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CPT code 13133: Complex repair, each additional 5 cm or less2026 Medicare rate & RVUs in Delaware

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.

CMS RVU26DEffective Oct 1, 2026One payment locality13.1K Medicare services in 2024

In Delaware, Medicare pays $166.40 for 13133 in the office and $101.39 when it’s performed in a hospital or facility.

$166.40Office (non-facility)
$101.39Hospital or facility
−1.0%vs the national office rate ($168.01)

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.

We’ll open 13133 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 13133 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 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 Delaware 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. Delaware pays $166.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

13133 in Delaware vs other payment areas
  1. Delaware · this page$166.40
  2. Los Angeles, CA · California$183.92+$17.52
  3. Washington, DC area · District of Columbia$188.46+$22.06
  4. Miami, FL · Florida$185.38+$18.98
  5. Chicago, IL · Illinois$180.62+$14.22
  6. Manhattan, NY · New York$192.04+$25.64
  7. Alaska · Alaska$205.38+$38.98

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

Every other payment area

13133 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$153.15$95.58
ArkansasArkansas$151.29$94.77
ArizonaArizona$164.00$100.24
Bakersfield, CACalifornia$174.24$102.12
Chico, CACalifornia$173.44$101.32
El Centro, CACalifornia$173.48$101.37
Fresno, CACalifornia$173.44$101.32
Hanford, CACalifornia$173.44$101.32

13133 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.

$151.29

$205.38

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

View every state and territory as a table
13133 office rate range by state
State / territoryOffice rate rangeLocalities
AK$205.381
AL$153.151
AR$151.291
AZ$164.001
CA$173.44–$210.3629
CO$172.491
CT$178.071
DC$188.461
DE$166.401
FL$168.69–$185.383
GA$160.29–$171.432
GU$176.201
HI$176.201
IA$155.131
ID$156.251
IL$165.47–$180.624
IN$156.981
KS$155.131
KY$157.531
LA$157.56–$164.072
MA$171.96–$186.922
MD$169.03–$188.463
ME$157.60–$163.892
MI$161.56–$171.132
MN$164.201
MO$155.70–$163.823
MS$153.491
MT$167.991
NC$158.891
ND$162.651
NE$155.661
NH$170.471
NJ$179.79–$187.122
NM$162.561
NV$166.591
NY$160.95–$196.855
OH$160.471
OK$156.631
OR$164.98–$176.562
PA$160.33–$174.622
PR$168.831
RI$171.281
SC$160.001
SD$162.021
TN$155.871
TX$159.49–$172.208
UT$161.841
VA$163.87–$188.462
VI$168.831
VT$162.681
WA$171.42–$189.792
WI$158.091
WV$160.431
WY$165.661

See 13133 in every payment locality

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

Office or facility?

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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 13133 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.14× 1.0052.1507
Practice expense2.62× 0.9882.5886
Malpractice0.27× 0.8990.2427
Total RVUs4.9820
Conversion factor× 33.4009

Office rate, Delaware$166.40

Office: (2.14 × 1.005 + 2.62 × 0.988 + 0.27 × 0.899) × $33.4009 = $166.40

Facility: (2.14 × 1.005 + 0.65 × 0.988 + 0.27 × 0.899) × $33.4009 = $101.39

Open 13133 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 13133

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

Codes related to 13133
CodeHow it relatesOffice range, Delaware
Primary code
13131Complex repair, face and related sites, 1.1–2.5 cmPrimary complex-repair code for the same sites when the initial repair length is 1.1–2.5 cm.$380.62
13132Complex wound repair, 2.6–7.5 cm, specified sitesPrimary complex-repair code for the same sites when the initial repair length is 2.6–7.5 cm.$457.85
Used instead
13122Complex repair, additional scalp or limb lengthAdditional-length complex-repair code for a different site group, including scalp, arms, or legs.$126.89
13102Complex repair, additional trunk lengthAdditional-length complex-repair code for the trunk.$118.89

How 13133 has changed in Delaware

13133 · Office / nonfacility

$166.40

Effective 2026-10-01

The base rate is $4.18 higher than on 2025-10-01, moving from $162.22 to $166.40 (2.6%).

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

    $162.22changed to$166.40

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $167.25changed to$162.22

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $164.52changed to$167.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $171.01changed to$164.52

    • 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 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $174.02changed to$171.01

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $177.21changed to$174.02

    • 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.

  7. January 1, 2021

    RVU21A

    $182.33changed to$177.21

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $186.10changed to$182.33

    • 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 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $186.59changed to$186.10

    • 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.

  10. January 1, 2018

    RVU18AR1

    $186.99changed to$186.59

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $186.67changed to$186.99

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.55 changed to 2.56
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $186.56changed to$186.67

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.32 changed to 0.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $185.63changed to$186.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $182.36changed to$185.63

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.49 changed to 2.55
    • Malpractice RVU 0.33 changed to 0.32
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $181.92changed to$182.36

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.78 changed to 2.49
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $181.92

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$166.40$101.39RVU26D
2026-07-01$166.40$101.39RVU26C
2026-04-01$166.40$101.39RVU26B
2026-01-01$166.40$101.39RVU26A
2025-10-01$162.22$120.50RVU25D
2025-07-01$162.22$120.50RVU25C
2025-04-01$162.22$120.50RVU25B
2025-01-01$162.22$120.50RVU25A
2024-10-01$167.25$123.66RVU24D
2024-07-01$167.25$123.66RVU24C
2024-04-01$167.25$123.66RVU24B
2024-03-09$167.25$123.66RVU24AR
2024-01-01$164.52$121.64RVU24A
2023-10-01$171.01$125.29RVU23D
2023-07-01$171.01$125.29RVU23C
2023-04-01$171.01$125.29RVU23B
2023-01-01$171.01$125.29RVU23A
2022-10-01$174.02$126.98RVU22D
2022-07-01$174.02$126.98RVU22C
2022-04-01$174.02$126.98RVU22B
2022-01-01$174.02$126.98RVU22A
2021-10-01$177.21$128.71RVU21D
2021-07-01$177.21$128.71RVU21C
2021-04-01$177.21$128.71RVU21B
2021-01-01$177.21$128.71RVU21A
2020-10-01$182.33$134.80RVU20D
2020-07-01$182.33$134.80RVU20C
2020-04-01$182.33$134.80RVU20B
2020-01-01$182.33$134.80RVU20A
2019-10-01$186.10$138.73RVU19D
2019-07-01$186.10$138.73RVU19C
2019-04-01$186.10$138.73RVU19B
2019-01-01$186.10$138.73RVU19A
2018-10-01$186.59$139.27RVU18D
2018-07-01$186.59$139.27RVU18C
2018-04-01$186.59$139.27RVU18B
2018-01-01$186.59$139.27RVU18AR1
2017-10-01$186.99$139.90RVU17D
2017-07-01$186.99$139.90RVU17C
2017-04-01$186.99$139.90RVU17B
2017-01-01$186.99$139.90RVU17A
2016-10-01$186.67$139.05RVU16D
2016-07-01$186.67$139.05RVU16C
2016-04-01$186.67$139.05RVU16B
2016-01-01$186.67$139.05RVU16A
2015-10-01$186.56$138.77RVU15D
2015-07-01$186.56$138.77RVU15C
2015-04-01$185.63$138.08RVU15B
2015-01-01$185.63$138.08RVU15A
2014-10-01$182.36$135.88RVU14D
2014-07-01$182.36$135.88RVU14C
2014-04-01$182.36$135.88RVU14B
2014-01-01$182.36$135.88RVU14A
2013-10-01$181.92$131.13RVU13D
2013-07-01$181.92$131.13RVU13C
2013-04-01$181.92$131.13RVU13B
2013-01-01$181.92$131.13RVU13AR

Price 13133 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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
RVUs for 13133PPRRVU2026_Oct_nonQPP.csv, line 1,441 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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