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

In South Dakota, Medicare pays $381.59 for 13101 in the office and $201.22 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $381.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

13101 rates by state

Office rate range in each state. Select a state to see its payment localities.

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.

Payment rules and modifiers for 13101

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

What modifiers do to the payment

When to use modifier 51

Codes related to 13101

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

How 13101 has changed in South Dakota

Price 13101 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates