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CPT
12004 – Repair S and N and Ax and Gen and Trk7 6 12 5cm

Rpr s/n/ax/gen/trk7.6-12.5cm

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CMS Coverage

Medicare Coverage References
CPT/HCPCS: 12004
Context: 12004 – Repair S and N and Ax and Gen and Trk7 6 12 5cm
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Profile

Rpr s/n/ax/gen/trk7.6-12.5cm

Description

Rpr s/n/ax/gen/trk7.6-12.5cm

Category

Medicine

CMS Description

Rpr s/n/ax/gen/trk7.6-12.5cm

Global Days

000

Non-Facility PE RVU

0.43

Total Facility RVU

2.16

Bilateral Surgery Indicator

0

Assistant Surgery Indicator

1

Team Surgery Indicator

0

Search Title

Repair S and N and Ax and Gen and Trk7 6 12 5cm

Review Status

Machine Expanded

Source File

RVU26A

Title

12004 – Repair S and N and Ax and Gen and Trk7 6 12 5cm

CPT Code

12004

Status Code

A

Work RVU

1.40

Malpractice RVU

0.33

Total Non-Facility RVU

4.85

Multiple Procedure Indicator

2

Co-Surgery Indicator

0

PC/TC Indicator

0

Source Year

2026

Facility PE RVU

0.43