# CPT 12001: Simple repair of superficial wounds, 2.5cm or less

Medicare CPT 12001 pays $113.90 in a non-facility setting and $44.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $99.63 in Arkansas to $130.38 in District of Columbia, a 31% spread.

Web page: https://www.med-reveal.com/rates/12001-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology, Emergency Medicine, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $113.90 |
| National facility | $44.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $130.38 | $48.15 |
| Alaska | $130.12 | $55.78 |
| California | $126.88 | $44.28 |
| New York | $126.66 | $48.78 |
| New Jersey | $125.95 | $47.34 |
| Washington | $124.76 | $45.18 |
| Massachusetts | $123.68 | $45.25 |
| Hawaii | $122.39 | $43.02 |
| Connecticut | $121.91 | $46.72 |
| Florida | $119.86 | $49.82 |
| Maryland | $118.14 | $45.36 |
| Colorado | $118.06 | $43.79 |
| Oregon | $116.76 | $43.22 |
| Illinois | $116.75 | $49.30 |
| New Hampshire | $116.45 | $43.78 |
| Rhode Island | $116.42 | $44.31 |
| Puerto Rico | $114.69 | $44.12 |
| Virgin Islands | $114.69 | $44.12 |
| Montana | $113.89 | $44.08 |
| Nevada | $112.97 | $43.10 |
| Pennsylvania | $112.91 | $44.53 |
| Delaware | $112.46 | $43.49 |
| Texas | $112.37 | $43.65 |
| Wyoming | $112.33 | $42.53 |
| Minnesota | $112.00 | $40.17 |
| Michigan | $111.44 | $45.89 |
| Georgia | $111.42 | $44.82 |
| Virginia | $110.76 | $42.14 |
| Arizona | $110.54 | $42.89 |
| North Dakota | $110.33 | $40.52 |
| Vermont | $110.12 | $41.01 |
| South Dakota | $109.90 | $40.10 |
| Utah | $108.45 | $42.83 |
| New Mexico | $108.42 | $44.41 |
| Maine | $108.07 | $41.37 |
| Louisiana | $107.18 | $43.45 |
| Missouri | $107.18 | $43.12 |
| Ohio | $106.94 | $43.21 |
| South Carolina | $106.88 | $42.38 |
| Wisconsin | $106.36 | $39.48 |
| North Carolina | $106.33 | $41.20 |
| West Virginia | $105.94 | $45.28 |
| Indiana | $104.93 | $40.22 |
| Kentucky | $104.45 | $42.39 |
| Idaho | $104.29 | $40.07 |
| Nebraska | $103.96 | $39.53 |
| Oklahoma | $103.94 | $41.60 |
| Tennessee | $103.79 | $40.33 |
| Iowa | $103.43 | $39.56 |
| Kansas | $103.19 | $40.08 |
| Alabama | $101.23 | $40.14 |
| Mississippi | $101.14 | $41.03 |
| Arkansas | $99.63 | $39.67 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule

Commercial negotiated rates for 12001 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
