$370.45
Both codes cover intermediate repair in the same anatomic group. Use 12044 when the combined repaired length falls in its shorter tier rather than the 12.6-to-20-centimeter tier.
On this page
CMS RVU26D · Effective 2026-10-01
12045 Intermediate wound repair Medicare reimbursement rates in Utah
Reports layered closure of qualifying wounds on the neck, hands, feet, or external genitalia when their combined repair length is 12.6 to 20 centimeters. Compare 12045 office and facility rates across CMS payment localities in Utah.
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 12045 in Utah?
Utah 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
$432.72
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$258.78
1 of 1 localities have a supported rate.
Payment area: Utah
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 12045: Intermediate repair of neck, hand, foot, or genital wound
Reports layered closure of qualifying wounds on the neck, hands, feet, or external genitalia when their combined repair length is 12.6 to 20 centimeters.
This code describes intermediate closure of one or more wounds on the neck, hands, feet, or external genitalia, with a combined repair length of 12.6 to 20 centimeters. The repair involves more than skin-edge approximation, such as layered closure that includes subcutaneous tissue or superficial fascia. Physicians and other qualified practitioners commonly perform these repairs in emergency departments, clinics, and operating rooms after traumatic lacerations or wound excisions.
Choose the code based on the wound’s anatomic group, repair complexity, and total repaired length—not length alone. Add lengths of wounds in this anatomic group when determining the code level, and document sites, measurements, tissue layers repaired, and closure technique. Medicare assigns 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 other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgery and team-surgery payment are not permitted.
CMS billing rules for 12045
- 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 RVU3.66 · 27%
- Practice expense (office) RVU9.22 · 68%
- Malpractice RVU0.70 · 5%
354
Medicare services in 2024 · #3845 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.
12045 compared with similar codes
Office rates for Utah, from the same CMS release.
$530.53
This is the next longer length tier for intermediate repair of the neck, hands, feet, or external genitalia. Select by the combined repaired length.
$395.28
This code is for intermediate repairs in a different anatomic group, including the scalp, trunk, and extremities other than hands and feet. Choose by the repair site, not by length alone.
$520.59
This code covers intermediate repairs of the face and mucous membranes. Use it for those sites rather than the neck, hands, feet, or external genitalia.
Compare 12045 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
Utah →
Office / nonfacility
$432.72
Facility
$258.78
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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 12045 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,421
- Code
- 12045
- Physician work
- 3.66
- Practice expense
- 9.22
- Malpractice
- 0.70
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.66 | × 1.000 | 3.6600 |
| Practice expense | 9.22 | × 0.940 | 8.6668 |
| Malpractice | 0.70 | × 0.898 | 0.6286 |
| Total RVUs | 12.9554 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$432.72
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.66 | 1 |
| Practice expense | 9.22 | 0.94 |
| Malpractice | 0.7 | 0.898 |
(3.66 × 1 + 9.22 × 0.94 + 0.7 × 0.898) × $33.4009 = $432.72
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.66 | 1 |
| Practice expense | 3.68 | 0.94 |
| Malpractice | 0.7 | 0.898 |
(3.66 × 1 + 3.68 × 0.94 + 0.7 × 0.898) × $33.4009 = $258.78
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.
12045 billing questions
How is 12045 distinguished from 12044 or 12046?
Use the combined repair length for wounds in this anatomic group. 12044 is for the shorter length tier, while 12046 is for the next longer tier.
Does wound length alone support 12045?
No. The repair must also meet the intermediate-repair criteria, including layered closure beyond simple skin-edge approximation. Document the repaired layers and technique as well as the measurements.
Can separate qualifying wounds be combined to select this code?
Yes. Add the lengths of wounds repaired within this anatomic group to determine the applicable length tier, and document each wound’s site and measurement.
Can modifier 50 be used for wounds on both hands?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50 to represent bilateral repairs.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. CMS also restricts assistant-at-surgery payment and does not permit co-surgeons or team surgery for this code.
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.
1,41812041,,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
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
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985