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CPT code 13101: Complex repair, trunk, 2.6–7.5 cm2026 Medicare rate & RVUs in Queens, NY

Report this code for a complex repair of a trunk wound measuring 2.6–7.5 cm when closure requires more than routine layered approximation.

CMS RVU26DEffective Oct 1, 2026One payment locality96.2K Medicare services in 2024

In Queens, NY, Medicare pays $451.55 for 13101 in the office and $238.36 when it’s performed in a hospital or facility.

$451.55Office (non-facility)
$238.36Hospital or facility
+15.6%vs the national office rate ($390.46)

Check a contract rate as a % of Medicare · 13101 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 13101 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 13101 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 13101 covers

This code covers complex repair of a wound on the trunk, such as the chest, abdomen, or back, when the work goes beyond routine layered closure. A surgeon or other qualified clinician may perform it after trauma or removal of a lesion. Complex work can include extensive undermining, substantial wound-edge preparation, or retention sutures when needed to achieve closure; layered suturing alone does not make a repair complex.

Select the code by the trunk site, documented complexity, and length of the repaired wound. The operative note should describe the wound, the additional work required, and the closure length; report 13102 for qualifying additional length beyond this code’s range. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

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 13101

Across 109 of 109 payment localities, the office rate for 13101 runs from $346.87 in Arkansas to $513.12 in San Benito County, CA. Queens, NY pays $451.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

13101 in Queens, NY vs other payment areas
  1. Queens, NY · this page$451.55
  2. Manhattan, NY · New York$448.21−$3.34
  3. NYC suburbs and Long Island, NY · New York$458.94+$7.39
  4. Poughkeepsie and northern NYC suburbs, NY · New York$423.39−$28.16
  5. Rest of New York · New York$373.33−$78.22
  6. Los Angeles, CA · California$438.80−$12.75
  7. Washington, DC area · District of Columbia$444.97−$6.58

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

Every other payment area

13101 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$421.68$233.92
Chicago, ILIllinois$409.87$228.60
AlaskaAlaska$458.51$266.43
AlabamaAlabama$351.76$193.94
ArkansasArkansas$346.87$191.93
ArizonaArizona$380.37$205.60
Bakersfield, CACalifornia$412.66$214.98
Chico, CACalifornia$411.46$213.78

13101 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.

$346.87

$462.29

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

View every state and territory as a table
13101 office rate range by state
State / territoryOffice rate rangeLocalities
AK$458.511
AL$351.761
AR$346.871
AZ$380.371
CA$411.46–$513.1229
CO$405.741
CT$415.811
DC$444.971
DE$386.521
FL$385.60–$421.683
GA$364.60–$397.692
GU$420.891
HI$420.891
IA$360.031
ID$362.361
IL$375.08–$409.874
IN$364.381
KS$358.561
KY$360.111
LA$359.63–$376.742
MA$403.52–$444.722
MD$393.66–$444.973
ME$364.35–$383.162
MI$369.28–$390.412
MN$388.681
MO$353.79–$377.853
MS$350.381
MT$390.431
NC$368.001
ND$382.521
NE$361.881
NH$399.581
NJ$420.52–$440.652
NM$371.301
NV$388.491
NY$373.33–$458.945
OH$367.671
OK$359.311
OR$385.44–$418.072
PA$368.14–$405.882
PR$393.151
RI$399.861
SC$368.451
SD$381.591
TN$360.321
TX$365.82–$404.438
UT$373.301
VA$382.05–$444.972
VI$393.151
VT$381.221
WA$402.69–$453.452
WI$370.161
WV$361.741
WY$386.981

See 13101 in every payment locality

How the 13101 rate is calculated

Each of 13101’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 · 13101

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense7.88

7.88 RVUs× 1.000 GPCI

Malpractice0.40

0.40 RVUs× 1.000 GPCI

Adjusted RVUs

11.6900

Conversion factor

$33.4009

Medicare rate

$390.46

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

1,434

Code
13101
Physician work
3.41
Practice expense
7.88
Malpractice
0.40

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 13101 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0643.6282
Practice expense7.88× 1.1829.3142
Malpractice0.40× 1.4420.5768
Total RVUs13.5192
Conversion factor× 33.4009

Office rate, Queens, NY$451.55

Office: (3.41 × 1.064 + 7.88 × 1.182 + 0.4 × 1.442) × $33.4009 = $451.55

Facility: (3.41 × 1.064 + 2.48 × 1.182 + 0.4 × 1.442) × $33.4009 = $238.36

Open 13101 in the RVU calculator

Payment rules and modifiers for 13101

13101 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 13101

Complex repair, trunk, 2.6–7.5 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 · 13101

Complex repair, trunk, 2.6–7.5 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

13101 without 51 · national office

$390.46

Complex repair, trunk, 2.6–7.5 cm

13101-51 · Second procedure: 50%

$195.23

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 13101

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

Codes related to 13101
CodeHow it relatesOffice range, Queens, NY
Same family
13100Complex repair, trunk, 1.1–2.5 cmComplex trunk repair for the shorter 1.1–2.5 cm length range.$391.11
Add-on codes
13102Complex repair, additional trunk lengthAdd-on code for qualifying additional trunk repair length beyond 13101.$139.10
Used instead
13121Complex repair, scalp, arm, or leg, 2.6–7.5 cmComplex repair in a different anatomical group, for a 2.6–7.5 cm wound.$482.34
13131Complex repair, face and related sites, 1.1–2.5 cmComplex repair for specified face and neck sites rather than the trunk.$443.80
12032Intermediate repair, 2.6–7.5 cm, scalp/trunk/extremitiesIntermediate repair of a similar-length trunk wound when the work is not complex.$347.09

How 13101 has changed in Queens, NY

13101 · Office / nonfacility

$451.55

Effective 2026-10-01

The base rate is $6.82 higher than on 2025-10-01, moving from $444.73 to $451.55 (1.5%).

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

    $444.73changed to$451.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 7.86 changed to 7.88
    • Malpractice RVU 0.43 changed to 0.40
    • 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

    $462.35changed to$444.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.99 changed to 7.86
    • Malpractice RVU 0.42 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $454.80changed to$462.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $484.69changed to$454.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.04 changed to 7.99
    • Malpractice RVU 0.41 changed to 0.42
    • 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

    $504.71changed to$484.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.00 changed to 8.04
    • Malpractice RVU 0.40 changed to 0.41
    • 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

    $510.11changed to$504.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.05 changed to 8.00
    • Malpractice RVU 0.39 changed to 0.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $496.26changed to$510.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.52 changed to 8.05
    • 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

    $491.17changed to$496.26

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.37 changed to 7.52
    • Malpractice RVU 0.52 changed to 0.39
    • 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

    $485.45changed to$491.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.25 changed to 7.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $483.57changed to$485.45

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.21 changed to 7.25
    • Malpractice RVU 0.53 changed to 0.52
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $481.80changed to$483.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.17 changed to 7.21
    • Malpractice RVU 0.54 changed to 0.53
    • 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

    $479.62changed to$481.80

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.49 changed to 0.54

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $477.24changed to$479.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $466.89changed to$477.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.00 changed to 7.17
    • Malpractice RVU 0.52 changed to 0.49
    • 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

    $475.05changed to$466.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.90 changed to 7.00
    • Malpractice RVU 0.54 changed to 0.52
    • 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: $475.05

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$451.55$238.36RVU26D
2026-07-01$451.55$238.36RVU26C
2026-04-01$451.55$238.36RVU26B
2026-01-01$451.55$238.36RVU26A
2025-10-01$444.73$275.04RVU25D
2025-07-01$444.73$275.04RVU25C
2025-04-01$444.73$275.04RVU25B
2025-01-01$444.73$275.04RVU25A
2024-10-01$462.35$281.36RVU24D
2024-07-01$462.35$281.36RVU24C
2024-04-01$462.35$281.36RVU24B
2024-03-09$462.35$281.36RVU24AR
2024-01-01$454.80$276.77RVU24A
2023-10-01$484.69$295.35RVU23D
2023-07-01$484.69$295.35RVU23C
2023-04-01$484.69$295.35RVU23B
2023-01-01$484.69$295.35RVU23A
2022-10-01$504.71$307.10RVU22D
2022-07-01$504.71$307.10RVU22C
2022-04-01$504.71$307.10RVU22B
2022-01-01$504.71$307.10RVU22A
2021-10-01$510.11$310.01RVU21D
2021-07-01$510.11$310.01RVU21C
2021-04-01$510.11$310.01RVU21B
2021-01-01$510.11$310.01RVU21A
2020-10-01$496.26$309.18RVU20D
2020-07-01$496.26$309.18RVU20C
2020-04-01$496.26$309.18RVU20B
2020-01-01$496.26$309.18RVU20A
2019-10-01$491.17$313.00RVU19D
2019-07-01$491.17$313.00RVU19C
2019-04-01$491.17$313.00RVU19B
2019-01-01$491.17$313.00RVU19A
2018-10-01$485.45$313.95RVU18D
2018-07-01$485.45$313.95RVU18C
2018-04-01$485.45$313.95RVU18B
2018-01-01$485.45$313.95RVU18AR1
2017-10-01$483.57$314.74RVU17D
2017-07-01$483.57$314.74RVU17C
2017-04-01$483.57$314.74RVU17B
2017-01-01$483.57$314.74RVU17A
2016-10-01$481.80$313.95RVU16D
2016-07-01$481.80$313.95RVU16C
2016-04-01$481.80$313.95RVU16B
2016-01-01$481.80$313.95RVU16A
2015-10-01$479.62$310.73RVU15D
2015-07-01$479.62$310.73RVU15C
2015-04-01$477.24$309.19RVU15B
2015-01-01$477.24$309.19RVU15A
2014-10-01$466.89$303.51RVU14D
2014-07-01$466.89$303.51RVU14C
2014-04-01$466.89$303.51RVU14B
2014-01-01$466.89$303.51RVU14A
2013-10-01$475.05$298.60RVU13D
2013-07-01$475.05$298.60RVU13C
2013-04-01$475.05$298.60RVU13B
2013-01-01$475.05$298.60RVU13AR

Price 13101 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

13101 billing questions

When is 13101 chosen instead of 13100?

Use 13101 for a complex trunk repair measuring 2.6–7.5 cm. Code 13100 is for the shorter 1.1–2.5 cm range.

Can layered closure alone support complex repair?

No. The documentation should show work beyond routine layered approximation, such as extensive undermining or substantial wound-edge preparation.

When is 13102 reported with 13101?

Report 13102 for qualifying additional trunk repair length beyond the 13101 range. Document the total repaired length and the additional work.

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

No. CMS identifies bilateral adjustment as inappropriate for this code; report based on the repair site and length.

Are postoperative visits separately payable during the global period?

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

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 13101PPRRVU2026_Oct_nonQPP.csv, line 1,434 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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