$265.81
This code covers intermediate repair of facial and related-site wounds measuring 2.6–5.0 cm; 12051 is the shorter-length tier, at 2.5 cm or less.
On this page
CMS RVU26D · Effective 2026-10-01
12052 Wound repair Medicare reimbursement rates in Ohio
Report this code for an intermediate repair of facial or related wounds when the total repaired length falls within the 2.6-to-5-centimeter range. Compare 12052 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 12052 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
$294.04
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$166.87
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 12052: Intermediate facial wound repair, 2.6 to 5 cm
Report this code for an intermediate repair of facial or related wounds when the total repaired length falls within the 2.6-to-5-centimeter range.
This code covers intermediate repair of wounds involving the face, ears, eyelids, nose, lips, or mucous membranes. A typical case is a facial laceration closed in layers, with repair of deeper tissue as well as the skin. A single-layer closure can also qualify when a heavily contaminated wound requires extensive cleaning or removal of particulate matter. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, offices, and operating rooms.
Select the code by the repair’s complexity, anatomic group, and total length. Add together the lengths of wounds in the same anatomic and repair classification, and document the sites, measured lengths, and closure technique or qualifying wound cleaning. Medicare assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 12052
- 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 RVU2.80 · 30%
- Practice expense (office) RVU6.20 · 66%
- Malpractice RVU0.34 · 4%
99.2K
Medicare services in 2024 · #561 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.
12052 compared with similar codes
Office rates for Ohio, from the same CMS release.
$339.87
Use 12053 when the intermediate repair’s total length is 5.1–7.5 cm. This code is for 2.6–5.0 cm.
$137.27
Both codes cover facial wounds in the 2.6–5.0 cm length range, but 12013 is for simple repair; this code requires intermediate repair.
Compare 12052 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
$294.04
Facility
$166.87
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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 12052 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
1,425
- Code
- 12052
- Physician work
- 2.80
- Practice expense
- 6.20
- Malpractice
- 0.34
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.80 | × 1.000 | 2.8000 |
| Practice expense | 6.20 | × 0.913 | 5.6606 |
| Malpractice | 0.34 | × 1.008 | 0.3427 |
| Total RVUs | 8.8033 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$294.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.8 | 1 |
| Practice expense | 6.2 | 0.913 |
| Malpractice | 0.34 | 1.008 |
(2.8 × 1 + 6.2 × 0.913 + 0.34 × 1.008) × $33.4009 = $294.04
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.8 | 1 |
| Practice expense | 2.03 | 0.913 |
| Malpractice | 0.34 | 1.008 |
(2.8 × 1 + 2.03 × 0.913 + 0.34 × 1.008) × $33.4009 = $166.87
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.
12052 billing questions
How is this code distinguished from 12051 or 12053?
Choose by total repaired length within the same facial and intermediate-repair category: 12051 is for 2.5 cm or less, this code is for 2.6–5.0 cm, and 12053 is for 5.1–7.5 cm.
When does a facial wound qualify as an intermediate repair?
The repair generally involves layered closure, including deeper tissue and skin. A single-layer closure may qualify when extensive cleaning is required for a heavily contaminated wound.
Can separate closure codes be reported for the layers?
No separate code is reported for the skin closure that is part of this intermediate repair. Document the repair method and the wound’s length and location.
Should modifier 50 be used for wounds on both sides of the face?
No. Modifier 50 is inappropriate for this code; report the applicable repair code based on the documented wounds and their combined length within the classification.
How does the 10-day global period affect follow-up visits?
Related postoperative visits during the 10 days after the repair are included in the global period.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures subject to the standard multiple-procedure reduction are paid at 50%.
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.
1,42212046,,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
1,42712054,,Intmd rpr face/mm 7.6-12.5cm,A,,3.41,7.80,,1.98,,0.51,11.72,5.90,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,42812055,,Intmd rpr face/mm 12.6-20 cm,A,,4.39,11.07,,3.54,,0.88,16.34,8.81,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,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