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

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 Virginia, Medicare pays $163.87 for 13133 in the office and $99.19 when it’s performed in a hospital or facility.

$163.87Office (non-facility)
$99.19Hospital or facility
−2.5%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 Virginia
  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 Virginia 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. Virginia pays $163.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

13133 in Virginia vs other payment areas
  1. Virginia · this page$163.87
  2. Los Angeles, CA · California$183.92+$20.05
  3. Washington, DC area · District of Columbia$188.46+$24.59
  4. Miami, FL · Florida$185.38+$21.51
  5. Chicago, IL · Illinois$180.62+$16.75
  6. Manhattan, NY · New York$192.04+$28.17
  7. Alaska · Alaska$205.38+$41.51

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 13133 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.14× 1.0002.1400
Practice expense2.62× 0.9832.5755
Malpractice0.27× 0.7060.1906
Total RVUs4.9061
Conversion factor× 33.4009

Office rate, Virginia$163.87

Office: (2.14 × 1 + 2.62 × 0.983 + 0.27 × 0.706) × $33.4009 = $163.87

Facility: (2.14 × 1 + 0.65 × 0.983 + 0.27 × 0.706) × $33.4009 = $99.19

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, Virginia
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.$376.00
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.$452.34
Used instead
13122Complex repair, additional scalp or limb lengthAdditional-length complex-repair code for a different site group, including scalp, arms, or legs.$124.93
13102Complex repair, additional trunk lengthAdditional-length complex-repair code for the trunk.$117.04

How 13133 has changed in Virginia

13133 · Office / nonfacility

$163.87

Effective 2026-10-01

The base rate is $4.57 higher than on 2025-10-01, moving from $159.30 to $163.87 (2.9%).

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

    $159.30changed to$163.87

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $164.19changed to$159.30

    • 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

    $161.51changed to$164.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $167.99changed to$161.51

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $171.01changed to$167.99

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $174.13changed to$171.01

    • 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

    $177.96changed to$174.13

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $179.95changed to$177.96

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $180.49changed to$179.95

    • 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

    $179.66changed to$180.49

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $178.19changed to$179.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.55 changed to 2.56
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $178.24changed to$178.19

    • 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

    $177.36changed to$178.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $175.06changed to$177.36

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $175.37changed to$175.06

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $175.37

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$163.87$99.19RVU26D
2026-07-01$163.87$99.19RVU26C
2026-04-01$163.87$99.19RVU26B
2026-01-01$163.87$99.19RVU26A
2025-10-01$159.30$117.92RVU25D
2025-07-01$159.30$117.92RVU25C
2025-04-01$159.30$117.92RVU25B
2025-01-01$159.30$117.92RVU25A
2024-10-01$164.19$120.95RVU24D
2024-07-01$164.19$120.95RVU24C
2024-04-01$164.19$120.95RVU24B
2024-03-09$164.19$120.95RVU24AR
2024-01-01$161.51$118.98RVU24A
2023-10-01$167.99$123.03RVU23D
2023-07-01$167.99$123.03RVU23C
2023-04-01$167.99$123.03RVU23B
2023-01-01$167.99$123.03RVU23A
2022-10-01$171.01$125.21RVU22D
2022-07-01$171.01$125.21RVU22C
2022-04-01$171.01$125.21RVU22B
2022-01-01$171.01$125.21RVU22A
2021-10-01$174.13$126.91RVU21D
2021-07-01$174.13$126.91RVU21C
2021-04-01$174.13$126.91RVU21B
2021-01-01$174.13$126.91RVU21A
2020-10-01$177.96$131.83RVU20D
2020-07-01$177.96$131.83RVU20C
2020-04-01$177.96$131.83RVU20B
2020-01-01$177.96$131.83RVU20A
2019-10-01$179.95$134.11RVU19D
2019-07-01$179.95$134.11RVU19C
2019-04-01$179.95$134.11RVU19B
2019-01-01$179.95$134.11RVU19A
2018-10-01$180.49$134.71RVU18D
2018-07-01$180.49$134.71RVU18C
2018-04-01$180.49$134.71RVU18B
2018-01-01$180.49$134.71RVU18AR1
2017-10-01$179.66$134.41RVU17D
2017-07-01$179.66$134.41RVU17C
2017-04-01$179.66$134.41RVU17B
2017-01-01$179.66$134.41RVU17A
2016-10-01$178.19$132.79RVU16D
2016-07-01$178.19$132.79RVU16C
2016-04-01$178.19$132.79RVU16B
2016-01-01$178.19$132.79RVU16A
2015-10-01$178.24$132.68RVU15D
2015-07-01$178.24$132.68RVU15C
2015-04-01$177.36$132.02RVU15B
2015-01-01$177.36$132.02RVU15A
2014-10-01$175.06$131.18RVU14D
2014-07-01$175.06$131.18RVU14C
2014-04-01$175.06$131.18RVU14B
2014-01-01$175.06$131.18RVU14A
2013-10-01$175.37$127.84RVU13D
2013-07-01$175.37$127.84RVU13C
2013-04-01$175.37$127.84RVU13B
2013-01-01$175.37$127.84RVU13AR

Price 13133 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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