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CPT code 10121: Foreign body removal, complicated subcutaneous2026 Medicare rate & RVUs in Brazoria, TX

Reports incision and removal of a foreign object from subcutaneous tissue when extraction requires complicated dissection rather than a simple removal.

CMS RVU26DEffective Oct 1, 2026One payment locality4.7K Medicare services in 2024

In Brazoria, TX, Medicare pays $271.58 for 10121 in the office and $168.97 when it’s performed in a hospital or facility.

$271.58Office (non-facility)
$168.97Hospital or facility
−1.3%vs the national office rate ($275.22)

Check a contract rate as a % of Medicare · 10121 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 10121 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Brazoria, TX
  2. What 10121 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 10121 covers

A clinician uses an incision and dissection to locate and remove a foreign object lodged in subcutaneous tissue, the tissue beneath the skin. Examples include embedded splinters, glass fragments, or metal. The code is appropriate when the removal involves complicated dissection; the object’s material or size alone does not establish that level. These procedures may occur in an office, emergency department, or other setting where a clinician treats the wound.

Document the object’s location and depth, the incision and dissection performed, and why removal was complicated. Use 10120 for a simple subcutaneous removal. Medicare includes related postoperative visits for 10 days in this minor procedure’s global period. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Brazoria, TX compares for 10121

Across 109 of 109 payment localities, the office rate for 10121 runs from $244.63 in Arkansas to $355.77 in San Benito County, CA. Brazoria, TX pays $271.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

10121 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$271.58
  2. Austin, TX · Texas$284.01+$12.43
  3. Beaumont, TX · Texas$258.72−$12.86
  4. Dallas, TX · Texas$273.53+$1.95
  5. Fort Worth, TX · Texas$271.96+$0.38
  6. Galveston, TX · Texas$272.54+$0.96
  7. Houston, TX · Texas$279.50+$7.92

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

10121 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$265.15$166.89
Los Angeles, CACalifornia$306.34$183.85
Washington, DC areaDistrict of Columbia$312.33$190.36
Miami, FLFlorida$301.74$193.95
Chicago, ILIllinois$293.15$189.09
Manhattan, NYNew York$316.45$196.13
AlaskaAlaska$325.38$215.11
AlabamaAlabama$248.05$157.45

10121 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$244.63

$325.38

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
10121 office rate range by state
State / territoryOffice rate rangeLocalities
AK$325.381
AL$248.051
AR$244.631
AZ$268.021
CA$287.49–$355.7729
CO$284.611
CT$293.021
DC$312.331
DE$272.311
FL$273.98–$301.743
GA$258.94–$280.822
GU$293.631
HI$293.631
IA$252.841
ID$254.671
IL$267.29–$293.154
IN$256.041
KS$252.291
KY$254.901
LA$254.76–$266.722
MA$283.26–$311.112
MD$277.15–$312.333
ME$256.56–$268.982
MI$261.78–$277.862
MN$271.321
MO$250.97–$266.933
MS$247.811
MT$275.201
NC$259.031
ND$267.681
NE$253.981
NH$280.741
NJ$295.97–$309.442
NM$263.391
NV$273.281
NY$262.79–$324.575
OH$260.241
OK$253.841
OR$270.76–$292.642
PA$260.31–$286.392
PR$276.941
RI$281.271
SC$260.141
SD$266.801
TN$253.571
TX$258.72–$284.018
UT$263.531
VA$268.54–$312.332
VI$276.941
VT$267.221
WA$282.54–$316.712
WI$259.161
WV$257.981
WY$271.921

See 10121 in every payment locality

How the 10121 rate is calculated

Each of 10121’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 10121

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.67

2.67 RVUs× 1.000 GPCI

Practice expense5.19

5.19 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

8.2400

Conversion factor

$33.4009

Medicare rate

$275.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Brazoria, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,105

Code
10121
Physician work
2.67
Practice expense
5.19
Malpractice
0.38

GPCI2026.csv

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 10121 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work2.67× 1.0082.6914
Practice expense5.19× 0.9915.1433
Malpractice0.38× 0.7800.2964
Total RVUs8.1311
Conversion factor× 33.4009

Office rate, Brazoria, TX$271.58

Office: (2.67 × 1.008 + 5.19 × 0.991 + 0.38 × 0.78) × $33.4009 = $271.58

Facility: (2.67 × 1.008 + 2.09 × 0.991 + 0.38 × 0.78) × $33.4009 = $168.97

Open 10121 in the RVU calculator

Payment rules and modifiers for 10121

10121 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 10121

Foreign body removal, complicated subcutaneous

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 10121

Foreign body removal, complicated subcutaneous

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

10121 without 51 · national office

$275.22

Foreign body removal, complicated subcutaneous

10121-51 · Second procedure: 50%

$137.61

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 10121

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 10121
CodeHow it relatesOffice range, Brazoria, TX
Same family
10120Foreign body removal, simple subcutaneous extractionSubcutaneous foreign body removal when the extraction is simple rather than complicated.$155.59
Used instead
20520Foreign body removal, muscle or tendon, simpleSimple foreign body removal when the object is in muscle or a tendon sheath.$226.88
20525Foreign body removal, deep or complicatedComplicated foreign body removal when the object is in muscle or a tendon sheath.$489.84

How 10121 has changed in Brazoria, TX

10121 · Office / nonfacility

$271.58

Effective 2026-10-01

The base rate is $14.84 higher than on 2025-10-01, moving from $256.74 to $271.58 (5.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $256.74changed to$271.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.74 changed to 2.67
    • Practice expense RVU 4.82 changed to 5.19
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $264.81changed to$256.74

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.83 changed to 4.82
    • Malpractice RVU 0.40 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $260.49changed to$264.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $268.93changed to$260.49

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.81 changed to 4.83
    • Malpractice RVU 0.38 changed to 0.40
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $273.79changed to$268.93

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.76 changed to 4.81
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $279.27changed to$273.79

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.85 changed to 4.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $279.78changed to$279.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.61 changed to 4.85
    • Malpractice RVU 0.41 changed to 0.39
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $279.18changed to$279.78

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.63 changed to 4.61
    • Malpractice RVU 0.40 changed to 0.41
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $281.08changed to$279.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.70 changed to 4.63
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $278.35changed to$281.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.63 changed to 4.70
    • Malpractice RVU 0.40 changed to 0.39
    • Practice expense GPCI 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $277.76changed to$278.35

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $278.05changed to$277.76

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.61 changed to 4.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $276.67changed to$278.05

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $275.27changed to$276.67

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.59 changed to 4.61
    • Malpractice RVU 0.39 changed to 0.40
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $279.88changed to$275.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.15 changed to 4.59
    • Malpractice RVU 0.41 changed to 0.39
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $279.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$271.58$168.97RVU26D
2026-07-01$271.58$168.97RVU26C
2026-04-01$271.58$168.97RVU26B
2026-01-01$271.58$168.97RVU26A
2025-10-01$256.74$178.65RVU25D
2025-07-01$256.74$178.65RVU25C
2025-04-01$256.74$178.65RVU25B
2025-01-01$256.74$178.65RVU25A
2024-10-01$264.81$182.77RVU24D
2024-07-01$264.81$182.77RVU24C
2024-04-01$264.81$182.77RVU24B
2024-03-09$264.81$182.77RVU24AR
2024-01-01$260.49$179.79RVU24A
2023-10-01$268.93$184.40RVU23D
2023-07-01$268.93$184.40RVU23C
2023-04-01$268.93$184.40RVU23B
2023-01-01$268.93$184.40RVU23A
2022-10-01$273.79$186.00RVU22D
2022-07-01$273.79$186.00RVU22C
2022-04-01$273.79$186.00RVU22B
2022-01-01$273.79$186.00RVU22A
2021-10-01$279.27$187.18RVU21D
2021-07-01$279.27$187.18RVU21C
2021-04-01$279.27$187.18RVU21B
2021-01-01$279.27$187.18RVU21A
2020-10-01$279.78$191.20RVU20D
2020-07-01$279.78$191.20RVU20C
2020-04-01$279.78$191.20RVU20B
2020-01-01$279.78$191.20RVU20A
2019-10-01$279.18$191.15RVU19D
2019-07-01$279.18$191.15RVU19C
2019-04-01$279.18$191.15RVU19B
2019-01-01$279.18$191.15RVU19A
2018-10-01$281.08$190.63RVU18D
2018-07-01$281.08$190.63RVU18C
2018-04-01$281.08$190.63RVU18B
2018-01-01$281.08$190.63RVU18AR1
2017-10-01$278.35$190.59RVU17D
2017-07-01$278.35$190.59RVU17C
2017-04-01$278.35$190.59RVU17B
2017-01-01$278.35$190.59RVU17A
2016-10-01$277.76$190.56RVU16D
2016-07-01$277.76$190.56RVU16C
2016-04-01$277.76$190.56RVU16B
2016-01-01$277.76$190.56RVU16A
2015-10-01$278.05$191.25RVU15D
2015-07-01$278.05$191.25RVU15C
2015-04-01$276.67$190.30RVU15B
2015-01-01$276.67$190.30RVU15A
2014-10-01$275.27$189.17RVU14D
2014-07-01$275.27$189.17RVU14C
2014-04-01$275.27$189.17RVU14B
2014-01-01$275.27$189.17RVU14A
2013-10-01$279.88$187.53RVU13D
2013-07-01$279.88$187.53RVU13C
2013-04-01$279.88$187.53RVU13B
2013-01-01$279.88$187.53RVU13AR

Price 10121 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

10121 billing questions

How does 10121 differ from 10120?

Both involve removal from subcutaneous tissue. Report 10121 when the extraction requires complicated dissection; use 10120 for a simple removal.

Does the type of foreign object determine whether removal is complicated?

No. Document the location, depth, dissection, and other circumstances supporting complicated removal; the object’s material alone does not establish the code level.

Can related postoperative visits be billed separately?

Related postoperative visits during the 10-day global period are included in 10121.

Can modifier 50 be appended for removal on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 10121, and co-surgeon or team-surgery billing is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 10121PPRRVU2026_Oct_nonQPP.csv, line 1,105 (RVU26D)
Geographic factors for Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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