{
    "code": "13121",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/13121/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/13121/2019/B",
    "description": "Advanced closure of a wound on the scalp, an arm, or a leg using techniques past routine layered suturing, such as freeing up the surrounding skin so it can slide, trimming the wound edges back to clean tissue, or placing sutures that take the pull off the closure. It is the mid-length member of a graded set, sitting above the short-wound code, with additional length reported separately. The body regions covered here are grouped differently from the trunk and from the face.",
    "answer": {
        "question": "How much did Medicare pay for CPT 13121 in Q2 2019?",
        "text": "Medicare paid $441.84 for CPT 13121 in the office (non-facility) setting and $276.42 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 0.9%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 441.84,
        "facility": 276.42,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 4,
        "practice_expense_non_facility": 7.67,
        "practice_expense_facility": 3.08,
        "malpractice": 0.59
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 5645,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}
