# CPT 12007: Simple Repair Scalp/neck/ax/genit/trunk >30.0cm

Medicare CPT 12007 pays $255.85 in a non-facility setting and $133.94 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $225.98 in Arkansas to $302.96 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/12007-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Dermatology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $255.85 |
| National facility | $133.94 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $302.96 | $173.12 |
| District of Columbia | $288.33 | $144.71 |
| New York | $284.03 | $148.03 |
| New Jersey | $280.15 | $142.87 |
| Florida | $275.92 | $153.60 |
| California | $275.53 | $131.27 |
| Washington | $274.15 | $135.17 |
| Connecticut | $272.92 | $141.62 |
| Massachusetts | $272.67 | $135.70 |
| Illinois | $270.30 | $152.50 |
| Hawaii | $266.40 | $127.78 |
| Maryland | $264.67 | $137.57 |
| Colorado | $261.45 | $131.73 |
| Rhode Island | $260.05 | $134.11 |
| New Hampshire | $259.03 | $132.12 |
| Oregon | $258.40 | $129.97 |
| Puerto Rico | $257.09 | $133.83 |
| Virgin Islands | $257.09 | $133.83 |
| Montana | $255.81 | $133.90 |
| Michigan | $255.71 | $141.24 |
| Pennsylvania | $255.25 | $135.83 |
| Georgia | $253.60 | $137.29 |
| Texas | $252.72 | $132.69 |
| Delaware | $252.54 | $132.09 |
| Nevada | $252.53 | $130.50 |
| Wyoming | $250.47 | $128.55 |
| Arizona | $248.51 | $130.38 |
| New Mexico | $248.34 | $136.55 |
| Virginia | $247.37 | $127.53 |
| West Virginia | $246.36 | $140.41 |
| Minnesota | $245.35 | $119.90 |
| Utah | $245.30 | $130.70 |
| Louisiana | $244.59 | $133.29 |
| Vermont | $244.21 | $123.52 |
| Missouri | $243.95 | $132.07 |
| Ohio | $243.78 | $132.48 |
| North Dakota | $243.55 | $121.64 |
| South Dakota | $242.10 | $120.19 |
| South Carolina | $242.06 | $129.41 |
| Maine | $241.86 | $125.37 |
| North Carolina | $238.95 | $125.21 |
| Kentucky | $238.48 | $130.10 |
| Oklahoma | $236.19 | $127.32 |
| Wisconsin | $235.61 | $118.82 |
| Indiana | $234.94 | $121.93 |
| Idaho | $233.69 | $121.53 |
| Tennessee | $233.47 | $122.65 |
| Nebraska | $232.14 | $119.62 |
| Kansas | $232.08 | $121.87 |
| Iowa | $231.41 | $119.86 |
| Mississippi | $230.90 | $125.93 |
| Alabama | $229.29 | $122.61 |
| Arkansas | $225.98 | $121.26 |

## 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 12007 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
