# CPT 12013: Simple Repair F/e/e/n/l/m 2.6cm-5.0 Cm

Medicare CPT 12013 pays $145.63 in a non-facility setting and $55.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $127.60 in Arkansas to $167.75 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/12013-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $145.63 |
| National facility | $55.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $167.75 | $72.06 |
| District of Columbia | $166.03 | $60.19 |
| New York | $161.95 | $61.72 |
| California | $160.68 | $54.36 |
| New Jersey | $160.62 | $59.46 |
| Washington | $158.54 | $56.11 |
| Massachusetts | $157.32 | $56.37 |
| Connecticut | $155.78 | $59.01 |
| Hawaii | $155.10 | $52.94 |
| Florida | $154.49 | $64.34 |
| Maryland | $150.96 | $57.29 |
| Illinois | $150.71 | $63.90 |
| Colorado | $150.33 | $54.73 |
| Oregon | $148.64 | $53.98 |
| Rhode Island | $148.61 | $55.79 |
| New Hampshire | $148.47 | $54.94 |
| Puerto Rico | $146.56 | $55.72 |
| Virgin Islands | $146.56 | $55.72 |
| Montana | $145.61 | $55.76 |
| Pennsylvania | $144.63 | $56.62 |
| Nevada | $144.22 | $54.28 |
| Delaware | $143.75 | $54.98 |
| Texas | $143.70 | $55.25 |
| Michigan | $143.39 | $59.03 |
| Wyoming | $143.28 | $53.43 |
| Georgia | $143.01 | $57.29 |
| Minnesota | $142.09 | $49.63 |
| Arizona | $141.33 | $54.26 |
| Virginia | $141.33 | $53.01 |
| North Dakota | $140.27 | $50.42 |
| Vermont | $140.20 | $51.25 |
| South Dakota | $139.64 | $49.79 |
| New Mexico | $139.40 | $57.01 |
| Utah | $138.90 | $54.44 |
| Maine | $137.95 | $52.10 |
| Louisiana | $137.63 | $55.59 |
| Missouri | $137.51 | $55.06 |
| Ohio | $137.27 | $55.24 |
| South Carolina | $136.91 | $53.89 |
| West Virginia | $136.83 | $58.75 |
| North Carolina | $135.88 | $52.05 |
| Wisconsin | $135.32 | $49.24 |
| Kentucky | $134.11 | $54.23 |
| Indiana | $133.92 | $50.63 |
| Oklahoma | $133.25 | $53.02 |
| Idaho | $133.13 | $50.47 |
| Tennessee | $132.64 | $50.97 |
| Nebraska | $132.56 | $49.63 |
| Iowa | $131.96 | $49.75 |
| Kansas | $131.86 | $50.63 |
| Mississippi | $129.81 | $52.45 |
| Alabama | $129.61 | $50.99 |
| Arkansas | $127.60 | $50.42 |

## 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 12013 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