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See a sample rate comparisonCPT 12002 Fee Schedule
Medicare rates as of October 2026
CPT 12002 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Rpr S N Ax Gen Trnk2 6 7 5cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 2 6 Cm To 7 5 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 20 - Urgent Care Facility |
| Common Modifiers | AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $139.28 national non-facility rate (2026) · View Medicare rates for 12002 |
| Medicaid Fee Schedule | $103.515 median of the 8 states in the free preview · View Medicaid rates for 12002 |
National average reimbursement for CPT 12002 by major payers:
$148.70
BCBS / Anthem
$154.58
UnitedHealthcare
$158.04
Aetna
$188.43
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 12002.
CPT 12002
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center- Westbank
Ochsner Clinic Foundation
$2,500.00Published rateSouthwest Louisiana Hospital Association Inc, Lake Charles Memorial Hospital
Southwest Louisiana Hospital Association Inc
$669.00Published rateOrthopaedic Clinic Of Monroe, North Louisiana Orthopaedic And Sports Medicine Clinic
Orthopaedic Clinic Of Monroe, Amc
$341.26Published rateSouth Plains Surgery Center LLC
$150.00Published rateCarolina Digestive Diseases, PA
Carolina Digestive Diseases
$77.00Published rate
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See a sample payer proposalCPT 12002 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 12002. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 12001-CPT | Low | Rpr S N Ax Gen Trnk 2 5cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 2 5 Cm Or Less |
| 12002-CPT | Low | Rpr S N Ax Gen Trnk2 6 7 5cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 2 6 Cm To 7 5 Cm |
| 12004-CPT | Low | Rpr S N Ax Gen Trk7 6 12 5cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 7 6 Cm To 12 5 Cm |
| 12005-CPT | Moderate | Rpr S N A Gen Trk12 6 20 0cm, Simple Repair Of Superficial Wounds Of Scalp Neck Axillae External Genitalia Trunk And Or Extremities Including Hands And Feet 12 6 Cm To 20 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12002 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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