No office rate
Both describe simple repairs in the same anatomic group. Choose 12018 when the combined length exceeds 30 cm; 12017 applies through 30 cm.
On this page
CMS RVU26D · Effective 2026-10-01
12018 Wound repair Medicare reimbursement rates in Rhode Island
Reports simple, single-layer closure of superficial wounds in the face-and-related-site group when the combined repair length exceeds 30 cm. Compare 12018 office and facility rates across CMS payment localities in Rhode Island.
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 12018 in Rhode Island?
Rhode Island 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
No supported rate
Facility setting
$173.97
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 12018: Simple repair of extensive facial wounds
Reports simple, single-layer closure of superficial wounds in the face-and-related-site group when the combined repair length exceeds 30 cm.
This code is for straightforward closure of superficial wounds involving the face, ears, eyelids, nose, lips, or mucous membranes. The repair is limited to a simple closure, typically a single layer, without the deeper layered work that characterizes an intermediate repair. Emergency physicians and surgeons may perform this service in an emergency department or another acute-care setting; extensive wounds in this anatomic group are less typical in an office setting.
Choose the code from the documented repair type, anatomic group, and total length. For multiple wounds with the same repair classification in this group, combine their lengths; document each wound’s site, length, depth, and closure method. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 12018
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU3.52 · 68%
- Practice expense (office) RVU0.81 · 16%
- Malpractice RVU0.88 · 17%
16
Medicare services in 2024 · #6024 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.
12018 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$260.05
Both describe simple repairs exceeding 30 cm, but 12007 is for a different anatomic group, such as scalp, trunk, or extremities.
$662.18
Both cover repairs exceeding 30 cm in the face-and-related-site group. Choose 12057 when the repair is intermediate, rather than simple.
Compare 12018 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$173.97
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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 12018 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,409
- Code
- 12018
- Physician work
- 3.52
- Practice expense
- 0.81
- Malpractice
- 0.88
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.52 | × 1.019 | 3.5869 |
| Practice expense | 0.81 | × 1.033 | 0.8367 |
| Malpractice | 0.88 | × 0.892 | 0.7850 |
| Total RVUs | 5.2086 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$173.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.52 | 1.019 |
| Practice expense | 0.81 | 1.033 |
| Malpractice | 0.88 | 0.892 |
(3.52 × 1.019 + 0.81 × 1.033 + 0.88 × 0.892) × $33.4009 = $173.97
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.
12018 billing questions
How is the length selected when there are several wounds?
Combine the lengths of wounds repaired with the same simple technique in this anatomic group. Keep lengths in different anatomic groups or repair classifications separate.
When is this code preferable to 12017?
Both codes describe simple repair in the face, ears, eyelids, nose, lips, or mucous membranes. Use 12018 when the total repair length exceeds 30 cm; 12017 covers 20.1–30 cm.
How does this differ from an intermediate repair?
Use 12018 for a simple, superficial closure. A repair requiring layered closure or work on deeper tissue is intermediate; select the intermediate code for the anatomic group and total length.
Can modifier 50 be reported for this repair?
No. CMS identifies bilateral adjustment as inappropriate for this code because its descriptor and anatomy do not support modifier 50.
What documentation supports reporting 12018?
Document the wound sites, individual lengths, superficial nature of the injuries, simple closure technique, and the total length for wounds in this group.
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.
1,40612015,,Rpr f/e/e/n/l/m 7.6-12.5 cm,A,,1.93,3.94,,0.33,,0.44,6.31,2.70,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40712016,,Rpr fe/e/en/l/m 12.6-20.0 cm,A,,2.61,4.79,,0.44,,0.61,8.01,3.66,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,40812017,,Rpr fe/e/en/l/m 20.1-30.0 cm,A,,3.10,0.74,NA,0.74,,0.78,4.62,4.62,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537