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CPT code 13100: Complex repair, trunk, 1.1–2.5 cm2026 Medicare rate & RVUs in Washington, DC area

Report this code for a complex repair of a trunk wound measuring 1.1–2.5 cm, when closure requires work beyond routine layered repair.

CMS RVU26DEffective Oct 1, 2026One payment locality5.5K Medicare services in 2024

In Washington, DC area, Medicare pays $385.27 for 13100 in the office and $188.93 when it’s performed in a hospital or facility.

$385.27Office (non-facility)
$188.93Hospital or facility
+14.0%vs the national office rate ($338.02)

Check a contract rate as a % of Medicare · 13100 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 13100 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 13100 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 13100 covers

This service closes a short wound on the torso, such as the chest, abdomen, or back, when the repair requires more than routine layered closure. A physician or other qualified practitioner may perform it in an office, emergency department, or outpatient surgical setting after trauma, lesion removal, or another procedure. Complex work may include extensive undermining, debridement, scar revision, or retention sutures.

Select the code by the wound’s anatomic region, complexity, and repaired length; document the site, final length, and work supporting complex repair. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are reduced. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this trunk repair.

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 Washington, DC area compares for 13100

Across 109 of 109 payment localities, the office rate for 13100 runs from $300.02 in Arkansas to $444.04 in San Benito County, CA. Washington, DC area pays $385.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

13100 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$385.27
  2. Los Angeles, CA · California$379.74−$5.53
  3. Miami, FL · Florida$365.76−$19.51
  4. Chicago, IL · Illinois$355.41−$29.86
  5. Manhattan, NY · New York$388.28+$3.01
  6. Alaska · Alaska$396.38+$11.11
  7. Alabama · Alabama$304.28−$80.99

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

13100 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$300.02$156.85
ArizonaArizona$329.21$167.71
Bakersfield, CACalifornia$357.08$174.40
Chico, CACalifornia$356.00$173.33
El Centro, CACalifornia$356.06$173.39
Fresno, CACalifornia$356.00$173.33
Hanford, CACalifornia$356.00$173.33
Madera, CACalifornia$356.00$173.33

13100 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.

$300.02

$400.02

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
13100 office rate range by state
State / territoryOffice rate rangeLocalities
AK$396.381
AL$304.281
AR$300.021
AZ$329.211
CA$356.00–$444.0429
CO$351.161
CT$360.071
DC$385.271
DE$334.551
FL$334.03–$365.763
GA$315.69–$344.382
GU$364.211
HI$364.211
IA$311.381
ID$313.431
IL$324.94–$355.414
IN$315.181
KS$310.151
KY$311.671
LA$311.28–$326.192
MA$349.23–$384.962
MD$340.75–$385.273
ME$315.22–$331.532
MI$319.72–$338.282
MN$336.171
MO$306.22–$327.093
MS$303.171
MT$337.991
NC$318.391
ND$330.871
NE$312.971
NH$345.871
NJ$364.09–$381.502
NM$321.501
NV$336.241
NY$323.04–$397.705
OH$318.271
OK$310.931
OR$333.53–$361.832
PA$318.65–$351.452
PR$340.351
RI$346.111
SC$318.881
SD$330.031
TN$311.691
TX$316.63–$350.078
UT$323.101
VA$330.60–$385.272
VI$340.351
VT$329.801
WA$348.51–$392.492
WI$320.111
WV$313.311
WY$334.891

See 13100 in every payment locality

How the 13100 rate is calculated

Each of 13100’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 · 13100

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense6.83

6.83 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

10.1200

Conversion factor

$33.4009

Medicare rate

$338.02

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,433

Code
13100
Physician work
2.93
Practice expense
6.83
Malpractice
0.36

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 13100 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0543.0882
Practice expense6.83× 1.1788.0457
Malpractice0.36× 1.1130.4007
Total RVUs11.5346
Conversion factor× 33.4009

Office rate, Washington, DC area$385.27

Office: (2.93 × 1.054 + 6.83 × 1.178 + 0.36 × 1.113) × $33.4009 = $385.27

Facility: (2.93 × 1.054 + 1.84 × 1.178 + 0.36 × 1.113) × $33.4009 = $188.93

Open 13100 in the RVU calculator

Payment rules and modifiers for 13100

13100 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 13100

Complex repair, trunk, 1.1–2.5 cm

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 13100

Complex repair, trunk, 1.1–2.5 cm

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

13100 without 51 · national office

$338.02

Complex repair, trunk, 1.1–2.5 cm

13100-51 · Second procedure: 50%

$169.01

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 13100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 13100
CodeHow it relatesOffice range, Washington, DC area
Same family
13101Complex repair, trunk, 2.6–7.5 cmComplex trunk repair for a longer initial wound length.$444.97
Add-on codes
13102Complex repair, additional trunk lengthAdd-on code for additional length after an eligible primary complex repair.$136.20
Used instead
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmComplex repair at a different anatomic region, including scalp, axilla, or extremities.$399.66
12031Wound repair, scalp, trunk, or extremityIntermediate trunk repair when the wound does not meet complex-repair criteria.$297.54

How 13100 has changed in Washington, DC area

13100 · Office / nonfacility

$385.27

Effective 2026-10-01

The base rate is $7.32 higher than on 2025-10-01, moving from $377.95 to $385.27 (1.9%).

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

    $377.95changed to$385.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.00 changed to 2.93
    • Practice expense RVU 6.76 changed to 6.83
    • Malpractice RVU 0.39 changed to 0.36
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $392.13changed to$377.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.85 changed to 6.76
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $385.73changed to$392.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $406.24changed to$385.73

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.89 changed to 6.85
    • Malpractice RVU 0.37 changed to 0.38
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $418.09changed to$406.24

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.85 changed to 6.89
    • Malpractice RVU 0.35 changed to 0.37
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $423.31changed to$418.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.88 changed to 6.85
    • Malpractice RVU 0.36 changed to 0.35

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $410.40changed to$423.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.37 changed to 6.88
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $403.10changed to$410.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.22 changed to 6.37
    • Malpractice RVU 0.44 changed to 0.35
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $397.49changed to$403.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.08 changed to 6.22
    • Malpractice RVU 0.46 changed to 0.44

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $395.02changed to$397.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.04 changed to 6.08
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $393.27changed to$395.02

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.01 changed to 6.04
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $393.31changed to$393.27

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.43 changed to 0.46

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $391.35changed to$393.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $385.02changed to$391.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.87 changed to 6.01
    • Malpractice RVU 0.45 changed to 0.43
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $393.34changed to$385.02

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.58 changed to 5.87
    • Malpractice RVU 0.47 changed to 0.45
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $393.34

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$385.27$188.93RVU26D
2026-07-01$385.27$188.93RVU26C
2026-04-01$385.27$188.93RVU26B
2026-01-01$385.27$188.93RVU26A
2025-10-01$377.95$219.48RVU25D
2025-07-01$377.95$219.48RVU25C
2025-04-01$377.95$219.48RVU25B
2025-01-01$377.95$219.48RVU25A
2024-10-01$392.13$223.49RVU24D
2024-07-01$392.13$223.49RVU24C
2024-04-01$392.13$223.49RVU24B
2024-03-09$392.13$223.49RVU24AR
2024-01-01$385.73$219.85RVU24A
2023-10-01$406.24$228.93RVU23D
2023-07-01$406.24$228.93RVU23C
2023-04-01$406.24$228.93RVU23B
2023-01-01$406.24$228.93RVU23A
2022-10-01$418.09$232.03RVU22D
2022-07-01$418.09$232.03RVU22C
2022-04-01$418.09$232.03RVU22B
2022-01-01$418.09$232.03RVU22A
2021-10-01$423.31$233.97RVU21D
2021-07-01$423.31$233.97RVU21C
2021-04-01$423.31$233.97RVU21B
2021-01-01$423.31$233.97RVU21A
2020-10-01$410.40$238.11RVU20D
2020-07-01$410.40$238.11RVU20C
2020-04-01$410.40$238.11RVU20B
2020-01-01$410.40$238.11RVU20A
2019-10-01$403.10$239.81RVU19D
2019-07-01$403.10$239.81RVU19C
2019-04-01$403.10$239.81RVU19B
2019-01-01$403.10$239.81RVU19A
2018-10-01$397.49$241.32RVU18D
2018-07-01$397.49$241.32RVU18C
2018-04-01$397.49$241.32RVU18B
2018-01-01$397.49$241.32RVU18AR1
2017-10-01$395.02$241.50RVU17D
2017-07-01$395.02$241.50RVU17C
2017-04-01$395.02$241.50RVU17B
2017-01-01$395.02$241.50RVU17A
2016-10-01$393.27$240.54RVU16D
2016-07-01$393.27$240.54RVU16C
2016-04-01$393.27$240.54RVU16B
2016-01-01$393.27$240.54RVU16A
2015-10-01$393.31$240.46RVU15D
2015-07-01$393.31$240.46RVU15C
2015-04-01$391.35$239.26RVU15B
2015-01-01$391.35$239.26RVU15A
2014-10-01$385.02$236.04RVU14D
2014-07-01$385.02$236.04RVU14C
2014-04-01$385.02$236.04RVU14B
2014-01-01$385.02$236.04RVU14A
2013-10-01$393.34$233.56RVU13D
2013-07-01$393.34$233.56RVU13C
2013-04-01$393.34$233.56RVU13B
2013-01-01$393.34$233.56RVU13AR

Price 13100 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

13100 billing questions

How is this code distinguished from an intermediate repair?

Use this code when the trunk wound requires work beyond routine layered closure, not merely layered suturing. An intermediate repair code applies when layered closure is appropriate but the additional complexity criteria are not met.

What length qualifies for this code?

The repaired trunk wound must measure 1.1–2.5 cm. Document the final repair length and the anatomic site.

Can the repair be reported with a lesion excision?

A qualifying complex repair may be reported with an excision when the repair is separately reportable; routine closure is included in the excision. Document the complexity that supports separate reporting.

When is code 13102 reported?

Code 13102 is an add-on for additional repair length after an eligible primary complex repair code. It is not reported by itself.

Should modifier 50 be used for trunk wounds on both sides?

No. Medicare identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50 to represent bilateral trunk repair.

Are postoperative visits separately paid during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

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 13100PPRRVU2026_Oct_nonQPP.csv, line 1,433 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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