CPT code 13133: Complex repair, each additional 5 cm or less2026 Medicare rate & RVUs in Merced, CA
Reports each additional 5 cm or less of qualifying complex repair on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot beyond the primary repair length.
In Merced, CA, Medicare pays $173.44 for 13133 in the office and $101.32 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 13133 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 13133 covers
Code 13133 captures additional length when a complex repair involves the forehead, cheek, chin, mouth, neck, axilla, genital region, hand, or foot. The repair must require work beyond routine layered closure, such as extensive undermining or other substantial additional work; wound length alone does not make a repair complex. Plastic surgeons, dermatologic surgeons, and other physicians who perform wound repair may report it in office or facility settings. A long facial laceration repaired with complex techniques is one typical situation.
Report one unit for each additional 5 cm or less beyond the length covered by the primary repair code, 13131 or 13132. Documentation should identify the repair site, measured length, and features that support complex repair. CMS classifies 13133 as an add-on code: report it only with a qualifying primary procedure, and payment falls within that procedure's global period.
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 Merced, CA compares for 13133
Across 109 of 109 payment localities, the office rate for 13133 runs from $151.29 in Arkansas to $210.36 in San Benito County, CA. Merced, CA pays $173.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Merced, CA · this page$173.44
- Bakersfield, CA · California$174.24+$0.80
- Chico, CA · California$173.44
- El Centro, CA · California$173.48+$0.04
- Fresno, CA · California$173.44
- Hanford, CA · California$173.44
- Los Angeles, CA · California$183.92+$10.48
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $173.44 | $101.32 |
| Modesto, CACalifornia | $173.44 | $101.32 |
| Napa, CACalifornia | $195.90 | $109.18 |
| Oxnard, CACalifornia | $182.53 | $104.76 |
| Redding, CACalifornia | $173.44 | $101.32 |
| Rest of CaliforniaCalifornia | $173.44 | $101.32 |
| Riverside, CACalifornia | $176.37 | $104.25 |
| Sacramento, CACalifornia | $180.66 | $104.13 |
| Salinas, CACalifornia | $179.95 | $103.69 |
| San Diego, CACalifornia | $183.17 | $104.48 |
| Marin County, CACalifornia | $205.80 | $113.02 |
| San Francisco, CACalifornia | $205.49 | $112.71 |
| San Benito County, CACalifornia | $210.36 | $115.48 |
| Santa Clara County, CACalifornia | $209.11 | $114.23 |
| San Luis Obispo, CACalifornia | $177.20 | $102.26 |
| Santa Cruz, CACalifornia | $184.14 | $104.19 |
| Santa Maria, CACalifornia | $180.35 | $103.63 |
| Santa Rosa, CACalifornia | $185.92 | $105.12 |
| Stockton, CACalifornia | $173.44 | $101.32 |
| Vallejo, CACalifornia | $195.46 | $108.73 |
| Visalia, CACalifornia | $173.44 | $101.32 |
| Yuba City, CACalifornia | $173.44 | $101.32 |
| Washington, DC areaDistrict of Columbia | $188.46 | $110.95 |
| Miami, FLFlorida | $185.38 | $116.89 |
| Chicago, ILIllinois | $180.62 | $114.49 |
| Manhattan, NYNew York | $192.04 | $115.58 |
| AlaskaAlaska | $205.38 | $135.31 |
| AlabamaAlabama | $153.15 | $95.58 |
| ArkansasArkansas | $151.29 | $94.77 |
| ArizonaArizona | $164.00 | $100.24 |
| ColoradoColorado | $172.49 | $102.48 |
| ConnecticutConnecticut | $178.07 | $107.20 |
| DelawareDelaware | $166.40 | $101.39 |
| Fort Lauderdale, FLFlorida | $176.43 | $109.78 |
| Rest of FloridaFlorida | $168.69 | $105.79 |
| Atlanta, GAGeorgia | $171.43 | $104.58 |
| Rest of GeorgiaGeorgia | $160.29 | $101.59 |
| Hawaii, Guam, HIHawaii | $176.20 | $101.38 |
| IowaIowa | $155.13 | $94.92 |
| IdahoIdaho | $156.25 | $95.72 |
| East St. Louis, ILIllinois | $170.15 | $109.61 |
| Rest of IllinoisIllinois | $165.47 | $105.40 |
| Suburban Chicago, ILIllinois | $177.83 | $110.26 |
| IndianaIndiana | $156.98 | $95.99 |
| KansasKansas | $155.13 | $95.65 |
| KentuckyKentucky | $157.53 | $99.03 |
| New Orleans, LALouisiana | $164.07 | $102.15 |
| Rest of LouisianaLouisiana | $157.56 | $99.33 |
| Metropolitan Boston, MAMassachusetts | $186.92 | $108.36 |
| Rest of MassachusettsMassachusetts | $171.96 | $102.67 |
| Baltimore area, MDMaryland | $177.68 | $107.07 |
| Rest of MarylandMaryland | $169.03 | $102.44 |
| Rest of MaineMaine | $157.60 | $97.06 |
| Southern Maine, MEMaine | $163.89 | $98.68 |
| Detroit, MIMichigan | $171.13 | $107.63 |
| Rest of MichiganMichigan | $161.56 | $101.48 |
| MinnesotaMinnesota | $164.20 | $96.49 |
| Metropolitan Kansas City, MOMissouri | $162.46 | $100.67 |
| Metropolitan St. Louis, MOMissouri | $163.82 | $101.18 |
| Rest of MissouriMissouri | $155.70 | $98.98 |
| MississippiMississippi | $153.49 | $96.84 |
| MontanaMontana | $167.99 | $102.19 |
| North CarolinaNorth Carolina | $158.89 | $97.50 |
| North DakotaNorth Dakota | $162.65 | $96.85 |
| NebraskaNebraska | $155.66 | $94.93 |
| New HampshireNew Hampshire | $170.47 | $101.97 |
| Northern New JerseyNew Jersey | $187.12 | $110.80 |
| Rest of New JerseyNew Jersey | $179.79 | $107.94 |
| New MexicoNew Mexico | $162.56 | $102.22 |
| NevadaNevada | $166.59 | $100.72 |
| NYC suburbs and Long Island, NYNew York | $196.85 | $118.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $181.43 | $109.38 |
| Queens, NYNew York | $192.49 | $114.72 |
| Rest of New YorkNew York | $160.95 | $98.44 |
| OhioOhio | $160.47 | $100.39 |
| OklahomaOklahoma | $156.63 | $97.87 |
| Portland, OROregon | $176.56 | $103.45 |
| Rest of OregonOregon | $164.98 | $99.44 |
| Metropolitan Philadelphia, PAPennsylvania | $174.62 | $106.12 |
| Rest of PennsylvaniaPennsylvania | $160.33 | $99.93 |
| Puerto RicoPuerto Rico | $168.83 | $102.31 |
| Rhode IslandRhode Island | $171.28 | $103.31 |
| South CarolinaSouth Carolina | $160.00 | $99.20 |
| South DakotaSouth Dakota | $162.02 | $96.22 |
| TennesseeTennessee | $155.87 | $96.06 |
| Austin, TXTexas | $172.20 | $102.58 |
| Beaumont, TXTexas | $159.49 | $99.61 |
| Brazoria, TXTexas | $165.81 | $100.60 |
| Dallas, TXTexas | $167.02 | $101.48 |
| Fort Worth, TXTexas | $166.26 | $101.38 |
| Galveston, TXTexas | $166.41 | $101.08 |
| Houston, TXTexas | $171.36 | $106.02 |
| Rest of TexasTexas | $162.67 | $100.22 |
| UtahUtah | $161.84 | $99.98 |
| VirginiaVirginia | $163.87 | $99.19 |
| Virgin Islands, VIUnited States Virgin Islands | $168.83 | $102.31 |
| VermontVermont | $162.68 | $97.53 |
| Rest of WashingtonWashington | $171.42 | $102.13 |
| King County, WAWashington | $189.79 | $109.06 |
| WisconsinWisconsin | $158.09 | $95.05 |
| West VirginiaWest Virginia | $160.43 | $103.25 |
| WyomingWyoming | $165.66 | $99.86 |
13133 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$151.29
$205.38
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $205.38 | 1 |
| AL | $153.15 | 1 |
| AR | $151.29 | 1 |
| AZ | $164.00 | 1 |
| CA | $173.44–$210.36 | 29 |
| CO | $172.49 | 1 |
| CT | $178.07 | 1 |
| DC | $188.46 | 1 |
| DE | $166.40 | 1 |
| FL | $168.69–$185.38 | 3 |
| GA | $160.29–$171.43 | 2 |
| GU | $176.20 | 1 |
| HI | $176.20 | 1 |
| IA | $155.13 | 1 |
| ID | $156.25 | 1 |
| IL | $165.47–$180.62 | 4 |
| IN | $156.98 | 1 |
| KS | $155.13 | 1 |
| KY | $157.53 | 1 |
| LA | $157.56–$164.07 | 2 |
| MA | $171.96–$186.92 | 2 |
| MD | $169.03–$188.46 | 3 |
| ME | $157.60–$163.89 | 2 |
| MI | $161.56–$171.13 | 2 |
| MN | $164.20 | 1 |
| MO | $155.70–$163.82 | 3 |
| MS | $153.49 | 1 |
| MT | $167.99 | 1 |
| NC | $158.89 | 1 |
| ND | $162.65 | 1 |
| NE | $155.66 | 1 |
| NH | $170.47 | 1 |
| NJ | $179.79–$187.12 | 2 |
| NM | $162.56 | 1 |
| NV | $166.59 | 1 |
| NY | $160.95–$196.85 | 5 |
| OH | $160.47 | 1 |
| OK | $156.63 | 1 |
| OR | $164.98–$176.56 | 2 |
| PA | $160.33–$174.62 | 2 |
| PR | $168.83 | 1 |
| RI | $171.28 | 1 |
| SC | $160.00 | 1 |
| SD | $162.02 | 1 |
| TN | $155.87 | 1 |
| TX | $159.49–$172.20 | 8 |
| UT | $161.84 | 1 |
| VA | $163.87–$188.46 | 2 |
| VI | $168.83 | 1 |
| VT | $162.68 | 1 |
| WA | $171.42–$189.79 | 2 |
| WI | $158.09 | 1 |
| WV | $160.43 | 1 |
| WY | $165.66 | 1 |
How the 13133 rate is calculated
Each of 13133’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 · 13133
RVUs × geographic indexes × conversion factor
Work2.14
2.14 RVUs× 1.000 GPCI
Practice expense2.62
2.62 RVUs× 1.000 GPCI
Malpractice0.27
0.27 RVUs× 1.000 GPCI
Adjusted RVUs
5.0300
Conversion factor
$33.4009
Medicare rate
$168.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Merced, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,441
- Code
- 13133
- Physician work
- 2.14
- Practice expense
- 2.62
- Malpractice
- 0.27
GPCI2026.csv
15
- Locality
- Merced, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.14 | × 1.017 | 2.1764 |
| Practice expense | 2.62 | × 1.096 | 2.8715 |
| Malpractice | 0.27 | × 0.536 | 0.1447 |
| Total RVUs | 5.1926 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Merced, CA$173.44
Office: (2.14 × 1.017 + 2.62 × 1.096 + 0.27 × 0.536) × $33.4009 = $173.44
Facility: (2.14 × 1.017 + 0.65 × 1.096 + 0.27 × 0.536) × $33.4009 = $101.32
Payment rules and modifiers for 13133
The CMS indicators that decide how 13133 is paid alongside other services.
CMS payment indicators · 13133
Complex repair, each additional 5 cm or less
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 13133 has changed in Merced, CA
13133 · Office / nonfacility
$173.44
Effective 2026-10-01
The base rate is $6.03 higher than on 2025-10-01, moving from $167.41 to $173.44 (3.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$167.41changed to$173.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.19 changed to 2.14
- Practice expense RVU 2.56 changed to 2.62
- Malpractice RVU 0.28 changed to 0.27
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$172.47changed to$167.41
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.29 changed to 0.28
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$169.65changed to$172.47
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$175.04changed to$169.65
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.57 changed to 2.56
- Malpractice RVU 0.27 changed to 0.29
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$176.61changed to$175.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.54 changed to 2.57
- Malpractice RVU 0.25 changed to 0.27
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$179.77changed to$176.61
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.58 changed to 2.54
- Malpractice RVU 0.26 changed to 0.25
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$183.90changed to$179.77
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.52 changed to 2.58
- Malpractice RVU 0.27 changed to 0.26
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$185.32changed to$183.90
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.53 changed to 2.52
- Malpractice RVU 0.34 changed to 0.27
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$186.07changed to$185.32
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.56 changed to 2.53
- Malpractice RVU 0.33 changed to 0.34
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$187.06changed to$186.07
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.34 changed to 0.33
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$187.06
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $173.44 | $101.32 | RVU26D |
| 2026-07-01 | $173.44 | $101.32 | RVU26C |
| 2026-04-01 | $173.44 | $101.32 | RVU26B |
| 2026-01-01 | $173.44 | $101.32 | RVU26A |
| 2025-10-01 | $167.41 | $121.45 | RVU25D |
| 2025-07-01 | $167.41 | $121.45 | RVU25C |
| 2025-04-01 | $167.41 | $121.45 | RVU25B |
| 2025-01-01 | $167.41 | $121.45 | RVU25A |
| 2024-10-01 | $172.47 | $124.44 | RVU24D |
| 2024-07-01 | $172.47 | $124.44 | RVU24C |
| 2024-04-01 | $172.47 | $124.44 | RVU24B |
| 2024-03-09 | $172.47 | $124.44 | RVU24AR |
| 2024-01-01 | $169.65 | $122.41 | RVU24A |
| 2023-10-01 | $175.04 | $126.04 | RVU23D |
| 2023-07-01 | $175.04 | $126.04 | RVU23C |
| 2023-04-01 | $175.04 | $126.04 | RVU23B |
| 2023-01-01 | $175.04 | $126.04 | RVU23A |
| 2022-10-01 | $176.61 | $127.59 | RVU22D |
| 2022-07-01 | $176.61 | $127.59 | RVU22C |
| 2022-04-01 | $176.61 | $127.59 | RVU22B |
| 2022-01-01 | $176.61 | $127.59 | RVU22A |
| 2021-10-01 | $179.77 | $129.23 | RVU21D |
| 2021-07-01 | $179.77 | $129.23 | RVU21C |
| 2021-04-01 | $179.77 | $129.23 | RVU21B |
| 2021-01-01 | $179.77 | $129.23 | RVU21A |
| 2020-10-01 | $183.90 | $134.08 | RVU20D |
| 2020-07-01 | $183.90 | $134.08 | RVU20C |
| 2020-04-01 | $183.90 | $134.08 | RVU20B |
| 2020-01-01 | $183.90 | $134.08 | RVU20A |
| 2019-10-01 | $185.32 | $135.39 | RVU19D |
| 2019-07-01 | $185.32 | $135.39 | RVU19C |
| 2019-04-01 | $185.32 | $135.39 | RVU19B |
| 2019-01-01 | $185.32 | $135.39 | RVU19A |
| 2018-10-01 | $186.07 | $136.20 | RVU18D |
| 2018-07-01 | $186.07 | $136.20 | RVU18C |
| 2018-04-01 | $186.07 | $136.20 | RVU18B |
| 2018-01-01 | $186.07 | $136.20 | RVU18AR1 |
| 2017-10-01 | $187.06 | $137.49 | RVU17D |
| 2017-07-01 | $187.06 | $137.49 | RVU17C |
| 2017-04-01 | $187.06 | $137.49 | RVU17B |
| 2017-01-01 | $187.06 | $137.49 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Merced, CA rate applies
Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Merced
- Atwater
- Ballico
- Bear Creek
- Cressey
- Delhi
- Dos Palos
- Dos Palos Y
13133 billing questions
When is 13133 reported with 13131 versus 13132?
Choose the primary code based on the initial length of the complex repair: 13131 covers 1.1–2.5 cm and 13132 covers 2.6–7.5 cm. Report 13133 for each additional 5 cm or less.
Can 13133 be reported by itself?
No. It is an add-on code and must accompany a qualifying primary complex-repair procedure, such as 13131 or 13132.
What documentation supports reporting 13133?
Document the anatomical site, total repaired length, and the work that made the closure complex, such as extensive undermining. The record should make clear which additional length is being reported.
Does 13133 have a separate global period?
No separate period is assigned. It is paid within the global period of the primary procedure.
Does a long wound automatically qualify as complex repair?
No. Length determines the applicable repair code and add-on units, but the operative documentation must also support complex repair rather than routine layered closure.
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
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