$524.39
Both codes cover intermediate repairs in the same anatomic group. Choose 12046 when the qualifying repaired length is 20.1–30 cm; this code is for lengths over 30 cm.
On this page
CMS RVU26D · Effective 2026-10-01
12047 Intermediate repair Medicare reimbursement rates in Ohio
Reports layered repair of wounds on the neck, hands, feet, or external genitalia when the qualifying repaired length exceeds 30 cm. Compare 12047 office and facility rates across CMS payment localities in Ohio.
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 12047 in Ohio?
Ohio 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
$575.27
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$333.75
1 of 1 localities have a supported rate.
Payment area: Ohio
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 12047: Extensive intermediate repair of neck, hands, feet, or genitalia
Reports layered repair of wounds on the neck, hands, feet, or external genitalia when the qualifying repaired length exceeds 30 cm.
This code describes intermediate wound repair in the neck, hands, feet, or external genitalia when the qualifying total repaired length is more than 30 cm. The closure involves the skin and deeper tissue, such as subcutaneous tissue or superficial fascia, rather than skin sutures alone. Emergency physicians, surgeons, and other qualified clinicians may perform these repairs in emergency departments, operating rooms, or other settings. Typical cases include extensive traumatic lacerations requiring layered closure in one of these anatomic groups.
Choose the code by the wound location, repair method, and documented length; add lengths only when CPT instructions allow wounds in the same classification and anatomic group to be combined. The record should identify each site, its repaired length, and the tissue layers closed. This minor procedure has a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 12047
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.83 · 26%
- Practice expense (office) RVU12.15 · 67%
- Malpractice RVU1.29 · 7%
29
Medicare services in 2024 · #5681 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.
12047 compared with similar codes
Office rates for Ohio, from the same CMS release.
$507.02
Both represent intermediate repair for lengths over 30 cm, but 12037 applies to its specified body areas, not the neck, hands, feet, or external genitalia.
No office rate
This code requires layered closure involving deeper tissue. Code 12018 is for simple repair, where closure involves the skin alone, in the corresponding site group and length range.
Compare 12047 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
Ohio →
Office / nonfacility
$575.27
Facility
$333.75
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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 12047 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
1,423
- Code
- 12047
- Physician work
- 4.83
- Practice expense
- 12.15
- Malpractice
- 1.29
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.83 | × 1.000 | 4.8300 |
| Practice expense | 12.15 | × 0.913 | 11.0930 |
| Malpractice | 1.29 | × 1.008 | 1.3003 |
| Total RVUs | 17.2233 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$575.27
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.83 | 1 |
| Practice expense | 12.15 | 0.913 |
| Malpractice | 1.29 | 1.008 |
(4.83 × 1 + 12.15 × 0.913 + 1.29 × 1.008) × $33.4009 = $575.27
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.83 | 1 |
| Practice expense | 4.23 | 0.913 |
| Malpractice | 1.29 | 1.008 |
(4.83 × 1 + 4.23 × 0.913 + 1.29 × 1.008) × $33.4009 = $333.75
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.
12047 billing questions
How is this code distinguished from 12037?
This code is for qualifying intermediate repairs on the neck, hands, feet, or external genitalia. Code 12037 covers the corresponding length range for other specified body areas, including the scalp, trunk, and extremities.
When should a simple repair code be used instead?
Use a simple repair code when the wound closure involves the skin alone. This code requires layered closure involving deeper tissue as well as the skin.
Can separate wound lengths be added together?
Lengths may be combined when CPT instructions permit combining wounds in the same repair classification and anatomic group. Document the location and repaired length of each wound.
What documentation supports this code?
Record the wound sites, measured lengths, and the deeper tissue layers closed. The documentation should support both the intermediate repair method and a qualifying total length greater than 30 cm.
Is modifier 50 appropriate for wounds on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are related postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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.
1,42012044,,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
1,42412051,,Intmd rpr face/mm 2.5 cm/<,A,,2.27,5.91,,1.91,,0.29,8.47,4.47,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42512052,,Intmd rpr face/mm 2.6-5.0 cm,A,,2.80,6.20,,2.03,,0.34,9.34,5.17,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42612053,,Intmd rpr face/mm 5.1-7.5 cm,A,,3.09,7.33,,2.12,,0.39,10.81,5.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703