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CPT code 13132: Complex wound repair, 2.6–7.5 cm, specified sites2026 Medicare rate & RVUs in Washington, DC area

Reports complex wound closure measuring 2.6–7.5 cm on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.

CMS RVU26DEffective Oct 1, 2026One payment locality288.8K Medicare services in 2024

In Washington, DC area, Medicare pays $524.14 for 13132 in the office and $275.48 when it’s performed in a hospital or facility.

$524.14Office (non-facility)
$275.48Hospital or facility
+13.4%vs the national office rate ($462.27)

Check a contract rate as a % of Medicare · 13132 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 13132 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 13132 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 13132 covers

This code covers complex closure of a wound measuring 2.6–7.5 cm at the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. A complex repair involves work beyond routine layered closure, such as substantial wound preparation or extensive undermining. Dermatologic, plastic, and other surgeons may perform it after trauma or surgical excision in an office, emergency department, or operating room.

Select the code by the repair’s anatomical group, complexity, and final repaired length, not simply the skin incision length. Document the site, measured length, and additional work supporting complex repair. For multiple wounds in the same classification, add their lengths when selecting the code. Related postoperative visits are included in the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, 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 Washington, DC area compares for 13132

Across 109 of 109 payment localities, the office rate for 13132 runs from $413.18 in Arkansas to $599.48 in San Benito County, CA. Washington, DC area pays $524.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

13132 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$524.14
  2. Los Angeles, CA · California$515.92−$8.22
  3. Miami, FL · Florida$500.19−$23.95
  4. Chicago, IL · Illinois$486.87−$37.27
  5. Manhattan, NY · New York$529.13+$4.99
  6. Alaska · Alaska$551.27+$27.13
  7. Alabama · Alabama$418.68−$105.46

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

Every other payment area

13132 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$413.18$231.85
ArizonaArizona$450.84$246.29
Bakersfield, CACalifornia$486.37$255.01
Chico, CACalifornia$484.81$253.45
El Centro, CACalifornia$484.90$253.54
Fresno, CACalifornia$484.81$253.45
Hanford, CACalifornia$484.81$253.45
Madera, CACalifornia$484.81$253.45

13132 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.

$413.18

$551.27

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

View every state and territory as a table
13132 office rate range by state
State / territoryOffice rate rangeLocalities
AK$551.271
AL$418.681
AR$413.181
AZ$450.841
CA$484.81–$599.4829
CO$478.941
CT$491.261
DC$524.141
DE$457.851
FL$458.10–$500.193
GA$434.26–$470.792
GU$494.771
HI$494.771
IA$427.381
ID$430.121
IL$446.66–$486.874
IN$432.371
KS$426.021
KY$428.681
LA$428.25–$447.502
MA$476.65–$522.962
MD$465.90–$524.143
ME$432.66–$453.382
MI$439.27–$463.822
MN$458.671
MO$421.86–$448.403
MS$417.571
MT$462.231
NC$436.721
ND$452.151
NE$429.371
NH$472.011
NJ$496.79–$519.572
NM$441.661
NV$459.711
NY$442.73–$541.565
OH$437.211
OK$427.481
OR$456.05–$492.542
PA$437.59–$480.232
PR$465.201
RI$472.941
SC$437.701
SD$450.961
TN$428.031
TX$435.00–$477.438
UT$443.161
VA$452.34–$524.142
VI$465.201
VT$450.961
WA$475.57–$532.672
WI$438.321
WV$431.671
WY$457.841

See 13132 in every payment locality

How the 13132 rate is calculated

Each of 13132’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 · 13132

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.66

4.66 RVUs× 1.000 GPCI

Practice expense8.67

8.67 RVUs× 1.000 GPCI

Malpractice0.51

0.51 RVUs× 1.000 GPCI

Adjusted RVUs

13.8400

Conversion factor

$33.4009

Medicare rate

$462.27

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

1,440

Code
13132
Physician work
4.66
Practice expense
8.67
Malpractice
0.51

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 13132 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.66× 1.0544.9116
Practice expense8.67× 1.17810.2133
Malpractice0.51× 1.1130.5676
Total RVUs15.6925
Conversion factor× 33.4009

Office rate, Washington, DC area$524.14

Office: (4.66 × 1.054 + 8.67 × 1.178 + 0.51 × 1.113) × $33.4009 = $524.14

Facility: (4.66 × 1.054 + 2.35 × 1.178 + 0.51 × 1.113) × $33.4009 = $275.48

Open 13132 in the RVU calculator

Payment rules and modifiers for 13132

13132 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 13132

Complex wound repair, 2.6–7.5 cm, specified sites

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 · 13132

Complex wound repair, 2.6–7.5 cm, specified sites

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

13132 without 51 · national office

$462.27

Complex wound repair, 2.6–7.5 cm, specified sites

13132-51 · Second procedure: 50%

$231.14

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 13132

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

Codes related to 13132
CodeHow it relatesOffice range, Washington, DC area
Same family
13131Complex repair, face and related sites, 1.1–2.5 cmSame anatomical group and complexity, for repairs measuring 1.1–2.5 cm.$436.87
Add-on codes
13133Complex repair, each additional 5 cm or lessAdd-on for each additional 5 cm or less of complex repair.$188.46
Used instead
13120Complex repair, scalp, arm, or leg; 1.1–2.5 cmComplex repair code for a different anatomical group, including scalp, arms, or legs.$399.66
13151Complex repair, eyelid, nose, ear, or lipComplex repair code for the eyelids, nose, ears, or lips.$475.19

How 13132 has changed in Washington, DC area

13132 · Office / nonfacility

$524.14

Effective 2026-10-01

The base rate is $4.87 higher than on 2025-10-01, moving from $519.27 to $524.14 (0.9%).

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

    $519.27changed to$524.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.78 changed to 4.66
    • Practice expense RVU 8.69 changed to 8.67
    • Malpractice RVU 0.55 changed to 0.51
    • 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

    $538.34changed to$519.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.79 changed to 8.69

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $529.56changed to$538.34

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $557.25changed to$529.56

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.83 changed to 8.79
    • 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

    $572.76changed to$557.25

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.77 changed to 8.83
    • Malpractice RVU 0.52 changed to 0.55
    • 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

    $577.88changed to$572.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.81 changed to 8.77
    • Malpractice RVU 0.49 changed to 0.52

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $570.21changed to$577.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.30 changed to 8.81
    • Malpractice RVU 0.51 changed to 0.49
    • 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

    $567.08changed to$570.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.17 changed to 8.30
    • Malpractice RVU 0.71 changed to 0.51
    • 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

    $562.13changed to$567.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.07 changed to 8.17

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $559.87changed to$562.13

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.04 changed to 8.07
    • 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

    $558.02changed to$559.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.00 changed to 8.04
    • Malpractice RVU 0.72 changed to 0.71
    • 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

    $557.71changed to$558.02

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.01 changed to 8.00
    • Malpractice RVU 0.66 changed to 0.72

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $554.94changed to$557.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $545.44changed to$554.94

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.81 changed to 8.01
    • Malpractice RVU 0.68 changed to 0.66
    • 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

    $556.58changed to$545.44

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.80 changed to 7.81
    • Malpractice RVU 0.71 changed to 0.68
    • 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: $556.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$524.14$275.48RVU26D
2026-07-01$524.14$275.48RVU26C
2026-04-01$524.14$275.48RVU26B
2026-01-01$524.14$275.48RVU26A
2025-10-01$519.27$328.03RVU25D
2025-07-01$519.27$328.03RVU25C
2025-04-01$519.27$328.03RVU25B
2025-01-01$519.27$328.03RVU25A
2024-10-01$538.34$335.19RVU24D
2024-07-01$538.34$335.19RVU24C
2024-04-01$538.34$335.19RVU24B
2024-03-09$538.34$335.19RVU24AR
2024-01-01$529.56$329.72RVU24A
2023-10-01$557.25$343.74RVU23D
2023-07-01$557.25$343.74RVU23C
2023-04-01$557.25$343.74RVU23B
2023-01-01$557.25$343.74RVU23A
2022-10-01$572.76$348.63RVU22D
2022-07-01$572.76$348.63RVU22C
2022-04-01$572.76$348.63RVU22B
2022-01-01$572.76$348.63RVU22A
2021-10-01$577.88$349.73RVU21D
2021-07-01$577.88$349.73RVU21C
2021-04-01$577.88$349.73RVU21B
2021-01-01$577.88$349.73RVU21A
2020-10-01$570.21$359.58RVU20D
2020-07-01$570.21$359.58RVU20C
2020-04-01$570.21$359.58RVU20B
2020-01-01$570.21$359.58RVU20A
2019-10-01$567.08$366.02RVU19D
2019-07-01$567.08$366.02RVU19C
2019-04-01$567.08$366.02RVU19B
2019-01-01$567.08$366.02RVU19A
2018-10-01$562.13$367.78RVU18D
2018-07-01$562.13$367.78RVU18C
2018-04-01$562.13$367.78RVU18B
2018-01-01$562.13$367.78RVU18AR1
2017-10-01$559.87$368.72RVU17D
2017-07-01$559.87$368.72RVU17C
2017-04-01$559.87$368.72RVU17B
2017-01-01$559.87$368.72RVU17A
2016-10-01$558.02$367.33RVU16D
2016-07-01$558.02$367.33RVU16C
2016-04-01$558.02$367.33RVU16B
2016-01-01$558.02$367.33RVU16A
2015-10-01$557.71$365.03RVU15D
2015-07-01$557.71$365.03RVU15C
2015-04-01$554.94$363.21RVU15B
2015-01-01$554.94$363.21RVU15A
2014-10-01$545.44$359.85RVU14D
2014-07-01$545.44$359.85RVU14C
2014-04-01$545.44$359.85RVU14B
2014-01-01$545.44$359.85RVU14A
2013-10-01$556.58$356.04RVU13D
2013-07-01$556.58$356.04RVU13C
2013-04-01$556.58$356.04RVU13B
2013-01-01$556.58$356.04RVU13AR

Price 13132 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

13132 billing questions

When should 13132 be chosen over 13131?

Use 13132 for a complex repair measuring 2.6–7.5 cm at one of its specified sites. Code 13131 covers the same site group when the repair measures 1.1–2.5 cm.

When is 13133 reported with 13132?

13133 is the add-on code for each additional 5 cm or less of complex repair beyond the initial length covered by the primary code. Report it with the applicable primary repair code, not by itself.

What documentation supports complex repair?

Record the anatomical site, final repaired length, and the work that made closure complex rather than routine layered closure, such as extensive undermining or substantial wound preparation.

Can modifier 50 be used for repairs on both sides?

No. The CMS bilateral adjustment does not apply to 13132, and modifier 50 is inappropriate for this code.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the repair. A separate service requires its own basis for reporting.

How does Medicare handle other procedures in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Medicare does not pay an assistant at surgery for 13132; co-surgeons and team surgery are not permitted.

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 13132PPRRVU2026_Oct_nonQPP.csv, line 1,440 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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