Billing code 13100: Complex repairMedicare rate & RVUs
Report this code for a complex repair of a trunk wound measuring 1.1–2.5 cm, when closure requires work beyond routine layered repair.
Medicare pays $338.02 for 13100 nationally in the office and $171.35 in a hospital or facility. Local office rates run $300.02–$444.04.
Medicare rate · 13100
Complex repair
- Work RVUs
- 2.93
- Total RVUs
- 10.12
- Global days
- 010
National rate · 2026
$338.02
Office setting, before claim adjustments.
See every locality for 13100 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 13100 covers
This service closes a short wound on the torso, such as the chest, abdomen, or back, when the repair requires more than routine layered closure. A physician or other qualified practitioner may perform it in an office, emergency department, or outpatient surgical setting after trauma, lesion removal, or another procedure. Complex work may include extensive undermining, debridement, scar revision, or retention sutures.
Select the code by the wound’s anatomic region, complexity, and repaired length; document the site, final length, and work supporting complex repair. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others are reduced. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this trunk repair.
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.
Where 13100 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$300.02 to $444.04
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $304.28 | $158.45 |
| Alaska* | $396.38 | $218.87 |
| Arizona | $329.21 | $167.71 |
| Arkansas | $300.02 | $156.85 |
| Atlanta | $344.38 | $175.04 |
| Austin | $350.07 | $173.74 |
| Bakersfield | $357.08 | $174.40 |
| Baltimore/Surr. Cntys | $359.09 | $180.25 |
| Beaumont | $316.63 | $164.96 |
| Brazoria | $334.10 | $168.93 |
| Chicago | $355.41 | $187.91 |
| Chico | $356.00 | $173.33 |
| Colorado | $351.16 | $173.82 |
| Connecticut | $360.07 | $180.56 |
| Dallas | $336.28 | $170.27 |
| Dc + Md/Va Suburbs | $385.27 | $188.93 |
| Delaware | $334.55 | $169.88 |
| Detroit | $338.28 | $177.44 |
| East St. Louis | $331.96 | $178.62 |
| El Centro | $356.06 | $173.39 |
| Fort Lauderdale | $350.70 | $181.86 |
| Fort Worth | $334.15 | $169.82 |
| Fresno | $356.00 | $173.33 |
| Galveston | $335.13 | $169.63 |
| Hanford-Corcoran | $356.00 | $173.33 |
| Hawaii, Guam | $364.21 | $174.70 |
| Houston | $341.72 | $176.22 |
| Idaho | $313.43 | $160.09 |
| Indiana | $315.18 | $160.68 |
| Iowa | $311.38 | $158.87 |
| Kansas | $310.15 | $159.48 |
| Kentucky | $311.67 | $163.50 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $379.74 | $182.57 |
| Madera | $356.00 | $173.33 |
| Manhattan | $388.28 | $194.61 |
| Merced | $356.00 | $173.33 |
| Metropolitan Boston | $384.96 | $185.96 |
| Metropolitan Kansas City | $323.82 | $167.32 |
| Metropolitan Philadelphia | $351.45 | $177.95 |
| Metropolitan St. Louis | $327.09 | $168.42 |
| Miami | $365.76 | $192.25 |
| Minnesota | $336.17 | $164.66 |
| Mississippi | $303.17 | $159.67 |
| Modesto | $356.00 | $173.33 |
| Montana** | $337.99 | $171.32 |
| Napa | $410.81 | $191.14 |
| Nebraska | $312.97 | $159.14 |
| Nevada** | $336.24 | $169.40 |
| New Hampshire | $345.87 | $172.36 |
| New Mexico | $321.50 | $168.66 |
| New Orleans | $326.19 | $169.36 |
| North Carolina | $318.39 | $162.89 |
| North Dakota** | $330.87 | $164.20 |
| Northern Nj | $381.50 | $188.16 |
| Nyc Suburbs/Long Island | $397.70 | $199.53 |
| Ohio | $318.27 | $166.10 |
| Oklahoma | $310.93 | $162.09 |
| Oxnard-Thousand Oaks-Ventura | $377.74 | $180.74 |
| Portland | $361.83 | $176.66 |
| Poughkpsie/N Nyc Suburbs | $366.62 | $184.11 |
| Puerto Rico | $340.35 | $171.84 |
| Queens | $391.11 | $194.11 |
| Redding | $356.00 | $173.33 |
| Rest Of California | $356.00 | $173.33 |
| Rest Of Florida | $334.03 | $174.69 |
| Rest Of Georgia | $315.69 | $167.02 |
| Rest Of Illinois | $324.94 | $172.77 |
| Rest Of Louisiana | $311.28 | $163.77 |
| Rest Of Maine | $315.22 | $161.88 |
| Rest Of Maryland | $340.75 | $172.08 |
| Rest Of Massachusetts | $349.23 | $173.73 |
| Rest Of Michigan | $319.72 | $167.55 |
| Rest Of Missouri | $306.22 | $162.55 |
| Rest Of New Jersey | $364.09 | $182.08 |
| Rest Of New York | $323.04 | $164.70 |
| Rest Of Oregon | $333.53 | $167.53 |
| Rest Of Pennsylvania | $318.65 | $165.65 |
| Rest Of Texas | $325.22 | $167.05 |
| Rest Of Washington | $348.51 | $173.00 |
| Rhode Island | $346.11 | $173.94 |
| Riverside-San Bernardino-Ontario | $359.91 | $177.24 |
| Sacramento-Roseville-Folsom | $373.15 | $179.31 |
| Salinas | $371.74 | $178.57 |
| San Diego-Chula Vista-Carlsbad | $380.16 | $180.82 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $434.34 | $199.34 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $433.93 | $198.93 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $444.04 | $203.70 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $442.36 | $202.03 |
| San Luis Obispo-Paso Robles | $365.81 | $175.97 |
| Santa Cruz-Watsonville | $383.54 | $181.04 |
| Santa Maria-Santa Barbara | $373.05 | $178.71 |
| Santa Rosa-Petaluma | $387.39 | $182.72 |
| Seattle (King Cnty) | $392.49 | $187.99 |
| South Carolina | $318.88 | $164.87 |
| South Dakota** | $330.03 | $163.36 |
| Southern Maine | $331.53 | $166.36 |
| Stockton | $356.00 | $173.33 |
| Suburban Chicago | $354.14 | $182.97 |
| Tennessee | $311.69 | $160.19 |
| Utah | $323.10 | $166.43 |
| Vallejo | $410.22 | $190.55 |
| Vermont | $329.80 | $164.79 |
| Virgin Islands | $340.35 | $171.84 |
| Virginia | $330.60 | $166.77 |
| Visalia | $356.00 | $173.33 |
| West Virginia | $313.31 | $168.48 |
| Wisconsin | $320.11 | $160.44 |
| Wyoming** | $334.89 | $168.22 |
| Yuba City | $356.00 | $173.33 |
13100 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$300.02
$400.02
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $396.38 | 1 |
| AL | $304.28 | 1 |
| AR | $300.02 | 1 |
| AZ | $329.21 | 1 |
| CA | $356.00–$444.04 | 29 |
| CO | $351.16 | 1 |
| CT | $360.07 | 1 |
| DC | $385.27 | 1 |
| DE | $334.55 | 1 |
| FL | $334.03–$365.76 | 3 |
| GA | $315.69–$344.38 | 2 |
| GU | $364.21 | 1 |
| HI | $364.21 | 1 |
| IA | $311.38 | 1 |
| ID | $313.43 | 1 |
| IL | $324.94–$355.41 | 4 |
| IN | $315.18 | 1 |
| KS | $310.15 | 1 |
| KY | $311.67 | 1 |
| LA | $311.28–$326.19 | 2 |
| MA | $349.23–$384.96 | 2 |
| MD | $340.75–$385.27 | 3 |
| ME | $315.22–$331.53 | 2 |
| MI | $319.72–$338.28 | 2 |
| MN | $336.17 | 1 |
| MO | $306.22–$327.09 | 3 |
| MS | $303.17 | 1 |
| MT | $337.99 | 1 |
| NC | $318.39 | 1 |
| ND | $330.87 | 1 |
| NE | $312.97 | 1 |
| NH | $345.87 | 1 |
| NJ | $364.09–$381.50 | 2 |
| NM | $321.50 | 1 |
| NV | $336.24 | 1 |
| NY | $323.04–$397.70 | 5 |
| OH | $318.27 | 1 |
| OK | $310.93 | 1 |
| OR | $333.53–$361.83 | 2 |
| PA | $318.65–$351.45 | 2 |
| PR | $340.35 | 1 |
| RI | $346.11 | 1 |
| SC | $318.88 | 1 |
| SD | $330.03 | 1 |
| TN | $311.69 | 1 |
| TX | $316.63–$350.07 | 8 |
| UT | $323.10 | 1 |
| VA | $330.60–$385.27 | 2 |
| VI | $340.35 | 1 |
| VT | $329.80 | 1 |
| WA | $348.51–$392.49 | 2 |
| WI | $320.11 | 1 |
| WV | $313.31 | 1 |
| WY | $334.89 | 1 |
How the 13100 rate is calculated
Each of 13100’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 · 13100
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense6.83
6.83 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
10.1200
Conversion factor
$33.4009
Medicare rate
$338.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 13100
13100 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 13100
Complex repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 13100
Complex repair
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
13100 without 51 · national office
$338.02
Complex repair
13100-51 · Second procedure: 50%
$169.01
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%).
13100 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 13101Complex repair
- Both codes describe complex trunk repair; 13101 applies to a longer initial repair length than this code.
- 13102Complex repair
- 13102 reports additional repair length as an add-on after an eligible primary code; it does not represent the initial repair.
- 13120Complex repair
- 13120 covers complex repair in a different anatomic grouping, such as scalp, axilla, or extremities. Choose by wound site, not by length alone.
- 12031Wound repair
- 12031 is for intermediate trunk repair of a different length range. This code requires complex repair work beyond routine layered closure.
13100 billing questions
How is this code distinguished from an intermediate repair?
Use this code when the trunk wound requires work beyond routine layered closure, not merely layered suturing. An intermediate repair code applies when layered closure is appropriate but the additional complexity criteria are not met.
What length qualifies for this code?
The repaired trunk wound must measure 1.1–2.5 cm. Document the final repair length and the anatomic site.
Can the repair be reported with a lesion excision?
A qualifying complex repair may be reported with an excision when the repair is separately reportable; routine closure is included in the excision. Document the complexity that supports separate reporting.
When is code 13102 reported?
Code 13102 is an add-on for additional repair length after an eligible primary complex repair code. It is not reported by itself.
Should modifier 50 be used for trunk wounds on both sides?
No. Medicare identifies bilateral adjustment as inappropriate for this code. Do not use modifier 50 to represent bilateral trunk repair.
Are postoperative visits separately paid during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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
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