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See a sample rate comparisonCPT 12037 Fee Schedule
Last Verified: September 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.
Intmd Rpr S Tr Ext 30 0 Cm, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet Over 30 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service XS - Separate Structure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 12037 |
| Medicaid Fee Schedule | View Medicaid rates for 12037 |
National average reimbursement for CPT 12037 by major payers:
$529.44
$607.29
$626.98
$534.74
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CPT 12037
5 of 25 sample ratesHigher to lower in this preview
Mercy Terrace Hill Surgery Center, LLC, Mercy River Hills Surgery Center
Mercy Terrace Hill Surgery Center LLC
$2,956.00Published rateSherman Endoscopy Center, LLC
Sherman Endoscopy Center LLC
$1,955.00Published rateBaptist Beaches Surgery Center LLC, Horizon Surgery Center Beaches
Baptist Beaches Surgery Center LLC
$1,070.00Published rateSouthpoint Surgery Center LLC
$750.00Published rateAngela Sams
Deaconess Hospital Inc
$382.04Published rate
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See a sample payer proposalCPT 12037 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 12037 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 12037 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 |
|---|---|---|
| 12032-CPT | Moderate | Intmd Rpr S A T Ext 2 6 7 5, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet 2 6 Cm To 7 5 Cm |
| 12035-CPT | Moderate | Intmd Rpr S A T Ext 12 6 20, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet 12 6 Cm To 20 0 Cm |
| 12036-CPT | Moderate | Intmd Rpr S A T Ext 20 1 30, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet 20 1 Cm To 30 0 Cm |
| 12037-CPT | Moderate | Intmd Rpr S Tr Ext 30 0 Cm, Repair Intermediate Wounds Of Scalp Axillae Trunk And Or Extremities Excluding Hands And Feet Over 30 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 12037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 12037 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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