# CPT 12011: Simple repair, face/ears/eyelids/nose/lips/mucous membranes, 2.5cm or less

Medicare CPT 12011 pays $139.62 in a non-facility setting and $54.44 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $122.19 in Arkansas to $159.85 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/12011-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $139.62 |
| National facility | $54.44 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $159.85 | $69.14 |
| District of Columbia | $159.66 | $59.33 |
| New York | $155.26 | $60.24 |
| California | $155.16 | $54.37 |
| New Jersey | $154.29 | $58.38 |
| Washington | $152.70 | $55.60 |
| Massachusetts | $151.41 | $55.72 |
| Hawaii | $149.70 | $52.86 |
| Connecticut | $149.41 | $57.68 |
| Florida | $147.21 | $61.76 |
| Maryland | $144.80 | $56.01 |
| Colorado | $144.57 | $53.95 |
| Illinois | $143.45 | $61.16 |
| Oregon | $142.97 | $53.24 |
| Rhode Island | $142.65 | $54.67 |
| New Hampshire | $142.64 | $53.98 |
| Puerto Rico | $140.57 | $54.46 |
| Virgin Islands | $140.57 | $54.46 |
| Montana | $139.60 | $54.43 |
| Pennsylvania | $138.47 | $55.04 |
| Nevada | $138.43 | $53.17 |
| Delaware | $137.85 | $53.70 |
| Texas | $137.75 | $53.90 |
| Wyoming | $137.62 | $52.45 |
| Minnesota | $137.03 | $49.38 |
| Michigan | $136.82 | $56.84 |
| Georgia | $136.70 | $55.45 |
| Virginia | $135.70 | $51.98 |
| Arizona | $135.50 | $52.96 |
| North Dakota | $135.05 | $49.88 |
| Vermont | $134.85 | $50.53 |
| South Dakota | $134.51 | $49.34 |
| New Mexico | $133.09 | $54.99 |
| Utah | $133.00 | $52.94 |
| Maine | $132.43 | $51.04 |
| Louisiana | $131.53 | $53.76 |
| Missouri | $131.49 | $53.33 |
| Ohio | $131.22 | $53.46 |
| South Carolina | $131.08 | $52.38 |
| North Carolina | $130.33 | $50.86 |
| Wisconsin | $130.22 | $48.62 |
| West Virginia | $130.19 | $56.18 |
| Indiana | $128.57 | $49.62 |
| Kentucky | $128.17 | $52.46 |
| Idaho | $127.79 | $49.43 |
| Oklahoma | $127.50 | $51.44 |
| Nebraska | $127.35 | $48.74 |
| Tennessee | $127.21 | $49.79 |
| Iowa | $126.72 | $48.79 |
| Kansas | $126.47 | $49.48 |
| Alabama | $124.13 | $49.61 |
| Mississippi | $124.10 | $50.77 |
| Arkansas | $122.19 | $49.02 |

## 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 12011 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