FeeBase
Log inGet started
Menu

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

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 Ohio, Medicare pays $534.73 for 21013 in the office and $357.86 when it’s performed in a hospital or facility.

$534.73Office (non-facility)
$357.86Hospital or facility
−5.4%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 Ohio
  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 Ohio 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. Ohio pays $534.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

21013 in Ohio vs other payment areas
  1. Ohio · this page$534.73
  2. Los Angeles, CA · California$626.93+$92.20
  3. Washington, DC area · District of Columbia$642.14+$107.41
  4. Miami, FL · Florida$630.14+$95.41
  5. Chicago, IL · Illinois$610.88+$76.15
  6. Manhattan, NY · New York$653.68+$118.95
  7. Alaska · Alaska$662.12+$127.39

Other areas in Ohio 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
ArkansasArkansas$499.35$332.94
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

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 21013 in Ohio
ComponentRVULocality factorAdjusted
Physician work5.28× 1.0005.2800
Practice expense10.67× 0.9139.7417
Malpractice0.98× 1.0080.9878
Total RVUs16.0095
Conversion factor× 33.4009

Office rate, Ohio$534.73

Office: (5.28 × 1 + 10.67 × 0.913 + 0.98 × 1.008) × $33.4009 = $534.73

Facility: (5.28 × 1 + 4.87 × 0.913 + 0.98 × 1.008) × $33.4009 = $357.86

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, Ohio
Same family
21011Facial tumor excision, subcutaneous, under 2 cmFacial or scalp soft-tissue tumor in the subcutaneous plane, under 2 cm.$370.92
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 Ohio

21013 · Office / nonfacility

$534.73

Effective 2026-10-01

The base rate is $41.54 higher than on 2025-10-01, moving from $493.19 to $534.73 (8.4%).

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

    $493.19changed to$534.73

    • 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 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $510.01changed to$493.19

    • 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

    $501.68changed to$510.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $520.50changed to$501.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $528.49changed to$520.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 9.64 changed to 9.78
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $528.60changed to$528.49

    • 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

    $522.25changed to$528.60

    • 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 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $515.93changed to$522.25

    • 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 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $509.10changed to$515.93

    • 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

    $506.97changed to$509.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.45 changed to 8.47
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $505.60changed to$506.97

    • 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
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $507.01changed to$505.60

    • 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

    $504.49changed to$507.01

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $501.46changed to$504.49

    • 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 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $514.52changed to$501.46

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $514.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$534.73$357.86RVU26D
2026-07-01$534.73$357.86RVU26C
2026-04-01$534.73$357.86RVU26B
2026-01-01$534.73$357.86RVU26A
2025-10-01$493.19$379.74RVU25D
2025-07-01$493.19$379.74RVU25C
2025-04-01$493.19$379.74RVU25B
2025-01-01$493.19$379.74RVU25A
2024-10-01$510.01$389.01RVU24D
2024-07-01$510.01$389.01RVU24C
2024-04-01$510.01$389.01RVU24B
2024-03-09$510.01$389.01RVU24AR
2024-01-01$501.68$382.66RVU24A
2023-10-01$520.50$394.72RVU23D
2023-07-01$520.50$394.72RVU23C
2023-04-01$520.50$394.72RVU23B
2023-01-01$520.50$394.72RVU23A
2022-10-01$528.49$398.00RVU22D
2022-07-01$528.49$398.00RVU22C
2022-04-01$528.49$398.00RVU22B
2022-01-01$528.49$398.00RVU22A
2021-10-01$528.60$397.35RVU21D
2021-07-01$528.60$397.35RVU21C
2021-04-01$528.60$397.35RVU21B
2021-01-01$528.60$397.35RVU21A
2020-10-01$522.25$402.05RVU20D
2020-07-01$522.25$402.05RVU20C
2020-04-01$522.25$402.05RVU20B
2020-01-01$522.25$402.05RVU20A
2019-10-01$515.93$400.93RVU19D
2019-07-01$515.93$400.93RVU19C
2019-04-01$515.93$400.93RVU19B
2019-01-01$515.93$400.93RVU19A
2018-10-01$509.10$399.83RVU18D
2018-07-01$509.10$399.83RVU18C
2018-04-01$509.10$399.83RVU18B
2018-01-01$509.10$399.83RVU18AR1
2017-10-01$506.97$398.91RVU17D
2017-07-01$506.97$398.91RVU17C
2017-04-01$506.97$398.91RVU17B
2017-01-01$506.97$398.91RVU17A
2016-10-01$505.60$397.79RVU16D
2016-07-01$505.60$397.79RVU16C
2016-04-01$505.60$397.79RVU16B
2016-01-01$505.60$397.79RVU16A
2015-10-01$507.01$398.16RVU15D
2015-07-01$507.01$398.16RVU15C
2015-04-01$504.49$396.18RVU15B
2015-01-01$504.49$396.18RVU15A
2014-10-01$501.46$394.66RVU14D
2014-07-01$501.46$394.66RVU14C
2014-04-01$501.46$394.66RVU14B
2014-01-01$501.46$394.66RVU14A
2013-10-01$514.52$397.83RVU13D
2013-07-01$514.52$397.83RVU13C
2013-04-01$514.52$397.83RVU13B
2013-01-01$514.52$397.83RVU13AR

Price 21013 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 21013 pays in Ohio?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 21013 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist