$280.88
Both cover intermediate repair in the same site grouping; choose 12042 when the total repaired length is 2.6–7.5 cm rather than 2.5 cm or less.
On this page
CMS RVU26D · Effective 2026-10-01
12041 Intermediate repair Medicare reimbursement rates in Oklahoma
Reports intermediate closure of a wound 2.5 cm or shorter on the neck, hand, foot, or external genitalia, including layered closure or qualifying contaminated-wound repair. Compare 12041 office and facility rates across CMS payment localities in Oklahoma.
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 12041 in Oklahoma?
Oklahoma 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
$241.10
1 of 1 localities have a supported rate.
Payment area: Oklahoma
One mapped payment locality.
Facility setting
$121.79
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 12041: Intermediate repair of neck, hand, foot, or genital wound
Reports intermediate closure of a wound 2.5 cm or shorter on the neck, hand, foot, or external genitalia, including layered closure or qualifying contaminated-wound repair.
This service covers closure of a wound in the code’s site group when the repair requires more than a simple skin closure. Typically, the clinician closes deeper subcutaneous tissue and superficial fascia as well as the skin. It can also cover a single-layer closure of a heavily contaminated wound that needs extensive cleaning or removal of embedded material. Emergency physicians, surgeons, and other clinicians who repair traumatic lacerations may perform it in an emergency department, clinic, or operating setting.
Select the code by the documented wound site, repair complexity, and total length repaired; combine lengths for wounds of the same complexity in the same anatomic grouping. Documentation should identify each site and length and describe the layered closure or qualifying extensive cleaning. CMS assigns a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 12041
- 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 RVU2.05 · 26%
- Practice expense (office) RVU5.57 · 71%
- Malpractice RVU0.25 · 3%
20.7K
Medicare services in 2024 · #1133 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.
12041 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$238.13
This is also an intermediate repair code, but it covers a different anatomic site grouping. Choose by the wound’s actual site, not by length alone.
$259.62
Use 12051 for intermediate repairs of the face or mucous membranes; this code is for the neck, hands, feet, or external genitalia.
$103.94
12001 is for a simple repair of a superficial wound in overlapping site groupings. Use this code when the wound meets intermediate-repair criteria instead.
Compare 12041 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
Oklahoma →
Office / nonfacility
$241.10
Facility
$121.79
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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 12041 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
1,418
- Code
- 12041
- Physician work
- 2.05
- Practice expense
- 5.57
- Malpractice
- 0.25
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.000 | 2.0500 |
| Practice expense | 5.57 | × 0.893 | 4.9740 |
| Malpractice | 0.25 | × 0.777 | 0.1943 |
| Total RVUs | 7.2183 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$241.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 5.57 | 0.893 |
| Malpractice | 0.25 | 0.777 |
(2.05 × 1 + 5.57 × 0.893 + 0.25 × 0.777) × $33.4009 = $241.10
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 1.57 | 0.893 |
| Malpractice | 0.25 | 0.777 |
(2.05 × 1 + 1.57 × 0.893 + 0.25 × 0.777) × $33.4009 = $121.79
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.
12041 billing questions
What wound length qualifies for this code?
Use it for a qualifying intermediate repair with a total repaired length of 2.5 cm or less in the neck, hands, feet, or external genitalia. A longer repair in the same site group falls into a higher length level.
What makes the repair intermediate rather than simple?
The repair generally includes closure of deeper subcutaneous tissue and superficial fascia in addition to skin. A single-layer closure may also qualify when the wound is heavily contaminated and requires extensive cleaning or removal of embedded material.
Can lengths from multiple wounds be added together?
Yes, combine lengths for wounds of the same complexity within the same anatomic grouping. Document each wound’s location and length so the combined measurement is supported.
Are related postoperative visits separately reported during the global period?
Related postoperative visits for 10 days are included in the minor-procedure global period.
Can modifier 50 or an assistant-at-surgery modifier be reported?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery reporting 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.
1,41512035,,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
1,41612036,,Intmd rpr s/a/t/ext 20.1-30,A,,4.12,9.35,,3.07,,0.90,14.37,8.09,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,41712037,,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
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193