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CPT code 21013: Tumor excision, deep, under 2 cm2026 Medicare rate & RVUs in Arkansas

Reports removal of a small soft-tissue tumor beneath the fascia of the face or scalp, including deep or intramuscular lesions.

CMS RVU26DEffective Oct 1, 2026One payment locality630 Medicare services in 2024

In Arkansas, Medicare pays $499.35 for 21013 in the office and $332.94 when it’s performed in a hospital or facility.

$499.35Office (non-facility)
$332.94Hospital or facility
−11.7%vs the national office rate ($565.48)

Check a contract rate as a % of Medicare · 21013 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 21013 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 21013 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 21013 covers

This code describes excision of a soft-tissue tumor beneath the fascia in the face or scalp, including a lesion within muscle, when the tumor is smaller than 2 cm. The surgeon removes the deep mass rather than a superficial skin or subcutaneous lesion. Otolaryngologists, plastic surgeons, and oral and maxillofacial surgeons may perform this procedure in an operating room or an appropriately equipped outpatient setting.

Select the code using the tumor’s depth and size, not the skin incision length: the operative report should identify the facial or scalp site, the tissue plane or muscle involved, and the tumor measurement. This major surgery has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; co-surgeon and team-surgery billing 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 Arkansas compares for 21013

Across 109 of 109 payment localities, the office rate for 21013 runs from $499.35 in Arkansas to $727.21 in San Benito County, CA. Arkansas pays $499.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

21013 in Arkansas vs other payment areas
  1. Arkansas · this page$499.35
  2. Los Angeles, CA · California$626.93+$127.58
  3. Washington, DC area · District of Columbia$642.14+$142.79
  4. Miami, FL · Florida$630.14+$130.79
  5. Chicago, IL · Illinois$610.88+$111.53
  6. Manhattan, NY · New York$653.68+$154.33
  7. Alaska · Alaska$662.12+$162.77

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

Every other payment area

21013 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$506.72$337.21
ArizonaArizona$549.72$362.00
Bakersfield, CACalifornia$590.24$377.92
Chico, CACalifornia$587.50$375.18
El Centro, CACalifornia$587.66$375.34
Fresno, CACalifornia$587.50$375.18
Hanford, CACalifornia$587.50$375.18
Madera, CACalifornia$587.50$375.18

21013 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.

$499.35

$662.12

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

View every state and territory as a table
21013 office rate range by state
State / territoryOffice rate rangeLocalities
AK$662.121
AL$506.721
AR$499.351
AZ$549.721
CA$587.50–$727.2129
CO$583.231
CT$603.321
DC$642.141
DE$558.781
FL$566.26–$630.143
GA$533.27–$578.292
GU$600.521
HI$600.521
IA$515.451
ID$519.721
IL$552.90–$610.884
IN$522.641
KS$515.031
KY$523.141
LA$523.12–$548.902
MA$580.54–$638.252
MD$568.83–$642.143
ME$524.59–$550.192
MI$538.69–$575.462
MN$552.771
MO$515.44–$548.443
MS$507.401
MT$565.411
NC$529.781
ND$546.031
NE$517.681
NH$576.001
NJ$608.49–$635.842
NM$542.481
NV$560.371
NY$537.94–$672.175
OH$534.731
OK$520.041
OR$554.33–$599.482
PA$534.45–$589.582
PR$568.911
RI$577.051
SC$533.481
SD$543.741
TN$517.891
TX$531.08–$582.778
UT$540.761
VA$549.80–$642.142
VI$568.911
VT$545.741
WA$578.84–$649.202
WI$527.861
WV$532.901
WY$556.971

See 21013 in every payment locality

How the 21013 rate is calculated

Each of 21013’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 · 21013

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.28

5.28 RVUs× 1.000 GPCI

Practice expense10.67

10.67 RVUs× 1.000 GPCI

Malpractice0.98

0.98 RVUs× 1.000 GPCI

Adjusted RVUs

16.9300

Conversion factor

$33.4009

Medicare rate

$565.48

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,839

Code
21013
Physician work
5.28
Practice expense
10.67
Malpractice
0.98

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 21013 in Arkansas
ComponentRVULocality factorAdjusted
Physician work5.28× 1.0005.2800
Practice expense10.67× 0.8599.1655
Malpractice0.98× 0.5150.5047
Total RVUs14.9502
Conversion factor× 33.4009

Office rate, Arkansas$499.35

Office: (5.28 × 1 + 10.67 × 0.859 + 0.98 × 0.515) × $33.4009 = $499.35

Facility: (5.28 × 1 + 4.87 × 0.859 + 0.98 × 0.515) × $33.4009 = $332.94

Open 21013 in the RVU calculator

Payment rules and modifiers for 21013

21013 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21013

Tumor excision, deep, under 2 cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21013

Tumor excision, deep, under 2 cm

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

21013 without 51 · national office

$565.48

Tumor excision, deep, under 2 cm

21013-51 · Second procedure: 50%

$282.74

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 21013

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

Codes related to 21013
CodeHow it relatesOffice range, Arkansas
Same family
21011Facial tumor excision, subcutaneous, under 2 cmFacial or scalp soft-tissue tumor in the subcutaneous plane, under 2 cm.$347.08
21012Soft-tissue excision, subcutaneous, 2 cm or largerFacial or scalp soft-tissue tumor in the subcutaneous plane, 2 cm or larger.No office rate
21014Tumor excision, deep, 2 cm or largerDeep facial or scalp soft-tissue tumor, 2 cm or larger.No office rate
Used instead
21015Tumor resection, subfascial, under 2 cmFor a radical resection of a small face or scalp soft-tissue tumor.No office rate

How 21013 has changed in Arkansas

21013 · Office / nonfacility

$499.35

Effective 2026-10-01

The base rate is $38.00 higher than on 2025-10-01, moving from $461.35 to $499.35 (8.2%).

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

    $461.35changed to$499.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.42 changed to 5.28
    • Practice expense RVU 9.71 changed to 10.67
    • Malpractice RVU 0.95 changed to 0.98
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $476.95changed to$461.35

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.78 changed to 9.71
    • Malpractice RVU 0.96 changed to 0.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $469.16changed to$476.95

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $482.37changed to$469.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518

  5. January 1, 2023

    RVU23A

    $485.58changed to$482.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.64 changed to 9.78
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $486.03changed to$485.58

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.53 changed to 9.64
    • Malpractice RVU 0.94 changed to 0.96

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $487.20changed to$486.03

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.86 changed to 9.53
    • Malpractice RVU 0.90 changed to 0.94
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $487.20changed to$487.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.66 changed to 8.86
    • Malpractice RVU 0.95 changed to 0.90
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $480.70changed to$487.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.47 changed to 8.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $477.27changed to$480.70

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.45 changed to 8.47
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $474.41changed to$477.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.44 changed to 8.45
    • Malpractice RVU 0.96 changed to 0.95
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $476.17changed to$474.41

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.46 changed to 8.44
    • Malpractice RVU 0.93 changed to 0.96

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $473.80changed to$476.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $466.95changed to$473.80

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.35 changed to 8.46
    • Malpractice RVU 0.78 changed to 0.93
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $472.72changed to$466.95

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.37 changed to 8.35
    • Malpractice RVU 0.82 changed to 0.78
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $472.72

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$499.35$332.94RVU26D
2026-07-01$499.35$332.94RVU26C
2026-04-01$499.35$332.94RVU26B
2026-01-01$499.35$332.94RVU26A
2025-10-01$461.35$354.25RVU25D
2025-07-01$461.35$354.25RVU25C
2025-04-01$461.35$354.25RVU25B
2025-01-01$461.35$354.25RVU25A
2024-10-01$476.95$362.72RVU24D
2024-07-01$476.95$362.72RVU24C
2024-04-01$476.95$362.72RVU24B
2024-03-09$476.95$362.72RVU24AR
2024-01-01$469.16$356.80RVU24A
2023-10-01$482.37$364.73RVU23D
2023-07-01$482.37$364.73RVU23C
2023-04-01$482.37$364.73RVU23B
2023-01-01$482.37$364.73RVU23A
2022-10-01$485.58$364.52RVU22D
2022-07-01$485.58$364.52RVU22C
2022-04-01$485.58$364.52RVU22B
2022-01-01$485.58$364.52RVU22A
2021-10-01$486.03$364.26RVU21D
2021-07-01$486.03$364.26RVU21C
2021-04-01$486.03$364.26RVU21B
2021-01-01$486.03$364.26RVU21A
2020-10-01$487.20$374.35RVU20D
2020-07-01$487.20$374.35RVU20C
2020-04-01$487.20$374.35RVU20B
2020-01-01$487.20$374.35RVU20A
2019-10-01$487.20$377.84RVU19D
2019-07-01$487.20$377.84RVU19C
2019-04-01$487.20$377.84RVU19B
2019-01-01$487.20$377.84RVU19A
2018-10-01$480.70$376.80RVU18D
2018-07-01$480.70$376.80RVU18C
2018-04-01$480.70$376.80RVU18B
2018-01-01$480.70$376.80RVU18AR1
2017-10-01$477.27$374.86RVU17D
2017-07-01$477.27$374.86RVU17C
2017-04-01$477.27$374.86RVU17B
2017-01-01$477.27$374.86RVU17A
2016-10-01$474.41$372.59RVU16D
2016-07-01$474.41$372.59RVU16C
2016-04-01$474.41$372.59RVU16B
2016-01-01$474.41$372.59RVU16A
2015-10-01$476.17$373.36RVU15D
2015-07-01$476.17$373.36RVU15C
2015-04-01$473.80$371.50RVU15B
2015-01-01$473.80$371.50RVU15A
2014-10-01$466.95$366.74RVU14D
2014-07-01$466.95$366.74RVU14C
2014-04-01$466.95$366.74RVU14B
2014-01-01$466.95$366.74RVU14A
2013-10-01$472.72$363.83RVU13D
2013-07-01$472.72$363.83RVU13C
2013-04-01$472.72$363.83RVU13B
2013-01-01$472.72$363.83RVU13AR

Price 21013 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

21013 billing questions

How is this code distinguished from a superficial facial lesion excision?

Use this code for a tumor beneath the fascia, including an intramuscular mass, that is under 2 cm. A lesion limited to the subcutaneous plane belongs to the superficial-lesion code family.

Which size measurement supports code selection?

Document the tumor measurement and its tissue depth in the operative report. The 2 cm threshold concerns the tumor, not the incision.

Does the code include the related postoperative visits?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures paid when performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.

Can an assistant surgeon or co-surgeon be reported?

Assistant-at-surgery services may be paid. CMS does not permit co-surgeon or team-surgery billing for this code.

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 21013PPRRVU2026_Oct_nonQPP.csv, line 1,839 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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