# CPT 12005: Smpl Rpr Scalp/neck/ax/genit/trunk 12.6-20.0cm

Medicare CPT 12005 pays $211.09 in a non-facility setting and $89.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $185.43 in Arkansas to $245.33 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/12005-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $211.09 |
| National facility | $89.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $245.33 | $116.20 |
| District of Columbia | $239.78 | $96.96 |
| New York | $234.63 | $99.37 |
| New Jersey | $232.29 | $95.77 |
| California | $231.12 | $87.65 |
| Washington | $228.65 | $90.43 |
| Massachusetts | $227.05 | $90.83 |
| Connecticut | $225.60 | $95.02 |
| Florida | $225.13 | $103.48 |
| Hawaii | $223.21 | $85.36 |
| Illinois | $219.93 | $102.77 |
| Maryland | $218.68 | $92.28 |
| Colorado | $217.20 | $88.20 |
| Rhode Island | $215.14 | $89.89 |
| New Hampshire | $214.74 | $88.52 |
| Oregon | $214.73 | $87.00 |
| Puerto Rico | $212.34 | $89.76 |
| Virgin Islands | $212.34 | $89.76 |
| Montana | $211.06 | $89.82 |
| Pennsylvania | $209.95 | $91.19 |
| Michigan | $208.86 | $95.01 |
| Nevada | $208.83 | $87.46 |
| Delaware | $208.37 | $88.58 |
| Texas | $208.37 | $89.00 |
| Georgia | $207.91 | $92.25 |
| Wyoming | $207.36 | $86.11 |
| Arizona | $204.91 | $87.43 |
| Minnesota | $204.83 | $80.07 |
| Virginia | $204.62 | $85.43 |
| New Mexico | $202.97 | $91.79 |
| Vermont | $202.67 | $82.64 |
| North Dakota | $202.56 | $81.32 |
| Utah | $201.67 | $87.70 |
| South Dakota | $201.56 | $80.31 |
| Louisiana | $200.23 | $89.54 |
| Missouri | $199.95 | $88.69 |
| West Virginia | $199.91 | $94.55 |
| Maine | $199.83 | $83.98 |
| Ohio | $199.67 | $88.98 |
| South Carolina | $198.86 | $86.83 |
| North Carolina | $197.02 | $83.90 |
| Wisconsin | $195.59 | $79.43 |
| Kentucky | $195.15 | $87.37 |
| Indiana | $194.03 | $81.64 |
| Oklahoma | $193.70 | $85.43 |
| Idaho | $192.92 | $81.37 |
| Tennessee | $192.38 | $82.17 |
| Nebraska | $191.95 | $80.04 |
| Kansas | $191.24 | $81.63 |
| Iowa | $191.16 | $80.22 |
| Mississippi | $188.91 | $84.52 |
| Alabama | $188.29 | $82.20 |
| Arkansas | $185.43 | $81.28 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 12005 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