93
- Practice expense
- 3.94
- Malpractice
- 0.44
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.93 | × 1.000 | 1.9300 |
| Practice expense | 3.94 | × 0.920 | 3.6248 |
| Malpractice | 0.44 | × 0.473 | 0.2081 |
| Total RVUs | 5.7629 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$192.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1 |
| Practice expense | 3.94 | 0.92 |
| Malpractice | 0.44 | 0.473 |
(1.93 × 1 + 3.94 × 0.92 + 0.44 × 0.473) × $33.4009 = $192.49
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.93 | 1 |
| Practice expense | 0.33 | 0.92 |
| Malpractice | 0.44 | 0.473 |
(1.93 × 1 + 0.33 × 0.92 + 0.44 × 0.473) × $33.4009 = $81.56
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.
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772