$282.87–$298.58
Both codes cover intermediate repairs in the same site group. Choose 12032 when the combined length is 2.6–7.5 cm rather than 2.5 cm or less.
On this page
CMS RVU26D · Effective 2026-10-01
12031 Wound repair Medicare reimbursement rates in Michigan
Reports intermediate layered repair of a scalp, axillary, trunk, or extremity wound, excluding hands and feet, when the repair length is 2.5 cm or less. Compare 12031 office and facility rates across CMS payment localities in Michigan.
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 12031 in Michigan?
Michigan 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
$244.58–$258.58
2 of 2 localities have a supported rate.
Facility setting
$129.00–$136.42
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 12031: Intermediate wound repair, scalp or trunk
Reports intermediate layered repair of a scalp, axillary, trunk, or extremity wound, excluding hands and feet, when the repair length is 2.5 cm or less.
This service is for a wound requiring more than a straightforward skin closure: the clinician closes one or more deeper tissue layers as well as the skin, or extensively cleans a heavily contaminated wound before closure. Typical settings include emergency departments, outpatient clinics, and surgical practices. The covered locations are the scalp, axillae, trunk, and extremities, but not the hands or feet. Intermediate repairs of the face and other separately classified sites use different codes.
Choose the code by the repair’s anatomic group, complexity, and documented length. For multiple intermediate wounds in the same anatomic group, add their lengths when selecting the code; report this level when the combined length is 2.5 cm or less. The note should describe the wound location and length, the layered closure or extensive cleaning, and the work performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. 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 not appropriate; assistant-at-surgery payment is statutorily restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 12031
- 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 RVU1.95 · 25%
- Practice expense (office) RVU5.60 · 72%
- Malpractice RVU0.23 · 3%
62.8K
Medicare services in 2024 · #701 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.
12031 compared with similar codes
Office rates for Michigan, from the same CMS release.
$247.76–$262.08
This code is for intermediate repair of the neck, hands, feet, or external genitalia. Use 12031 for the scalp, axillae, trunk, or extremities excluding hands and feet.
$107.67–$115.20
12001 describes a simple repair, generally a skin-only closure, in its applicable site group. 12031 is for intermediate repair involving layered closure or extensive cleaning of a heavily contaminated wound.
$266.98–$282.64
12051 is the intermediate-repair code for the face and specified facial sites. 12031 covers the scalp, axillae, trunk, and extremities excluding hands and feet.
Compare 12031 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
Detroit →
Office / nonfacility
$258.58
Facility
$136.42
Rest Of Michigan →
Office / nonfacility
$244.58
Facility
$129.00
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12031 billing questions
When is 12031 appropriate instead of a simple repair code?
Use 12031 when the wound needs layered closure of deeper tissue and skin, or extensive cleaning because it is heavily contaminated. A straightforward skin-only closure is reported from the simple-repair family instead.
How do I select the length level for multiple wounds?
Add the lengths of intermediate repairs in the same anatomic group, then select the code for that combined length. This code covers a combined length of 2.5 cm or less.
Can I report 12031 for a hand or foot wound?
No. Hands and feet are assigned to the separate intermediate-repair site group represented by 12041 and its related length levels.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure.
Can modifier 50 or an assistant-at-surgery modifier be used?
Bilateral adjustment does not apply to this code. CMS also identifies a statutory restriction on assistant-at-surgery payment.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the 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.
1,40912018,,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
1,41012020,,Tx supfc wnd dehsn smpl clsr,A,,2.60,6.45,,2.32,,0.43,9.48,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41112021,,Tx supfc wnd dehsn w/packing,A,,1.84,3.39,,1.86,,0.33,5.56,4.03,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41212031,,Intmd rpr s/a/t/ext 2.5 cm/<,A,,1.95,5.60,,1.81,,0.23,7.78,3.99,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41312032,,Intmd rpr s/a/t/ext 2.6-7.5,A,,2.46,6.26,,2.22,,0.26,8.98,4.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41412034,,Intmd rpr s/tr/ext 7.6-12.5,A,,2.90,6.73,,2.10,,0.39,10.02,5.39,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41512035,,Intmd rpr s/a/t/ext 12.6-20,A,,3.41,8.37,,2.69,,0.62,12.40,6.72,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00