$245.64–$269.66
Both codes cover simple repair in the same site group. Choose 12007 only when the qualifying total repaired length exceeds 30 cm; 12006 applies through 30.0 cm.
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CMS RVU26D · Effective 2026-10-01
12007 Wound repair Medicare reimbursement rates in Massachusetts
Reports simple closure of superficial wounds totaling more than 30 cm across the scalp, neck, axillae, external genitalia, or trunk. Compare 12007 office and facility rates across CMS payment localities in Massachusetts.
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 12007 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$260.61–$284.73
2 of 2 localities have a supported rate.
Facility setting
$132.24–$139.16
2 of 2 localities have a supported rate.
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 12007: Simple repair of long trunk-region wounds
Reports simple closure of superficial wounds totaling more than 30 cm across the scalp, neck, axillae, external genitalia, or trunk.
This code describes simple closure of superficial wounds in the scalp, neck, axillae, external genitalia, or trunk when the qualifying repaired length exceeds 30 cm. Simple repair involves closure of the superficial wound layers without the layered work that characterizes an intermediate repair. Emergency department and urgent care clinicians commonly report it for extensive lacerations; surgeons and other clinicians may perform the repair in office or facility settings.
Select the code based on repair complexity, listed body-site group, and total repaired length. Add lengths of wounds in the same complexity and anatomic grouping; the documentation should identify each site, wound length, and the simple closure performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 12007
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.83 · 37%
- Practice expense (office) RVU4.21 · 55%
- Malpractice RVU0.62 · 8%
355
Medicare services in 2024 · #3839 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.
12007 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
This is the corresponding long-length simple-repair code for the face, ears, eyelids, nose, lips, and mucous membranes, rather than the site group covered by 12007.
$549.32–$604.28
12037 represents intermediate repair, not simple closure, for its scalp, axilla, trunk, and extremity site group. Choose by the documented repair complexity and applicable site group.
$625.58–$690.84
12047 is for intermediate repair over 30 cm in its site group, which includes the neck and external genitalia. Use it when the repair requires intermediate-level work rather than simple closure.
Compare 12007 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$284.73
Facility
$139.16
Rest Of Massachusetts →
Office / nonfacility
$260.61
Facility
$132.24
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12007 billing questions
How is this code distinguished from 12006?
Both cover simple repair in the same site group. Use 12007 when the qualifying total repaired length is more than 30 cm; 12006 covers 20.1–30.0 cm.
Can lengths from multiple wounds be combined?
Yes, combine lengths of wounds repaired with the same complexity in the same anatomic grouping. Document the individual sites and lengths supporting the total.
What documentation supports simple rather than intermediate repair?
Describe the wound depth and closure technique. A superficial closure supports simple repair; layered closure requiring intermediate repair is not reported with this code.
Should modifier 50 be used for wounds on both sides of the body?
No. CMS identifies bilateral adjustment as inappropriate for this code; select it from the total qualifying length and listed body sites.
How does the multiple-procedure payment rule affect this service?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
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.
1,39812004,,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
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