PFS ExplorerMedicare Physician Fee Schedule · 2026

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Model Your Practice

13122

Cmplx rpr s/a/l addl 5 cm/>

Code typeAdd-on
Paid with — select a primary to see the real payable total

13121

Cmplx rpr s/a/l 2.6-7.5 cm

Add to my model
Code typePrimary
Payment statusActive (A)
Global period10-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary13121Cmplx rpr s/a/l 2.6-7.5 cm
1
$417.85
$215.44
Add-on13122Cmplx rpr s/a/l addl 5 cm/>
0
$128.26/ unit
$67.80/ unit
Add-on20701Rmvl deep rx delivery device
0
$65.80/ unit
$54.78/ unit
Whole procedure · 3.90 wRVU credited
$417.85
$215.44

RVU Breakdown

Component
Office
Facility
Work
3.90
3.90
Practice expense
8.17
2.11
Malpractice
0.44
0.44
Total RVU
12.51
6.45

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Not applicable to this code
Bilateral -50Assistant surgeon Co-surgeon -62Team surgeon -66Prof / tech split

Global surgery package

Payment covers the procedure plus related care for 10 days after. Of the total payment, 10% is attributed to pre-operative care, 80% to the procedure itself, and 10% to post-operative visits.