$315.19–$347.16
Both apply to intermediate repair in the same site group; 12042 is for 2.6–7.5 cm, while 12044 is for 7.6–12.5 cm.
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CMS RVU26D · Effective 2026-10-01
12044 Intermediate repair Medicare reimbursement rates in Massachusetts
Reports layered or otherwise qualifying intermediate wound repair on the neck, hands, feet, or external genitalia when total repair length is 7.6–12.5 cm. Compare 12044 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 12044 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
$401.08–$443.05
2 of 2 localities have a supported rate.
Facility setting
$193.22–$207.36
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 12044: Intermediate repair of neck, hands, feet, or genitalia
Reports layered or otherwise qualifying intermediate wound repair on the neck, hands, feet, or external genitalia when total repair length is 7.6–12.5 cm.
This code represents intermediate repair of wounds on the neck, hands, feet, or external genitalia, with a total repaired length of 7.6–12.5 cm. The repair involves layered closure of deeper tissue, or closure of a heavily contaminated wound that requires extensive cleaning. It is typically performed by a physician or other qualified practitioner in an office, emergency department, or surgical setting. The code is selected by the wound’s anatomic group, repair complexity, and measured length—not by the cause of the wound alone.
Document the wound location, length, depth or contamination, cleaning performed, and closure technique to support intermediate complexity and the selected length range. When multiple wounds in this same anatomic group receive the same type of repair, use their combined length for code selection. Medicare assigns a 10-day global period, including related postoperative visits during that 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 multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 12044
- 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 RVU3.11 · 27%
- Practice expense (office) RVU8.07 · 69%
- Malpractice RVU0.44 · 4%
3.4K
Medicare services in 2024 · #2100 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.
12044 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$345.50–$380.82
Both cover intermediate repair of 7.6–12.5 cm, but 12034 applies to a different site group. Choose based on the wound location.
$403.63–$444.80
This code covers the same intermediate-repair length range for the face or mucous membranes; 12044 is for the neck, hands, feet, or external genitalia.
Compare 12044 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
$443.05
Facility
$207.36
Rest Of Massachusetts →
Office / nonfacility
$401.08
Facility
$193.22
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12044 billing questions
How is 12044 distinguished from 12042 or 12045?
Use the same anatomic group and intermediate-repair criteria, then select by total repaired length. 12042 covers the shorter 2.6–7.5 cm range; 12045 covers 12.6–20.0 cm.
Which wound locations qualify for this code?
The relevant site group is the neck, hands, feet, and external genitalia. A similar-length intermediate repair on a different anatomic group may fall under another code.
What documentation supports intermediate repair?
Record the site and length, the wound’s depth or contamination, any extensive cleaning, and the closure layers or technique. The record should support both intermediate complexity and the selected length range.
Can separate wounds be combined to select the length code?
Combine lengths when the wounds are in the same anatomic group and receive the same type of repair. Document each wound and its measurement.
Are related postoperative visits separately reported during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are also 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.
1,41712037,,Intmd rpr s/tr/ext >30.0 cm,A,,4.88,10.10,,3.26,,1.07,16.05,9.21,0,010,0.10,0.80,0.10,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41812041,,Intmd rpr n-hf/genit 2.5cm/<,A,,2.05,5.57,,1.57,,0.25,7.87,3.87,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41912042,,Intmd rpr n-hf/genit2.6-7.5,A,,2.72,6.11,,2.02,,0.30,9.13,5.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42012044,,Intmd rpr n-hf/genit7.6-12.5,A,,3.11,8.07,,2.16,,0.44,11.62,5.71,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42112045,,Intmd rpr n-hf/genit12.6-20,A,,3.66,9.22,,3.68,,0.70,13.58,8.04,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42212046,,Intmd rpr n-hf/genit20.1-30,A,,4.19,11.37,,4.07,,1.12,16.68,9.38,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42312047,,Intmd rpr n-hf/genit >30.0cm,A,,4.83,12.15,,4.23,,1.29,18.27,10.35,0,010,0.10,0.80,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00