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CPT code 13152: Complex repair, eyelid, nose, ear, or lip2026 Medicare rate & RVUs in South Carolina

Reports complex closure of a qualifying eyelid, nose, ear, or lip wound when the repaired length is 2.6 to 7.5 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality52.1K Medicare services in 2024

In South Carolina, Medicare pays $465.09 for 13152 in the office and $269.11 when it’s performed in a hospital or facility.

$465.09Office (non-facility)
$269.11Hospital or facility
−5.2%vs the national office rate ($490.66)

Check a contract rate as a % of Medicare · 13152 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 13152 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 13152 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 13152 covers

This code covers complex closure of a qualifying wound on an eyelid, nose, ear, or lip, such as a traumatic laceration or a defect after lesion removal. The repair involves more than a routine layered closure, for example because extensive undermining or another complexity is required. Plastic surgeons, facial plastic surgeons, otolaryngologists, and dermatologic surgeons may perform these repairs in office or facility settings.

Select the code by the repair’s anatomic site, complexity, and final repaired length; this level covers 2.6 to 7.5 cm. Document the specific site, length, closure performed, and the features that make the repair complex. The 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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 South Carolina compares for 13152

Across 109 of 109 payment localities, the office rate for 13152 runs from $439.00 in Arkansas to $631.30 in San Benito County, CA. South Carolina pays $465.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

13152 in South Carolina vs other payment areas
  1. South Carolina · this page$465.09
  2. Los Angeles, CA · California$545.16+$80.07
  3. Washington, DC area · District of Columbia$555.09+$90.00
  4. Miami, FL · Florida$533.96+$68.87
  5. Chicago, IL · Illinois$519.74+$54.65
  6. Manhattan, NY · New York$561.73+$96.64
  7. Alaska · Alaska$587.78+$122.69

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

Every other payment area

13152 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$444.78$259.20
ArkansasArkansas$439.00$256.81
ArizonaArizona$478.54$273.02
Bakersfield, CACalifornia$514.44$281.98
Chico, CACalifornia$512.61$280.15
El Centro, CACalifornia$512.71$280.25
Fresno, CACalifornia$512.61$280.15
Hanford, CACalifornia$512.61$280.15

13152 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.

$439.00

$587.78

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

View every state and territory as a table
13152 office rate range by state
State / territoryOffice rate rangeLocalities
AK$587.781
AL$444.781
AR$439.001
AZ$478.541
CA$512.61–$631.3029
CO$507.251
CT$521.231
DC$555.091
DE$485.921
FL$487.87–$533.963
GA$462.57–$500.022
GU$522.671
HI$522.671
IA$453.191
ID$456.221
IL$476.35–$519.744
IN$458.561
KS$452.111
KY$456.041
LA$455.73–$475.952
MA$505.01–$553.032
MD$494.28–$555.093
ME$459.26–$480.472
MI$467.51–$494.272
MN$484.911
MO$449.24–$476.483
MS$444.161
MT$490.621
NC$463.451
ND$478.561
NE$455.171
NH$500.261
NJ$526.85–$550.412
NM$470.161
NV$487.551
NY$469.79–$575.255
OH$465.051
OK$454.421
OR$483.42–$521.112
PA$465.24–$509.872
PR$493.611
RI$501.541
SC$465.091
SD$477.131
TN$454.271
TX$462.55–$505.878
UT$470.811
VA$479.63–$555.092
VI$493.611
VT$477.631
WA$503.75–$562.882
WI$464.121
WV$460.631
WY$485.361

See 13152 in every payment locality

How the 13152 rate is calculated

Each of 13152’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 · 13152

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.21

5.21 RVUs× 1.000 GPCI

Practice expense8.87

8.87 RVUs× 1.000 GPCI

Malpractice0.61

0.61 RVUs× 1.000 GPCI

Adjusted RVUs

14.6900

Conversion factor

$33.4009

Medicare rate

$490.66

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,443

Code
13152
Physician work
5.21
Practice expense
8.87
Malpractice
0.61

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 13152 in South Carolina
ComponentRVULocality factorAdjusted
Physician work5.21× 1.0005.2100
Practice expense8.87× 0.9248.1959
Malpractice0.61× 0.8500.5185
Total RVUs13.9244
Conversion factor× 33.4009

Office rate, South Carolina$465.09

Office: (5.21 × 1 + 8.87 × 0.924 + 0.61 × 0.85) × $33.4009 = $465.09

Facility: (5.21 × 1 + 2.52 × 0.924 + 0.61 × 0.85) × $33.4009 = $269.11

Open 13152 in the RVU calculator

Payment rules and modifiers for 13152

13152 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 13152

Complex repair, eyelid, nose, ear, or lip

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 · 13152

Complex repair, eyelid, nose, ear, or lip

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

13152 without 51 · national office

$490.66

Complex repair, eyelid, nose, ear, or lip

13152-51 · Second procedure: 50%

$245.33

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 13152

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

Codes related to 13152
CodeHow it relatesOffice range, South Carolina
Same family
13151Complex repair, eyelid, nose, ear, or lipSame anatomic group; covers complex repairs measuring 1.1 to 2.5 cm.$396.83
Primary code
13153Complex repair, additional 5 cm or lessAdd-on for each additional 5 cm or less of qualifying repair length.$179.68
Used instead
13132Complex wound repair, 2.6–7.5 cm, specified sitesComplex repair level for specified sites such as the forehead, cheek, chin, mouth, or neck.$437.70
13121Complex repair, scalp, arm, or leg, 2.6–7.5 cmComplex repair level for the scalp, arms, or legs at 2.6 to 7.5 cm.$394.90
13101Complex repair, trunk, 2.6–7.5 cmComplex repair level for the trunk at 2.6 to 7.5 cm.$368.45

How 13152 has changed in South Carolina

13152 · Office / nonfacility

$465.09

Effective 2026-10-01

The base rate is $15.27 higher than on 2025-10-01, moving from $449.82 to $465.09 (3.4%).

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

    $449.82changed to$465.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.34 changed to 5.21
    • Practice expense RVU 8.81 changed to 8.87
    • Malpractice RVU 0.64 changed to 0.61
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $466.19changed to$449.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.90 changed to 8.81
    • Malpractice RVU 0.66 changed to 0.64

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $458.58changed to$466.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $472.38changed to$458.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.93 changed to 8.90
    • Malpractice RVU 0.65 changed to 0.66
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $476.65changed to$472.38

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.87 changed to 8.93
    • Malpractice RVU 0.61 changed to 0.65
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $482.49changed to$476.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.93 changed to 8.87

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $482.05changed to$482.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.44 changed to 8.93
    • Malpractice RVU 0.58 changed to 0.61
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $482.51changed to$482.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.34 changed to 8.44
    • Malpractice RVU 0.80 changed to 0.58
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $480.01changed to$482.51

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.28 changed to 8.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $480.20changed to$480.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.26 changed to 8.28
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $480.60changed to$480.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.22 changed to 8.26
    • Malpractice RVU 0.82 changed to 0.80
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $480.61changed to$480.60

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.23 changed to 8.22
    • Malpractice RVU 0.74 changed to 0.82

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $478.21changed to$480.61

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $470.40changed to$478.21

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.03 changed to 8.23
    • Malpractice RVU 0.77 changed to 0.74
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $449.62changed to$470.40

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 4.90 changed to 5.34
    • Practice expense RVU 8.73 changed to 8.03
    • Malpractice RVU 0.73 changed to 0.77
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $449.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$465.09$269.11RVU26D
2026-07-01$465.09$269.11RVU26C
2026-04-01$465.09$269.11RVU26B
2026-01-01$465.09$269.11RVU26A
2025-10-01$449.82$309.25RVU25D
2025-07-01$449.82$309.25RVU25C
2025-04-01$449.82$309.25RVU25B
2025-01-01$449.82$309.25RVU25A
2024-10-01$466.19$316.66RVU24D
2024-07-01$466.19$316.66RVU24C
2024-04-01$466.19$316.66RVU24B
2024-03-09$466.19$316.66RVU24AR
2024-01-01$458.58$311.49RVU24A
2023-10-01$472.38$319.15RVU23D
2023-07-01$472.38$319.15RVU23C
2023-04-01$472.38$319.15RVU23B
2023-01-01$472.38$319.15RVU23A
2022-10-01$476.65$319.47RVU22D
2022-07-01$476.65$319.47RVU22C
2022-04-01$476.65$319.47RVU22B
2022-01-01$476.65$319.47RVU22A
2021-10-01$482.49$321.80RVU21D
2021-07-01$482.49$321.80RVU21C
2021-04-01$482.49$321.80RVU21B
2021-01-01$482.49$321.80RVU21A
2020-10-01$482.05$330.82RVU20D
2020-07-01$482.05$330.82RVU20C
2020-04-01$482.05$330.82RVU20B
2020-01-01$482.05$330.82RVU20A
2019-10-01$482.51$334.93RVU19D
2019-07-01$482.51$334.93RVU19C
2019-04-01$482.51$334.93RVU19B
2019-01-01$482.51$334.93RVU19A
2018-10-01$480.01$336.21RVU18D
2018-07-01$480.01$336.21RVU18C
2018-04-01$480.01$336.21RVU18B
2018-01-01$480.01$336.21RVU18AR1
2017-10-01$480.20$338.81RVU17D
2017-07-01$480.20$338.81RVU17C
2017-04-01$480.20$338.81RVU17B
2017-01-01$480.20$338.81RVU17A
2016-10-01$480.60$339.21RVU16D
2016-07-01$480.60$339.21RVU16C
2016-04-01$480.60$339.21RVU16B
2016-01-01$480.60$339.21RVU16A
2015-10-01$480.61$338.05RVU15D
2015-07-01$480.61$338.05RVU15C
2015-04-01$478.21$336.37RVU15B
2015-01-01$478.21$336.37RVU15A
2014-10-01$470.40$333.00RVU14D
2014-07-01$470.40$333.00RVU14C
2014-04-01$470.40$333.00RVU14B
2014-01-01$470.40$333.00RVU14A
2013-10-01$449.62$301.17RVU13D
2013-07-01$449.62$301.17RVU13C
2013-04-01$449.62$301.17RVU13B
2013-01-01$449.62$301.17RVU13AR

Price 13152 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

13152 billing questions

How is 13152 distinguished from 13151?

Both cover complex repairs in the eyelid, nose, ear, or lip area. Choose 13152 for a repaired length of 2.6 to 7.5 cm; 13151 covers 1.1 to 2.5 cm.

Can 13153 be reported with 13152?

Yes. 13153 is the add-on code for each additional 5 cm or less of qualifying complex repair length beyond the primary-code range.

What documentation supports reporting a complex repair?

Record the exact anatomic site, final repaired length, closure details, and the specific features that made the work more complex than routine layered closure.

Can modifier 50 be used for repairs on both sides?

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

Are related postoperative visits separately included in payment?

Related postoperative visits during the 10-day global period are included.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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 13152PPRRVU2026_Oct_nonQPP.csv, line 1,443 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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