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

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 Hawaii, Guam, HI, Medicare pays $176.20 for 13133 in the office and $101.38 when it’s performed in a hospital or facility.

$176.20Office (non-facility)
$101.38Hospital or facility
+4.9%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 Hawaii, Guam, HI
  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 Hawaii, Guam, HI 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. Hawaii, Guam, HI pays $176.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

13133 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$176.20
  2. Los Angeles, CA · California$183.92+$7.72
  3. Washington, DC area · District of Columbia$188.46+$12.26
  4. Miami, FL · Florida$185.38+$9.18
  5. Chicago, IL · Illinois$180.62+$4.42
  6. Manhattan, NY · New York$192.04+$15.84
  7. Alaska · Alaska$205.38+$29.18

Other areas in Hawaii 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 Hawaii, Guam, HI 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

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 13133 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work2.14× 1.0002.1400
Practice expense2.62× 1.1372.9789
Malpractice0.27× 0.5790.1563
Total RVUs5.2753
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$176.20

Office: (2.14 × 1 + 2.62 × 1.137 + 0.27 × 0.579) × $33.4009 = $176.20

Facility: (2.14 × 1 + 0.65 × 1.137 + 0.27 × 0.579) × $33.4009 = $101.38

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, Hawaii, Guam, HI
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.$412.44
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.$494.77
Used instead
13122Complex repair, additional scalp or limb lengthAdditional-length complex-repair code for a different site group, including scalp, arms, or legs.$135.51
13102Complex repair, additional trunk lengthAdditional-length complex-repair code for the trunk.$127.45

How 13133 has changed in Hawaii, Guam, HI

13133 · Office / nonfacility

$176.20

Effective 2026-10-01

The base rate is $5.13 higher than on 2025-10-01, moving from $171.07 to $176.20 (3.0%).

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

    $171.07changed to$176.20

    • 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
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $176.23changed to$171.07

    • 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

    $173.35changed to$176.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $179.90changed to$173.35

    • 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 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $182.85changed to$179.90

    • 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 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $186.20changed to$182.85

    • 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

    $189.83changed to$186.20

    • 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 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $191.02changed to$189.83

    • 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 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $191.83changed to$191.02

    • 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

    $192.29changed to$191.83

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $192.26changed to$192.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.55 changed to 2.56
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $192.51changed to$192.26

    • 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

    $191.55changed to$192.51

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $189.69changed to$191.55

    • 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
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $191.76changed to$189.69

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$191.76

  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$176.20$101.38RVU26D
2026-07-01$176.20$101.38RVU26C
2026-04-01$176.20$101.38RVU26B
2026-01-01$176.20$101.38RVU26A
2025-10-01$171.07$122.75RVU25D
2025-07-01$171.07$122.75RVU25C
2025-04-01$171.07$122.75RVU25B
2025-01-01$171.07$122.75RVU25A
2024-10-01$176.23$125.74RVU24D
2024-07-01$176.23$125.74RVU24C
2024-04-01$176.23$125.74RVU24B
2024-03-09$176.23$125.74RVU24AR
2024-01-01$173.35$123.69RVU24A
2023-10-01$179.90$127.86RVU23D
2023-07-01$179.90$127.86RVU23C
2023-04-01$179.90$127.86RVU23B
2023-01-01$179.90$127.86RVU23A
2022-10-01$182.85$130.25RVU22D
2022-07-01$182.85$130.25RVU22C
2022-04-01$182.85$130.25RVU22B
2022-01-01$182.85$130.25RVU22A
2021-10-01$186.20$131.96RVU21D
2021-07-01$186.20$131.96RVU21C
2021-04-01$186.20$131.96RVU21B
2021-01-01$186.20$131.96RVU21A
2020-10-01$189.83$136.57RVU20D
2020-07-01$189.83$136.57RVU20C
2020-04-01$189.83$136.57RVU20B
2020-01-01$189.83$136.57RVU20A
2019-10-01$191.02$137.74RVU19D
2019-07-01$191.02$137.74RVU19C
2019-04-01$191.02$137.74RVU19B
2019-01-01$191.02$137.74RVU19A
2018-10-01$191.83$138.61RVU18D
2018-07-01$191.83$138.61RVU18C
2018-04-01$191.83$138.61RVU18B
2018-01-01$191.83$138.61RVU18AR1
2017-10-01$192.29$139.28RVU17D
2017-07-01$192.29$139.28RVU17C
2017-04-01$192.29$139.28RVU17B
2017-01-01$192.29$139.28RVU17A
2016-10-01$192.26$138.59RVU16D
2016-07-01$192.26$138.59RVU16C
2016-04-01$192.26$138.59RVU16B
2016-01-01$192.26$138.59RVU16A
2015-10-01$192.51$138.65RVU15D
2015-07-01$192.51$138.65RVU15C
2015-04-01$191.55$137.96RVU15B
2015-01-01$191.55$137.96RVU15A
2014-10-01$189.69$137.84RVU14D
2014-07-01$189.69$137.84RVU14C
2014-04-01$189.69$137.84RVU14B
2014-01-01$189.69$137.84RVU14A
2013-10-01$191.76$135.61RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 13133 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

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 Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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