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CPT code 13131: Complex repair, face and related sites, 1.1–2.5 cm2026 Medicare rate & RVUs in Nevada

Report this code for a 1.1–2.5 cm complex wound closure on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.

CMS RVU26DEffective Oct 1, 2026One payment locality38.1K Medicare services in 2024

In Nevada, Medicare pays $382.29 for 13131 in the office and $201.75 when it’s performed in a hospital or facility.

$382.29Office (non-facility)
$201.75Hospital or facility
−0.6%vs the national office rate ($384.44)

Check a contract rate as a % of Medicare · 13131 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 13131 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 13131 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 13131 covers

This code covers complex closure of a short wound on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. The repair must involve work beyond routine layered closure, such as extensive undermining, substantial wound-edge debridement, scar revision, or retention sutures. Plastic surgeons, dermatologic surgeons, and other physicians may perform these repairs for traumatic wounds or after excision of a lesion in an office, outpatient department, or hospital setting.

Choose the code by the repaired length in this anatomic group; when qualifying wounds in the same group are repaired at the same session, add their lengths. Document the site, measured length, closure technique, and the work that makes the repair complex. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing 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 Nevada compares for 13131

Across 109 of 109 payment localities, the office rate for 13131 runs from $342.44 in Arkansas to $500.99 in San Benito County, CA. Nevada pays $382.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

13131 in Nevada vs other payment areas
  1. Nevada · this page$382.29
  2. Los Angeles, CA · California$430.08+$47.79
  3. Washington, DC area · District of Columbia$436.87+$54.58
  4. Miami, FL · Florida$416.59+$34.30
  5. Chicago, IL · Illinois$405.14+$22.85
  6. Manhattan, NY · New York$440.90+$58.61
  7. Alaska · Alaska$454.94+$72.65

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

Every other payment area

13131 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$347.15$189.33
ArkansasArkansas$342.44$187.51
ArizonaArizona$374.67$199.90
Bakersfield, CACalifornia$404.99$207.32
Chico, CACalifornia$403.70$206.02
El Centro, CACalifornia$403.78$206.10
Fresno, CACalifornia$403.70$206.02
Hanford, CACalifornia$403.70$206.02

13131 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.

$342.44

$454.94

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

View every state and territory as a table
13131 office rate range by state
State / territoryOffice rate rangeLocalities
AK$454.941
AL$347.151
AR$342.441
AZ$374.671
CA$403.70–$500.9929
CO$398.661
CT$409.031
DC$436.871
DE$380.621
FL$380.73–$416.593
GA$360.36–$391.672
GU$412.441
HI$412.441
IA$354.661
ID$357.001
IL$370.91–$405.144
IN$358.921
KS$353.461
KY$355.641
LA$355.26–$371.742
MA$396.64–$436.062
MD$387.46–$436.873
ME$359.14–$376.912
MI$364.68–$385.602
MN$381.541
MO$349.78–$372.543
MS$346.151
MT$384.421
NC$362.611
ND$375.911
NE$356.381
NH$392.841
NJ$413.56–$432.842
NM$366.711
NV$382.291
NY$367.75–$451.505
OH$362.941
OK$354.651
OR$379.18–$410.302
PA$363.28–$399.592
PR$386.961
RI$393.401
SC$363.401
SD$374.911
TN$355.181
TX$361.06–$397.468
UT$368.071
VA$376.00–$436.872
VI$386.961
VT$374.861
WA$395.76–$444.312
WI$364.071
WV$358.081
WY$380.711

See 13131 in every payment locality

How the 13131 rate is calculated

Each of 13131’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 · 13131

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.64

3.64 RVUs× 1.000 GPCI

Practice expense7.44

7.44 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

11.5100

Conversion factor

$33.4009

Medicare rate

$384.44

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

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,439

Code
13131
Physician work
3.64
Practice expense
7.44
Malpractice
0.43

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 13131 in Nevada
ComponentRVULocality factorAdjusted
Physician work3.64× 1.0003.6400
Practice expense7.44× 1.0017.4474
Malpractice0.43× 0.8330.3582
Total RVUs11.4456
Conversion factor× 33.4009

Office rate, Nevada$382.29

Office: (3.64 × 1 + 7.44 × 1.001 + 0.43 × 0.833) × $33.4009 = $382.29

Facility: (3.64 × 1 + 2.04 × 1.001 + 0.43 × 0.833) × $33.4009 = $201.75

Open 13131 in the RVU calculator

Payment rules and modifiers for 13131

13131 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 13131

Complex repair, face and related sites, 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 · 13131

Complex repair, face and related sites, 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

13131 without 51 · national office

$384.44

Complex repair, face and related sites, 1.1–2.5 cm

13131-51 · Second procedure: 50%

$192.22

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 13131

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

Codes related to 13131
CodeHow it relatesOffice range, Nevada
Same family
13132Complex wound repair, 2.6–7.5 cm, specified sitesSame anatomic group; selected for a complex repair measuring 2.6–7.5 cm.$459.71
Used instead
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmComplex repair of the same short length on the scalp, arms, or legs.$349.16
13151Complex repair, eyelid, nose, ear, or lipComplex repair of the same short length on the eyelids, nose, ears, or lips.$416.65
13100Complex repair, trunk, 1.1–2.5 cmComplex repair of the same short length on the trunk.$336.24

How 13131 has changed in Nevada

13131 · Office / nonfacility

$382.29

Effective 2026-10-01

The base rate is $10.14 higher than on 2025-10-01, moving from $372.15 to $382.29 (2.7%).

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

    $372.15changed to$382.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.73 changed to 3.64
    • Practice expense RVU 7.37 changed to 7.44
    • Malpractice RVU 0.48 changed to 0.43
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $385.41changed to$372.15

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.46 changed to 7.37
    • Malpractice RVU 0.46 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $379.12changed to$385.41

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $396.92changed to$379.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.50 changed to 7.46
    • Malpractice RVU 0.44 changed to 0.46
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $406.83changed to$396.92

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.44 changed to 7.50
    • Malpractice RVU 0.42 changed to 0.44
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $411.37changed to$406.83

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.46 changed to 7.44
    • Malpractice RVU 0.43 changed to 0.42

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $403.51changed to$411.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.95 changed to 7.46
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $402.31changed to$403.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.81 changed to 6.95
    • Malpractice RVU 0.55 changed to 0.43
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $397.80changed to$402.31

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.69 changed to 6.81
    • Malpractice RVU 0.56 changed to 0.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $400.56changed to$397.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.66 changed to 6.69
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $403.02changed to$400.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.62 changed to 6.66
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $403.06changed to$403.02

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.52 changed to 0.56

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $401.06changed to$403.06

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $400.08changed to$401.06

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.47 changed to 6.62
    • Malpractice RVU 0.55 changed to 0.52
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $412.85changed to$400.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.28 changed to 6.47
    • Malpractice RVU 0.57 changed to 0.55
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$412.85

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$382.29$201.75RVU26D
2026-07-01$382.29$201.75RVU26C
2026-04-01$382.29$201.75RVU26B
2026-01-01$382.29$201.75RVU26A
2025-10-01$372.15$233.06RVU25D
2025-07-01$372.15$233.06RVU25C
2025-04-01$372.15$233.06RVU25B
2025-01-01$372.15$233.06RVU25A
2024-10-01$385.41$237.61RVU24D
2024-07-01$385.41$237.61RVU24C
2024-04-01$385.41$237.61RVU24B
2024-03-09$385.41$237.61RVU24AR
2024-01-01$379.12$233.74RVU24A
2023-10-01$396.92$244.09RVU23D
2023-07-01$396.92$244.09RVU23C
2023-04-01$396.92$244.09RVU23B
2023-01-01$396.92$244.09RVU23A
2022-10-01$406.83$250.07RVU22D
2022-07-01$406.83$250.07RVU22C
2022-04-01$406.83$250.07RVU22B
2022-01-01$406.83$250.07RVU22A
2021-10-01$411.37$252.26RVU21D
2021-07-01$411.37$252.26RVU21C
2021-04-01$411.37$252.26RVU21B
2021-01-01$411.37$252.26RVU21A
2020-10-01$403.51$256.63RVU20D
2020-07-01$403.51$256.63RVU20C
2020-04-01$403.51$256.63RVU20B
2020-01-01$403.51$256.63RVU20A
2019-10-01$402.31$258.64RVU19D
2019-07-01$402.31$258.64RVU19C
2019-04-01$402.31$258.64RVU19B
2019-01-01$402.31$258.64RVU19A
2018-10-01$397.80$260.14RVU18D
2018-07-01$397.80$260.14RVU18C
2018-04-01$397.80$260.14RVU18B
2018-01-01$397.80$260.14RVU18AR1
2017-10-01$400.56$262.51RVU17D
2017-07-01$400.56$262.51RVU17C
2017-04-01$400.56$262.51RVU17B
2017-01-01$400.56$262.51RVU17A
2016-10-01$403.02$263.41RVU16D
2016-07-01$403.02$263.41RVU16C
2016-04-01$403.02$263.41RVU16B
2016-01-01$403.02$263.41RVU16A
2015-10-01$403.06$263.33RVU15D
2015-07-01$403.06$263.33RVU15C
2015-04-01$401.06$262.02RVU15B
2015-01-01$401.06$262.02RVU15A
2014-10-01$400.08$263.65RVU14D
2014-07-01$400.08$263.65RVU14C
2014-04-01$400.08$263.65RVU14B
2014-01-01$400.08$263.65RVU14A
2013-10-01$412.85$264.55RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 13131 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

13131 billing questions

When should I report 13131 instead of 13132?

Use 13131 for a qualifying complex repair measuring 1.1–2.5 cm in its anatomic group. Code 13132 covers the same group when the repair measures 2.6–7.5 cm.

Does a layered closure qualify as complex?

Layered closure alone is not enough. The record should support additional work, such as extensive undermining, substantial debridement, scar revision, or retention sutures.

Can I add wound lengths together?

Add lengths of qualifying repairs in the same anatomic group performed at the same session. Document each wound’s location and measurement so the combined length and code selection are clear.

Can I use modifier 50 for repairs on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

Are assistant surgeons or co-surgeons payable?

CMS does not pay an assistant at surgery for 13131. Co-surgeons and team surgery are not permitted for this code.

What postoperative care is included?

Related postoperative visits during the 10-day global period are included in the procedure’s global service.

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 13131PPRRVU2026_Oct_nonQPP.csv, line 1,439 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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