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CPT code 13122: Complex repair, additional scalp or limb length2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports each additional length segment of a complex repair on the scalp, arm, or leg when the wound exceeds the primary code’s length span.

CMS RVU26DEffective Oct 1, 2026One payment locality26.9K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $135.51 for 13122 in the office and $66.77 when it’s performed in a hospital or facility.

$135.51Office (non-facility)
$66.77Hospital or facility
+5.7%vs the national office rate ($128.26)

Check a contract rate as a % of Medicare · 13122 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 13122 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 13122 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 13122 covers

13122 captures the additional length of a complex wound closure on the scalp, an arm, or a leg after the initial length has been reported. A surgeon, plastic surgeon, or dermatologist may perform it after traumatic laceration repair or closure following lesion excision, in an office procedure room or operating room. The repair must meet complex-repair criteria, such as extensive undermining, scar revision, or work beyond routine layered closure; layered closure alone supports an intermediate repair, not this code.

Report 13122 with the primary complex repair code for the same site grouping when total repaired length extends beyond the primary code’s span; it represents each additional 5 cm or less. For wounds in the same classification and anatomic grouping, follow CPT length-aggregation instructions before assigning the base and additional units. Documentation should identify the site, final repaired length, tissue layers, and the work supporting complex repair. CMS treats 13122 as an add-on: submit it with a primary procedure, and its payment falls within that procedure’s global period.

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 Hawaii, Guam, HI compares for 13122

Across 109 of 109 payment localities, the office rate for 13122 runs from $114.36 in Arkansas to $163.07 in San Benito County, CA. Hawaii, Guam, HI pays $135.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

13122 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$135.51
  2. Los Angeles, CA · California$141.45+$5.94
  3. Washington, DC area · District of Columbia$144.84+$9.33
  4. Miami, FL · Florida$142.04+$6.53
  5. Chicago, IL · Illinois$138.04+$2.53
  6. Manhattan, NY · New York$147.43+$11.92
  7. Alaska · Alaska$153.33+$17.82

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

Every other payment area

13122 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$115.90$63.01
ArkansasArkansas$114.36$62.42
ArizonaArizona$124.94$66.36
Bakersfield, CACalifornia$133.56$67.30
Chico, CACalifornia$132.95$66.69
El Centro, CACalifornia$132.99$66.73
Fresno, CACalifornia$132.95$66.69
Hanford, CACalifornia$132.95$66.69

13122 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.

$114.36

$153.33

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

View every state and territory as a table
13122 office rate range by state
State / territoryOffice rate rangeLocalities
AK$153.331
AL$115.901
AR$114.361
AZ$124.941
CA$132.95–$163.0729
CO$132.051
CT$136.401
DC$144.841
DE$126.891
FL$128.51–$142.043
GA$121.56–$131.002
GU$135.511
HI$135.511
IA$117.701
ID$118.601
IL$125.73–$138.044
IN$119.221
KS$117.631
KY$119.401
LA$119.40–$124.822
MA$131.53–$143.862
MD$129.05–$144.843
ME$119.65–$125.002
MI$122.68–$130.462
MN$125.481
MO$117.80–$124.703
MS$116.081
MT$128.251
NC$120.741
ND$124.091
NE$118.161
NH$130.441
NJ$137.66–$143.602
NM$123.491
NV$127.161
NY$122.45–$151.345
OH$121.841
OK$118.731
OR$125.88–$135.482
PA$121.77–$133.512
PR$128.971
RI$130.851
SC$121.551
SD$123.601
TN$118.231
TX$121.06–$131.878
UT$123.071
VA$124.93–$144.842
VI$128.971
VT$124.051
WA$131.14–$146.222
WI$120.281
WV$121.531
WY$126.441

See 13122 in every payment locality

How the 13122 rate is calculated

Each of 13122’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 · 13122

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.40

1.40 RVUs× 1.000 GPCI

Practice expense2.23

2.23 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

3.8400

Conversion factor

$33.4009

Medicare rate

$128.26

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,438

Code
13122
Physician work
1.40
Practice expense
2.23
Malpractice
0.21

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 13122 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work1.40× 1.0001.4000
Practice expense2.23× 1.1372.5355
Malpractice0.21× 0.5790.1216
Total RVUs4.0571
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$135.51

Office: (1.4 × 1 + 2.23 × 1.137 + 0.21 × 0.579) × $33.4009 = $135.51

Facility: (1.4 × 1 + 0.42 × 1.137 + 0.21 × 0.579) × $33.4009 = $66.77

Open 13122 in the RVU calculator

Payment rules and modifiers for 13122

The CMS indicators that decide how 13122 is paid alongside other services.

CMS payment indicators · 13122

Complex repair, additional scalp or limb length

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 13122

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

Codes related to 13122
CodeHow it relatesOffice range, Hawaii, Guam, HI
Add-on codes
13121Complex repair, scalp, arm, or leg, 2.6–7.5 cmPrimary complex repair code for the scalp, arms, or legs when repaired length exceeds 2.5 cm.$449.04
Same family
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmBase complex repair code for the same site grouping at shorter lengths.$377.64
13102Complex repair, additional trunk lengthAdditional-length complex repair code for the trunk.$127.45
13133Complex repair, each additional 5 cm or lessAdditional-length complex repair code for the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet.$176.20
13153Complex repair, additional 5 cm or lessAdditional-length complex repair code for the eyelids, nose, ears, or lips.$197.62

How 13122 has changed in Hawaii, Guam, HI

13122 · Office / nonfacility

$135.51

Effective 2026-10-01

The base rate is $6.33 higher than on 2025-10-01, moving from $129.18 to $135.51 (4.9%).

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

    $129.18changed to$135.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.44 changed to 1.40
    • Practice expense RVU 2.12 changed to 2.23
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $133.89changed to$129.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.14 changed to 2.12
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $131.71changed to$133.89

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $137.43changed to$131.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.16 changed to 2.14
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $139.65changed to$137.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.14 changed to 2.16
    • Malpractice RVU 0.20 changed to 0.22
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $142.40changed to$139.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.18 changed to 2.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $143.81changed to$142.40

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.11 changed to 2.18
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $143.99changed to$143.81

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.10 changed to 2.11
    • Malpractice RVU 0.24 changed to 0.19
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $144.25changed to$143.99

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.11 changed to 2.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $144.48changed to$144.25

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $144.39changed to$144.48

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.10 changed to 2.11
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $145.11changed to$144.39

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.11 changed to 2.10
    • Malpractice RVU 0.23 changed to 0.24

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $144.39changed to$145.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $143.04changed to$144.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.06 changed to 2.11
    • Malpractice RVU 0.25 changed to 0.23
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $145.88changed to$143.04

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.31 changed to 2.06
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$145.88

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$135.51$66.77RVU26D
2026-07-01$135.51$66.77RVU26C
2026-04-01$135.51$66.77RVU26B
2026-01-01$135.51$66.77RVU26A
2025-10-01$129.18$80.12RVU25D
2025-07-01$129.18$80.12RVU25C
2025-04-01$129.18$80.12RVU25B
2025-01-01$129.18$80.12RVU25A
2024-10-01$133.89$82.26RVU24D
2024-07-01$133.89$82.26RVU24C
2024-04-01$133.89$82.26RVU24B
2024-03-09$133.89$82.26RVU24AR
2024-01-01$131.71$80.92RVU24A
2023-10-01$137.43$84.23RVU23D
2023-07-01$137.43$84.23RVU23C
2023-04-01$137.43$84.23RVU23B
2023-01-01$137.43$84.23RVU23A
2022-10-01$139.65$85.46RVU22D
2022-07-01$139.65$85.46RVU22C
2022-04-01$139.65$85.46RVU22B
2022-01-01$139.65$85.46RVU22A
2021-10-01$142.40$86.57RVU21D
2021-07-01$142.40$86.57RVU21C
2021-04-01$142.40$86.57RVU21B
2021-01-01$142.40$86.57RVU21A
2020-10-01$143.81$89.31RVU20D
2020-07-01$143.81$89.31RVU20C
2020-04-01$143.81$89.31RVU20B
2020-01-01$143.81$89.31RVU20A
2019-10-01$143.99$89.89RVU19D
2019-07-01$143.99$89.89RVU19C
2019-04-01$143.99$89.89RVU19B
2019-01-01$143.99$89.89RVU19A
2018-10-01$144.25$90.20RVU18D
2018-07-01$144.25$90.20RVU18C
2018-04-01$144.25$90.20RVU18B
2018-01-01$144.25$90.20RVU18AR1
2017-10-01$144.48$90.22RVU17D
2017-07-01$144.48$90.22RVU17C
2017-04-01$144.48$90.22RVU17B
2017-01-01$144.48$90.22RVU17A
2016-10-01$144.39$89.89RVU16D
2016-07-01$144.39$89.89RVU16C
2016-04-01$144.39$89.89RVU16B
2016-01-01$144.39$89.89RVU16A
2015-10-01$145.11$89.99RVU15D
2015-07-01$145.11$89.99RVU15C
2015-04-01$144.39$89.55RVU15B
2015-01-01$144.39$89.55RVU15A
2014-10-01$143.04$89.53RVU14D
2014-07-01$143.04$89.53RVU14C
2014-04-01$143.04$89.53RVU14B
2014-01-01$143.04$89.53RVU14A
2013-10-01$145.88$88.17RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 13122 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

13122 billing questions

Can 13122 be billed by itself?

No. It is an add-on for additional length and must be submitted with the primary complex repair procedure.

Which primary repair code is paired with 13122?

For a complex repair on the scalp, arm, or leg that exceeds 7.5 cm, report 13121 for the primary length and 13122 for each additional 5 cm or less.

How are multiple wounds counted?

Apply CPT instructions for combining lengths of wounds in the same repair classification and anatomic grouping before selecting the primary code and additional units.

Does layered closure alone support 13122?

No. The repair must meet complex-repair criteria, with documentation of work beyond routine layered closure, such as extensive undermining or scar revision.

What documentation supports the additional-length code?

Record the scalp, arm, or leg site, the final repaired length, the repair layers, and the details establishing complex repair.

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 13122PPRRVU2026_Oct_nonQPP.csv, line 1,438 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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