Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 13120 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue From A Wound On The Scalp Arms Or Legs. The Wound Is Stitched Closed In Layers.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 13120 |
| Medicaid Fee Schedule | View Medicaid rates for 13120 |
National average reimbursement for CPT 13120 by major payers:
$410.36
$435.33
$451.46
$557.30
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 13120.
CPT 13120
5 of 25 sample ratesHigher to lower in this preview
Robert E Wailes Md A Professional, Pacific Surgery Center
$935.00Published rateNathan Oakley
Deaconess Hospital Inc
$618.40Published rateSouth Austin Surgicenter, LLC
$544.00Published rateEncino Surgical Center LLC
$200.00Published rateKendall Pointe Surgery Center LLC
$108.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 13120 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 13120 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 13120 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 12020-CPT | Moderate | Re-Close Surgical Opening, Procedure To Close A Surgical Cut That Has Opened Up. Techniques That May Be Used Include Stitching The Wound Or Inserting A Packing Material For Drainage. |
| 13120-CPT | Moderate | Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue From A Wound On The Scalp Arms Or Legs. The Wound Is Stitched Closed In Layers. |
| 13121-CPT | Moderate | Clean And Stitch Wound, Cleaning And Removal Of Damaged Or Infected Tissue From A Wound On The Scalp Arms Or Legs. The Wound Is Stitched Closed In Layers. |
| 13122-CPT | Low | Cmplx Rpr S A L Addl 5 Cm, Repair Complex Scalp Arms And Or Legs Each Additional 5 Cm Or Less List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 13120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 13120 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 13120) and we'll show you how you compare in 15 minutes or less.