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CPT code 13122: Complex repair, additional scalp or limb length2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $128.97 for 13122 in the office and $67.85 when it’s performed in a hospital or facility.

$128.97Office (non-facility)
$67.85Hospital or facility
+0.6%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $128.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

13122 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$128.97
  2. Los Angeles, CA · California$141.45+$12.48
  3. Washington, DC area · District of Columbia$144.84+$15.87
  4. Miami, FL · Florida$142.04+$13.07
  5. Chicago, IL · Illinois$138.04+$9.07
  6. Manhattan, NY · New York$147.43+$18.46
  7. Alaska · Alaska$153.33+$24.36

Other areas in Puerto Rico 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 13122 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.40× 1.0001.4000
Practice expense2.23× 1.0112.2545
Malpractice0.21× 0.9850.2068
Total RVUs3.8614
Conversion factor× 33.4009

Office rate, Puerto Rico$128.97

Office: (1.4 × 1 + 2.23 × 1.011 + 0.21 × 0.985) × $33.4009 = $128.97

Facility: (1.4 × 1 + 0.42 × 1.011 + 0.21 × 0.985) × $33.4009 = $67.85

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, Puerto Rico
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.$420.63
Same family
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmBase complex repair code for the same site grouping at shorter lengths.$353.42
13102Complex repair, additional trunk lengthAdditional-length complex repair code for the trunk.$120.95
13133Complex repair, each additional 5 cm or lessAdditional-length complex repair code for the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet.$168.83
13153Complex repair, additional 5 cm or lessAdditional-length complex repair code for the eyelids, nose, ears, or lips.$189.96

How 13122 has changed in Puerto Rico

13122 · Office / nonfacility

$128.97

Effective 2026-10-01

The base rate is $6.67 higher than on 2025-10-01, moving from $122.30 to $128.97 (5.5%).

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

    $122.30changed to$128.97

    • 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 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $126.86changed to$122.30

    • 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

    $124.79changed to$126.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $129.92changed to$124.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.16 changed to 2.14
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $129.45changed to$129.92

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $131.31changed to$129.45

    • 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
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $133.80changed to$131.31

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

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $135.50changed to$133.80

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $136.67changed to$135.50

    • 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
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $136.88changed to$136.67

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $122.03changed to$136.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $107.08changed to$122.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.10 changed to 2.11
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $107.62changed to$107.08

    • 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.

  14. July 1, 2015

    RVU15C

    $107.08changed to$107.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $105.08changed to$107.08

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $104.48changed to$105.08

    • 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
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $104.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$128.97$67.85RVU26D
2026-07-01$128.97$67.85RVU26C
2026-04-01$128.97$67.85RVU26B
2026-01-01$128.97$67.85RVU26A
2025-10-01$122.30$79.31RVU25D
2025-07-01$122.30$79.31RVU25C
2025-04-01$122.30$79.31RVU25B
2025-01-01$122.30$79.31RVU25A
2024-10-01$126.86$81.61RVU24D
2024-07-01$126.86$81.61RVU24C
2024-04-01$126.86$81.61RVU24B
2024-03-09$126.86$81.61RVU24AR
2024-01-01$124.79$80.27RVU24A
2023-10-01$129.92$83.12RVU23D
2023-07-01$129.45$83.02RVU23C
2023-04-01$129.45$83.02RVU23B
2023-01-01$129.45$83.02RVU23A
2022-10-01$131.31$83.52RVU22D
2022-07-01$131.31$83.52RVU22C
2022-04-01$131.31$83.52RVU22B
2022-01-01$131.31$83.52RVU22A
2021-10-01$133.80$84.56RVU21D
2021-07-01$133.80$84.56RVU21C
2021-04-01$133.80$84.56RVU21B
2021-01-01$133.80$84.56RVU21A
2020-10-01$135.50$87.48RVU20D
2020-07-01$135.50$87.48RVU20C
2020-04-01$135.50$87.48RVU20B
2020-01-01$135.50$87.48RVU20A
2019-10-01$136.67$89.13RVU19D
2019-07-01$136.67$89.13RVU19C
2019-04-01$136.67$89.13RVU19B
2019-01-01$136.67$89.13RVU19A
2018-10-01$136.88$89.39RVU18D
2018-07-01$136.88$89.39RVU18C
2018-04-01$136.88$89.39RVU18B
2018-01-01$136.88$89.39RVU18AR1
2017-10-01$122.03$81.79RVU17D
2017-07-01$122.03$81.79RVU17C
2017-04-01$122.03$81.79RVU17B
2017-01-01$122.03$81.79RVU17A
2016-10-01$107.08$74.02RVU16D
2016-07-01$107.08$74.02RVU16C
2016-04-01$107.08$74.02RVU16B
2016-01-01$107.08$74.02RVU16A
2015-10-01$107.62$74.18RVU15D
2015-07-01$107.62$74.18RVU15C
2015-04-01$107.08$73.81RVU15B
2015-01-01$107.08$73.81RVU15A
2014-10-01$105.08$73.10RVU14D
2014-07-01$105.08$73.10RVU14C
2014-04-01$105.08$73.10RVU14B
2014-01-01$105.08$73.10RVU14A
2013-10-01$104.48$70.57RVU13D
2013-07-01$104.48$70.57RVU13C
2013-04-01$104.48$70.57RVU13B
2013-01-01$104.48$70.57RVU13AR

Price 13122 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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