CPT code 13121: Complex repair, scalp, arm, or leg, 2.6–7.5 cm2026 Medicare rate & RVUs in Atlanta, GA
Reports complex closure of a 2.6–7.5 cm wound on the scalp, arm, or leg when the repair requires work beyond routine layered closure.
In Atlanta, GA, Medicare pays $425.56 for 13121 in the office and $219.91 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 13121 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 13121 covers
This code covers a complex repair of a wound on the scalp, arm, or leg, with a repaired length from 2.6 through 7.5 cm. The repair involves more than routine layered closure, such as extensive undermining or other substantial measures needed to close a complicated wound. Surgeons, dermatologists, plastic surgeons, and emergency physicians may perform these repairs in office, outpatient, or hospital settings, including after trauma or removal of a lesion.
Choose the code by the wound’s anatomic group, repair complexity, and length; documentation should identify the site, final repaired length, and work supporting complex rather than intermediate closure. Related postoperative visits are included in the 10-day global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and 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 Atlanta, GA compares for 13121
Across 109 of 109 payment localities, the office rate for 13121 runs from $372.24 in Arkansas to $545.97 in San Benito County, CA. Atlanta, GA pays $425.56. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Atlanta, GA · this page$425.56
- Rest of Georgia · Georgia$391.20−$34.36
- Los Angeles, CA · California$468.19+$42.63
- Washington, DC area · District of Columbia$475.11+$49.55
- Miami, FL · Florida$451.50+$25.94
- Chicago, IL · Illinois$439.15+$13.59
- Manhattan, NY · New York$479.00+$53.44
Other areas in Georgia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $494.12 | $278.55 |
| AlabamaAlabama | $377.36 | $200.25 |
| ArkansasArkansas | $372.24 | $198.37 |
| ArizonaArizona | $407.27 | $211.13 |
| Bakersfield, CACalifornia | $440.77 | $218.93 |
| Chico, CACalifornia | $439.44 | $217.60 |
| El Centro, CACalifornia | $439.51 | $217.67 |
| Fresno, CACalifornia | $439.44 | $217.60 |
| Hanford, CACalifornia | $439.44 | $217.60 |
| Madera, CACalifornia | $439.44 | $217.60 |
| Merced, CACalifornia | $439.44 | $217.60 |
| Modesto, CACalifornia | $439.44 | $217.60 |
| Napa, CACalifornia | $505.60 | $238.82 |
| Oxnard, CACalifornia | $465.62 | $226.37 |
| Redding, CACalifornia | $439.44 | $217.60 |
| Rest of CaliforniaCalifornia | $439.44 | $217.60 |
| Riverside, CACalifornia | $444.23 | $222.39 |
| Sacramento, CACalifornia | $460.20 | $224.79 |
| Salinas, CACalifornia | $458.45 | $223.86 |
| San Diego, CACalifornia | $468.51 | $226.43 |
| Marin County, CACalifornia | $534.15 | $248.76 |
| San Francisco, CACalifornia | $533.65 | $248.26 |
| San Benito County, CACalifornia | $545.97 | $254.10 |
| Santa Clara County, CACalifornia | $543.93 | $252.05 |
| San Luis Obispo, CACalifornia | $451.17 | $220.63 |
| Santa Cruz, CACalifornia | $472.43 | $226.50 |
| Santa Maria, CACalifornia | $459.97 | $223.96 |
| Santa Rosa, CACalifornia | $477.15 | $228.59 |
| Stockton, CACalifornia | $439.44 | $217.60 |
| Vallejo, CACalifornia | $504.88 | $238.10 |
| Visalia, CACalifornia | $439.44 | $217.60 |
| Yuba City, CACalifornia | $439.44 | $217.60 |
| ColoradoColorado | $433.65 | $218.29 |
| ConnecticutConnecticut | $444.55 | $226.55 |
| DelawareDelaware | $413.74 | $213.76 |
| Fort Lauderdale, FLFlorida | $433.27 | $228.23 |
| Rest of FloridaFlorida | $413.23 | $219.73 |
| Hawaii, Guam, HIHawaii | $449.04 | $218.90 |
| IowaIowa | $385.79 | $200.58 |
| IdahoIdaho | $388.27 | $202.05 |
| East St. Louis, ILIllinois | $410.92 | $224.70 |
| Rest of IllinoisIllinois | $402.38 | $217.58 |
| Suburban Chicago, ILIllinois | $437.47 | $229.60 |
| IndianaIndiana | $390.37 | $202.74 |
| KansasKansas | $384.36 | $201.38 |
| KentuckyKentucky | $386.31 | $206.36 |
| New Orleans, LALouisiana | $403.74 | $213.28 |
| Rest of LouisianaLouisiana | $385.85 | $206.71 |
| Metropolitan Boston, MAMassachusetts | $474.51 | $232.83 |
| Rest of MassachusettsMassachusetts | $431.41 | $218.27 |
| Baltimore area, MDMaryland | $443.33 | $226.15 |
| Rest of MarylandMaryland | $421.22 | $216.38 |
| Rest of MaineMaine | $390.46 | $204.24 |
| Southern Maine, MEMaine | $409.97 | $209.38 |
| Detroit, MIMichigan | $418.38 | $223.05 |
| Rest of MichiganMichigan | $396.00 | $211.20 |
| MinnesotaMinnesota | $415.41 | $207.13 |
| Metropolitan Kansas City, MOMissouri | $400.86 | $210.80 |
| Metropolitan St. Louis, MOMissouri | $404.78 | $212.08 |
| Rest of MissouriMissouri | $379.80 | $205.33 |
| MississippiMississippi | $376.08 | $201.80 |
| MontanaMontana | $417.82 | $215.41 |
| North CarolinaNorth Carolina | $394.26 | $205.41 |
| North DakotaNorth Dakota | $409.12 | $206.71 |
| NebraskaNebraska | $387.69 | $200.87 |
| New HampshireNew Hampshire | $427.20 | $216.49 |
| Northern New JerseyNew Jersey | $470.71 | $235.92 |
| Rest of New JerseyNew Jersey | $449.59 | $228.56 |
| New MexicoNew Mexico | $398.15 | $212.54 |
| NevadaNevada | $415.66 | $213.05 |
| NYC suburbs and Long Island, NYNew York | $490.35 | $249.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $452.72 | $231.08 |
| Queens, NYNew York | $482.34 | $243.10 |
| Rest of New YorkNew York | $399.84 | $207.55 |
| OhioOhio | $394.22 | $209.42 |
| OklahomaOklahoma | $385.37 | $204.62 |
| Portland, OROregon | $446.46 | $221.58 |
| Rest of OregonOregon | $412.39 | $210.79 |
| Metropolitan Philadelphia, PAPennsylvania | $434.21 | $223.51 |
| Rest of PennsylvaniaPennsylvania | $394.66 | $208.85 |
| Puerto RicoPuerto Rico | $420.63 | $215.99 |
| Rhode IslandRhode Island | $427.74 | $218.65 |
| South CarolinaSouth Carolina | $394.90 | $207.88 |
| South DakotaSouth Dakota | $408.09 | $205.68 |
| TennesseeTennessee | $386.21 | $202.22 |
| Austin, TXTexas | $432.26 | $218.11 |
| Beaumont, TXTexas | $392.24 | $208.05 |
| Brazoria, TXTexas | $413.20 | $212.61 |
| Dallas, TXTexas | $415.84 | $214.24 |
| Fort Worth, TXTexas | $413.30 | $213.73 |
| Galveston, TXTexas | $414.45 | $213.46 |
| Houston, TXTexas | $422.50 | $221.51 |
| Rest of TexasTexas | $402.50 | $210.42 |
| UtahUtah | $399.97 | $209.71 |
| VirginiaVirginia | $408.89 | $209.92 |
| Virgin Islands, VIUnited States Virgin Islands | $420.63 | $215.99 |
| VermontVermont | $407.86 | $207.47 |
| Rest of WashingtonWashington | $430.49 | $217.35 |
| King County, WAWashington | $483.61 | $235.26 |
| WisconsinWisconsin | $396.21 | $202.31 |
| West VirginiaWest Virginia | $388.43 | $212.54 |
| WyomingWyoming | $414.02 | $211.61 |
13121 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$372.24
$494.12
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $494.12 | 1 |
| AL | $377.36 | 1 |
| AR | $372.24 | 1 |
| AZ | $407.27 | 1 |
| CA | $439.44–$545.97 | 29 |
| CO | $433.65 | 1 |
| CT | $444.55 | 1 |
| DC | $475.11 | 1 |
| DE | $413.74 | 1 |
| FL | $413.23–$451.50 | 3 |
| GA | $391.20–$425.56 | 2 |
| GU | $449.04 | 1 |
| HI | $449.04 | 1 |
| IA | $385.79 | 1 |
| ID | $388.27 | 1 |
| IL | $402.38–$439.15 | 4 |
| IN | $390.37 | 1 |
| KS | $384.36 | 1 |
| KY | $386.31 | 1 |
| LA | $385.85–$403.74 | 2 |
| MA | $431.41–$474.51 | 2 |
| MD | $421.22–$475.11 | 3 |
| ME | $390.46–$409.97 | 2 |
| MI | $396.00–$418.38 | 2 |
| MN | $415.41 | 1 |
| MO | $379.80–$404.78 | 3 |
| MS | $376.08 | 1 |
| MT | $417.82 | 1 |
| NC | $394.26 | 1 |
| ND | $409.12 | 1 |
| NE | $387.69 | 1 |
| NH | $427.20 | 1 |
| NJ | $449.59–$470.71 | 2 |
| NM | $398.15 | 1 |
| NV | $415.66 | 1 |
| NY | $399.84–$490.35 | 5 |
| OH | $394.22 | 1 |
| OK | $385.37 | 1 |
| OR | $412.39–$446.46 | 2 |
| PA | $394.66–$434.21 | 2 |
| PR | $420.63 | 1 |
| RI | $427.74 | 1 |
| SC | $394.90 | 1 |
| SD | $408.09 | 1 |
| TN | $386.21 | 1 |
| TX | $392.24–$432.26 | 8 |
| UT | $399.97 | 1 |
| VA | $408.89–$475.11 | 2 |
| VI | $420.63 | 1 |
| VT | $407.86 | 1 |
| WA | $430.49–$483.61 | 2 |
| WI | $396.21 | 1 |
| WV | $388.43 | 1 |
| WY | $414.02 | 1 |
How the 13121 rate is calculated
Each of 13121’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 · 13121
RVUs × geographic indexes × conversion factor
Work3.90
3.90 RVUs× 1.000 GPCI
Practice expense8.17
8.17 RVUs× 1.000 GPCI
Malpractice0.44
0.44 RVUs× 1.000 GPCI
Adjusted RVUs
12.5100
Conversion factor
$33.4009
Medicare rate
$417.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Atlanta, GA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,437
- Code
- 13121
- Physician work
- 3.90
- Practice expense
- 8.17
- Malpractice
- 0.44
GPCI2026.csv
44
- Locality
- Atlanta, GA
- Physician work
- 1.003
- Practice expense
- 1.016
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.003 | 3.9117 |
| Practice expense | 8.17 | × 1.016 | 8.3007 |
| Malpractice | 0.44 | × 1.201 | 0.5284 |
| Total RVUs | 12.7409 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Atlanta, GA$425.56
Office: (3.9 × 1.003 + 8.17 × 1.016 + 0.44 × 1.201) × $33.4009 = $425.56
Facility: (3.9 × 1.003 + 2.11 × 1.016 + 0.44 × 1.201) × $33.4009 = $219.91
Payment rules and modifiers for 13121
13121 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 13121
Complex repair, scalp, arm, or leg, 2.6–7.5 cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 13121
Complex repair, scalp, arm, or leg, 2.6–7.5 cm
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
13121 without 51 · national office
$417.85
Complex repair, scalp, arm, or leg, 2.6–7.5 cm
13121-51 · Second procedure: 50%
$208.93
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%).
How 13121 has changed in Atlanta, GA
13121 · Office / nonfacility
$425.56
Effective 2026-10-01
The base rate is $14.82 higher than on 2025-10-01, moving from $410.74 to $425.56 (3.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$410.74changed to$425.56
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.00 changed to 3.90
- Malpractice RVU 0.49 changed to 0.44
- Work GPCI 1.000 changed to 1.003
- Practice expense GPCI 0.997 changed to 1.016
- Malpractice GPCI 1.128 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$425.92changed to$410.74
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.29 changed to 8.17
- Malpractice RVU 0.47 changed to 0.49
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$418.97changed to$425.92
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$432.75changed to$418.97
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.34 changed to 8.29
- Malpractice RVU 0.44 changed to 0.47
- Practice expense GPCI 0.998 changed to 0.997
- Malpractice GPCI 1.016 changed to 1.128
January 1, 2023
RVU23A
$437.88changed to$432.75
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.29 changed to 8.34
- Malpractice RVU 0.42 changed to 0.44
- Malpractice GPCI 0.904 changed to 1.016
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$443.56changed to$437.88
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 8.34 changed to 8.29
- Malpractice RVU 0.43 changed to 0.42
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$441.11changed to$443.56
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 7.81 changed to 8.34
- Malpractice GPCI 0.996 changed to 0.904
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$442.88changed to$441.11
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 7.67 changed to 7.81
- Malpractice RVU 0.59 changed to 0.43
- Practice expense GPCI 0.997 changed to 0.998
- Malpractice GPCI 1.088 changed to 0.996
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$438.81changed to$442.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 7.57 changed to 7.67
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$438.81
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $425.56 | $219.91 | RVU26D |
| 2026-07-01 | $425.56 | $219.91 | RVU26C |
| 2026-04-01 | $425.56 | $219.91 | RVU26B |
| 2026-01-01 | $425.56 | $219.91 | RVU26A |
| 2025-10-01 | $410.74 | $252.40 | RVU25D |
| 2025-07-01 | $410.74 | $252.40 | RVU25C |
| 2025-04-01 | $410.74 | $252.40 | RVU25B |
| 2025-01-01 | $410.74 | $252.40 | RVU25A |
| 2024-10-01 | $425.92 | $257.33 | RVU24D |
| 2024-07-01 | $425.92 | $257.33 | RVU24C |
| 2024-04-01 | $425.92 | $257.33 | RVU24B |
| 2024-03-09 | $425.92 | $257.33 | RVU24AR |
| 2024-01-01 | $418.97 | $253.13 | RVU24A |
| 2023-10-01 | $432.75 | $258.24 | RVU23D |
| 2023-07-01 | $432.75 | $258.24 | RVU23C |
| 2023-04-01 | $432.75 | $258.24 | RVU23B |
| 2023-01-01 | $432.75 | $258.24 | RVU23A |
| 2022-10-01 | $437.88 | $257.94 | RVU22D |
| 2022-07-01 | $437.88 | $257.94 | RVU22C |
| 2022-04-01 | $437.88 | $257.94 | RVU22B |
| 2022-01-01 | $437.88 | $257.94 | RVU22A |
| 2021-10-01 | $443.56 | $260.39 | RVU21D |
| 2021-07-01 | $443.56 | $260.39 | RVU21C |
| 2021-04-01 | $443.56 | $260.39 | RVU21B |
| 2021-01-01 | $443.56 | $260.39 | RVU21A |
| 2020-10-01 | $441.11 | $270.39 | RVU20D |
| 2020-07-01 | $441.11 | $270.39 | RVU20C |
| 2020-04-01 | $441.11 | $270.39 | RVU20B |
| 2020-01-01 | $441.11 | $270.39 | RVU20A |
| 2019-10-01 | $442.88 | $277.96 | RVU19D |
| 2019-07-01 | $442.88 | $277.96 | RVU19C |
| 2019-04-01 | $442.88 | $277.96 | RVU19B |
| 2019-01-01 | $442.88 | $277.96 | RVU19A |
| 2018-10-01 | $438.81 | $279.09 | RVU18D |
| 2018-07-01 | $438.81 | $279.09 | RVU18C |
| 2018-04-01 | $438.81 | $279.09 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Atlanta, GA rate applies
Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.
- Atlanta
- Acworth
- Alpharetta
- 13121 in Auburn · multiple payment areas
- Austell
- Avondale Estates
- Ball Ground
- Belvedere Park
13121 billing questions
How is this code distinguished from 13120?
Both cover complex repair of the scalp, arms, or legs. Use 13121 for a repaired length of 2.6–7.5 cm; 13120 is for the shorter length range.
When is complex repair supported rather than intermediate repair?
The record should show work beyond routine layered closure, such as extensive undermining or other substantial measures required by a complicated wound. Layered closure alone does not establish complex repair.
Can 13122 be reported with this code?
Yes, when the repair extends beyond the primary length range and the additional length meets the add-on code’s criteria. Document the total repaired length and report the primary repair code with the applicable add-on code.
Should modifier 50 be used for wounds on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are related postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the repair. Unrelated services are evaluated separately under the applicable reporting rules.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are 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
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