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See a sample rate comparisonCPT 12017 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Rpr Fe E En L M 20 1 30 0 Cm, Simple Repair Of Superficial Wounds Of Face Ears Eyelids Nose Lips And Or Mucous Membranes 20 1 Cm To 30 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 21 - Inpatient Hospital |
| Common Modifiers | None AG - Primary physician 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 12017 |
| Medicaid Fee Schedule | View Medicaid rates for 12017 |
National average reimbursement for CPT 12017 by major payers:
$217.56
$236.57
$220.08
$276.74
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CPT 12017
5 of 25 sample ratesHigher to lower in this preview
Livingston Asc LLC
$1,413.00Published rateFocus Hand Surgicenter LLC, Focus Hand And Arm Surgery Center
$906.00Published rateIspm Asc At Camp Creek LLC, Alliance Surgery Center At Camp Creek
Ispm Asc At Camp Creek LLC
$500.00Published rateWalla Walla Clinic, Inc., Walla Walla Clinic Ambulatory Surgery Center
Walla Walla Clinic, Inc.
$137.00Published rateDigestive Health Specialists, PA
Digestive Health Specialists, P.A.
$35.00Published rate
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See a sample payer proposalCPT 12017 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 12017 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 12017 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 12016-CPT | Moderate | Rpr Fe E En L M 12 6 20 0 Cm, Simple Repair Of Superficial Wounds Of Face Ears Eyelids Nose Lips And Or Mucous Membranes 12 6 Cm To 20 0 Cm |
| 12017-CPT | Moderate | Rpr Fe E En L M 20 1 30 0 Cm, Simple Repair Of Superficial Wounds Of Face Ears Eyelids Nose Lips And Or Mucous Membranes 20 1 Cm To 30 0 Cm |
| 12018-CPT | Moderate | Rpr F E E N L M 30 0 Cm, Simple Repair Of Superficial Wounds Of Face Ears Eyelids Nose Lips And Or Mucous Membranes Over 30 0 Cm |
| 12020-CPT | Moderate | Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 12017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12017 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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