$385.79
13121 reports the primary length of a complex repair on the scalp, arms, or legs; 13122 reports each additional 5 cm or less beyond that primary span.
On this page
CMS RVU26D · Effective 2026-10-01
13122 Complex repair Medicare reimbursement rates in Iowa
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. Compare 13122 office and facility rates across CMS payment localities in Iowa.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 13122 in Iowa?
Iowa has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$117.70
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$62.38
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Complex wound repair
About 13122: Complex repair, additional scalp or limb length
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.
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.
CMS billing rules for 13122
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.40 · 36%
- Practice expense (office) RVU2.23 · 58%
- Malpractice RVU0.21 · 5%
26.9K
Medicare services in 2024 · #1015 by national volume
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.
13122 compared with similar codes
Office rates for Iowa, from the same CMS release.
$110.00
13102 reports additional complex-repair length on the trunk. Use 13122 for the scalp, arms, or legs.
$155.13
13133 covers additional complex-repair length at the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet, rather than the scalp, arms, or legs.
Compare 13122 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Iowa →
Office / nonfacility
$117.70
Facility
$62.38
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 13122 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
1,438
- Code
- 13122
- Physician work
- 1.40
- Practice expense
- 2.23
- Malpractice
- 0.21
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.40 | × 1.000 | 1.4000 |
| Practice expense | 2.23 | × 0.915 | 2.0404 |
| Malpractice | 0.21 | × 0.397 | 0.0834 |
| Total RVUs | 3.5238 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$117.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.4 | 1 |
| Practice expense | 2.23 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.4 × 1 + 2.23 × 0.915 + 0.21 × 0.397) × $33.4009 = $117.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.4 | 1 |
| Practice expense | 0.42 | 0.915 |
| Malpractice | 0.21 | 0.397 |
(1.4 × 1 + 0.42 × 0.915 + 0.21 × 0.397) × $33.4009 = $62.38
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,43513102,,Cmplx rpr trunk addl 5cm/<,A,,1.21,2.19,,0.38,,0.20,3.60,1.79,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43613120,,Cmplx rpr s/a/l 1.1-2.5 cm,A,,3.15,6.98,,2.41,,0.38,10.51,5.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43713121,,Cmplx rpr s/a/l 2.6-7.5 cm,A,,3.90,8.17,,2.11,,0.44,12.51,6.45,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43813122,,Cmplx rpr s/a/l addl 5 cm/>,A,,1.40,2.23,,0.42,,0.21,3.84,2.03,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43913131,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,3.64,7.44,,2.04,,0.43,11.51,6.11,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44013132,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,4.66,8.67,,2.35,,0.51,13.84,7.52,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44113133,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,2.14,2.62,,0.65,,0.27,5.03,3.06,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136