Billing code 12047: Intermediate repairMedicare rate & RVUs in Oregon
Reports layered repair of wounds on the neck, hands, feet, or external genitalia when the qualifying repaired length exceeds 30 cm.
Medicare pays $595.81–$646.83 for 12047 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 12047 covers
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 billing code 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.
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.
Where 12047 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $646.83 | $352.93 |
| Rest Of Oregon | $595.81 | $332.34 |
How the 12047 rate is calculated
Each of 12047’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 12047
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.83Practice expense 12.15Malpractice 1.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 12047
12047 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 12047
Intermediate repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 12047
Intermediate repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
12047 without 51 · national office
$610.23
Intermediate repair
12047-51 · Second procedure: 50%
$305.12
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
12047 compared with similar codes
Compare codes
12047 vs 12046 vs 12037 vs 12018: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 12046Intermediate repair
- 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.
- 12037Intermediate repair
- 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.
- 12018Wound repair
- 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.
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 billing code 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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