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CPT code 13100: Complex repair, trunk, 1.1–2.5 cm2026 Medicare rate & RVUs in Queens, NY

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 Queens, NY, Medicare pays $391.11 for 13100 in the office and $194.11 when it’s performed in a hospital or facility.

$391.11Office (non-facility)
$194.11Hospital or facility
+15.7%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 Queens, NY
  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 Queens, NY 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. Queens, NY pays $391.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

13100 in Queens, NY vs other payment areas
  1. Queens, NY · this page$391.11
  2. Manhattan, NY · New York$388.28−$2.83
  3. NYC suburbs and Long Island, NY · New York$397.70+$6.59
  4. Poughkeepsie and northern NYC suburbs, NY · New York$366.62−$24.49
  5. Rest of New York · New York$323.04−$68.07
  6. Los Angeles, CA · California$379.74−$11.37
  7. Washington, DC area · District of Columbia$385.27−$5.84

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

13100 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$365.76$192.25
Chicago, ILIllinois$355.41$187.91
AlaskaAlaska$396.38$218.87
AlabamaAlabama$304.28$158.45
ArkansasArkansas$300.02$156.85
ArizonaArizona$329.21$167.71
Bakersfield, CACalifornia$357.08$174.40
Chico, 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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 13100 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0643.1175
Practice expense6.83× 1.1828.0731
Malpractice0.36× 1.4420.5191
Total RVUs11.7097
Conversion factor× 33.4009

Office rate, Queens, NY$391.11

Office: (2.93 × 1.064 + 6.83 × 1.182 + 0.36 × 1.442) × $33.4009 = $391.11

Facility: (2.93 × 1.064 + 1.84 × 1.182 + 0.36 × 1.442) × $33.4009 = $194.11

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, Queens, NY
Same family
13101Complex repair, trunk, 2.6–7.5 cmComplex trunk repair for a longer initial wound length.$451.55
Add-on codes
13102Complex repair, additional trunk lengthAdd-on code for additional length after an eligible primary complex repair.$139.10
Used instead
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmComplex repair at a different anatomic region, including scalp, axilla, or extremities.$405.82
12031Wound repair, scalp, trunk, or extremityIntermediate trunk repair when the wound does not meet complex-repair criteria.$301.47

How 13100 has changed in Queens, NY

13100 · Office / nonfacility

$391.11

Effective 2026-10-01

The base rate is $8.02 higher than on 2025-10-01, moving from $383.09 to $391.11 (2.1%).

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

    $383.09changed to$391.11

    • 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 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $397.33changed to$383.09

    • 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

    $390.84changed to$397.33

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $416.69changed to$390.84

    • 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 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $432.96changed to$416.69

    • 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 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $438.77changed to$432.96

    • 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

    $423.40changed to$438.77

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $416.37changed to$423.40

    • 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 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $411.39changed to$416.37

    • 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

    $408.90changed to$411.39

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.04 changed to 6.08
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $406.92changed to$408.90

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.01 changed to 6.04
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $406.04changed to$406.92

    • 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

    $404.02changed to$406.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $394.90changed to$404.02

    • 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 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $399.77changed to$394.90

    • 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 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $399.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$391.11$194.11RVU26D
2026-07-01$391.11$194.11RVU26C
2026-04-01$391.11$194.11RVU26B
2026-01-01$391.11$194.11RVU26A
2025-10-01$383.09$224.22RVU25D
2025-07-01$383.09$224.22RVU25C
2025-04-01$383.09$224.22RVU25B
2025-01-01$383.09$224.22RVU25A
2024-10-01$397.33$228.27RVU24D
2024-07-01$397.33$228.27RVU24C
2024-04-01$397.33$228.27RVU24B
2024-03-09$397.33$228.27RVU24AR
2024-01-01$390.84$224.55RVU24A
2023-10-01$416.69$239.67RVU23D
2023-07-01$416.69$239.67RVU23C
2023-04-01$416.69$239.67RVU23B
2023-01-01$416.69$239.67RVU23A
2022-10-01$432.96$248.10RVU22D
2022-07-01$432.96$248.10RVU22C
2022-04-01$432.96$248.10RVU22B
2022-01-01$432.96$248.10RVU22A
2021-10-01$438.77$250.66RVU21D
2021-07-01$438.77$250.66RVU21C
2021-04-01$438.77$250.66RVU21B
2021-01-01$438.77$250.66RVU21A
2020-10-01$423.40$252.10RVU20D
2020-07-01$423.40$252.10RVU20C
2020-04-01$423.40$252.10RVU20B
2020-01-01$423.40$252.10RVU20A
2019-10-01$416.37$253.76RVU19D
2019-07-01$416.37$253.76RVU19C
2019-04-01$416.37$253.76RVU19B
2019-01-01$416.37$253.76RVU19A
2018-10-01$411.39$255.87RVU18D
2018-07-01$411.39$255.87RVU18C
2018-04-01$411.39$255.87RVU18B
2018-01-01$411.39$255.87RVU18AR1
2017-10-01$408.90$256.01RVU17D
2017-07-01$408.90$256.01RVU17C
2017-04-01$408.90$256.01RVU17B
2017-01-01$408.90$256.01RVU17A
2016-10-01$406.92$254.95RVU16D
2016-07-01$406.92$254.95RVU16C
2016-04-01$406.92$254.95RVU16B
2016-01-01$406.92$254.95RVU16A
2015-10-01$406.04$253.95RVU15D
2015-07-01$406.04$253.95RVU15C
2015-04-01$404.02$252.69RVU15B
2015-01-01$404.02$252.69RVU15A
2014-10-01$394.90$246.53RVU14D
2014-07-01$394.90$246.53RVU14C
2014-04-01$394.90$246.53RVU14B
2014-01-01$394.90$246.53RVU14A
2013-10-01$399.77$240.39RVU13D
2013-07-01$399.77$240.39RVU13C
2013-04-01$399.77$240.39RVU13B
2013-01-01$399.77$240.39RVU13AR

Price 13100 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

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 Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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