CPT code 12037: Intermediate repair2026 Medicare rate & RVUs in Utah
Reports intermediate layered closure of qualifying scalp, axillary, trunk, or extremity wounds when the combined repair length exceeds 30 cm.
Medicare pays $512.20 for 12037 in the office in Utah (Utah). 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 12037 covers
This service covers closure of qualifying wounds in the scalp, axillae, trunk, or extremities other than the hands and feet. Intermediate repair involves layered closure, such as closing deeper subcutaneous tissue and superficial fascia as well as the skin. It may also describe a single-layer closure when a heavily contaminated wound requires extensive cleaning. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, clinics, and operating or procedure rooms.
Select the code when the combined length of intermediate repairs in this anatomic group is more than 30 cm. Document each wound’s location, length, and closure technique, including the deeper-layer work or extensive cleaning that supports intermediate complexity. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery and co-surgeon payment require supporting documentation; 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.
12037 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $512.20 | $297.44 |
How the 12037 rate is calculated
Each of 12037’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 · 12037
RVUs × geographic indexes × conversion factor
Work4.88
4.88 RVUs× 1.000 GPCI
Practice expense10.10
10.10 RVUs× 1.000 GPCI
Malpractice1.07
1.07 RVUs× 1.000 GPCI
Adjusted RVUs
16.0500
Conversion factor
$33.4009
Medicare rate
$536.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 12037
12037 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 12037
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) | 0 | Not paid without supporting documentation. |
| 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 · 12037
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
12037 without 51 · national office
$536.08
Intermediate repair
12037-51 · Second procedure: 50%
$268.04
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%).
12037 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 12036Wound repair
- Use 12036 for intermediate repairs in the same anatomic group totaling 20.1–30 cm. This code is for a combined length greater than 30 cm.
- 12047Intermediate repair
- Both represent intermediate repair, but 12047 is for the neck, hands, feet, or external genitalia rather than this code’s anatomic group.
- 12018Wound repair
- 12018 is a simple-repair code for specified facial and mucosal sites with a length over 30 cm. Choose repair complexity and anatomic group, not length alone.
- 13101Complex repair
- 13101 represents complex repair of a trunk wound in its applicable length range. Use it only when the documented repair meets complex-repair criteria, not merely because a wound is long.
12037 billing questions
How is the length threshold determined when there are several wounds?
Combine the lengths of qualifying intermediate repairs in this anatomic group. Report this code when that combined length is more than 30 cm, and retain each wound’s location and measurement in the record.
What distinguishes intermediate repair from simple repair?
Intermediate repair involves layered closure of deeper tissue along with skin closure, or single-layer closure of a heavily contaminated wound requiring extensive cleaning. A superficial wound closed without those features may support a simple repair code instead.
Can wounds on the hands or feet be included in this code?
No. The 12031–12037 group covers the scalp, axillae, trunk, and extremities other than the hands and feet; those sites are classified in another intermediate-repair group.
Does this code have a postoperative global period?
Yes. Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 be used for bilateral wounds?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate for its descriptor or anatomy.
When can an assistant or co-surgeon be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon payment requires supporting documentation, and team surgery is 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 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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