CPT code 13132: Complex wound repair2026 Medicare rate & RVUs
Reports complex wound closure measuring 2.6–7.5 cm on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.
Medicare pays $462.27 for 13132 nationally in the office and $251.17 in a hospital or facility. Local office rates run $413.18–$599.48.
Medicare rate · 13132
Complex wound repair
- Work RVUs
- 4.66
- Total RVUs
- 13.84
- Global days
- 010
National rate · 2026
$462.27
Office setting, before claim adjustments.
See every locality for 13132 →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.
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On this page 10 sections
What 13132 covers
This code covers complex closure of a wound measuring 2.6–7.5 cm at the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. A complex repair involves work beyond routine layered closure, such as substantial wound preparation or extensive undermining. Dermatologic, plastic, and other surgeons may perform it after trauma or surgical excision in an office, emergency department, or operating room.
Select the code by the repair’s anatomical group, complexity, and final repaired length, not simply the skin incision length. Document the site, measured length, and additional work supporting complex repair. For multiple wounds in the same classification, add their lengths when selecting the code. Related postoperative visits are included in the 10-day global period. 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. Modifier 50 is inappropriate for this code. 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.
Where 13132 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
$413.18 to $599.48
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $418.68 | $233.97 |
| Alaska | $551.27 | $326.45 |
| Arizona | $450.84 | $246.29 |
| Arkansas | $413.18 | $231.85 |
| Atlanta, GA | $470.79 | $256.32 |
| Austin, TX | $477.43 | $254.10 |
| Bakersfield, CA | $486.37 | $255.01 |
| Baltimore area, MD | $489.94 | $263.43 |
| Beaumont, TX | $435.00 | $242.90 |
| Brazoria, TX | $457.16 | $247.97 |
| Chicago, IL | $486.87 | $274.72 |
| Chico, CA | $484.81 | $253.45 |
| Colorado | $478.94 | $254.34 |
| Connecticut | $491.26 | $263.91 |
| Dallas, TX | $460.09 | $249.84 |
| Delaware | $457.85 | $249.29 |
| Detroit, MI | $463.82 | $260.11 |
| East St. Louis, IL | $456.37 | $262.17 |
| El Centro, CA | $484.90 | $253.54 |
| Fort Lauderdale, FL | $479.80 | $265.96 |
| Fort Worth, TX | $457.42 | $249.28 |
| Fresno, CA | $484.81 | $253.45 |
| Galveston, TX | $458.56 | $248.94 |
| Hanford, CA | $484.81 | $253.45 |
| Hawaii, Guam, HI | $494.77 | $254.76 |
| Houston, TX | $467.89 | $258.28 |
| Idaho | $430.12 | $235.92 |
| Indiana | $432.37 | $236.69 |
| Iowa | $427.38 | $234.23 |
| Kansas | $426.02 | $235.19 |
| Kentucky | $428.68 | $241.01 |
| King County, WA | $532.67 | $273.66 |
| Los Angeles, CA | $515.92 | $266.20 |
| Madera, CA | $484.81 | $253.45 |
| Manhattan, NY | $529.13 | $283.83 |
| Marin County, CA | $586.57 | $288.93 |
| Merced, CA | $484.81 | $253.45 |
| Metropolitan Boston, MA | $522.96 | $270.91 |
| Metropolitan Kansas City, MO | $444.21 | $245.99 |
| Metropolitan Philadelphia, PA | $480.23 | $260.48 |
| Metropolitan St. Louis, MO | $448.40 | $247.44 |
| Miami, FL | $500.19 | $280.44 |
| Minnesota | $458.67 | $241.46 |
| Mississippi | $417.57 | $235.82 |
| Modesto, CA | $484.81 | $253.45 |
| Montana | $462.23 | $251.14 |
| Napa, CA | $555.78 | $277.56 |
| Nebraska | $429.37 | $234.54 |
| Nevada | $459.71 | $248.41 |
| New Hampshire | $472.01 | $252.26 |
| New Mexico | $441.66 | $248.08 |
| New Orleans, LA | $447.50 | $248.86 |
| North Carolina | $436.72 | $239.77 |
| North Dakota | $452.15 | $241.06 |
| Northern New Jersey | $519.57 | $274.70 |
| NYC suburbs and Long Island, NY | $541.56 | $290.57 |
| Ohio | $437.21 | $244.48 |
| Oklahoma | $427.48 | $238.98 |
| Oxnard, CA | $512.91 | $263.40 |
| Portland, OR | $492.54 | $258.02 |
| Poughkeepsie and northern NYC suburbs, NY | $500.36 | $269.21 |
| Puerto Rico | $465.20 | $251.78 |
| Queens, NY | $532.46 | $282.95 |
| Redding, CA | $484.81 | $253.45 |
| Rest of California | $484.81 | $253.45 |
| Rest of Florida | $458.10 | $256.29 |
| Rest of Georgia | $434.26 | $245.97 |
| Rest of Illinois | $446.66 | $253.94 |
| Rest of Louisiana | $428.25 | $241.43 |
| Rest of Maine | $432.66 | $238.46 |
| Rest of Maryland | $465.90 | $252.28 |
| Rest of Massachusetts | $476.65 | $254.37 |
| Rest of Michigan | $439.27 | $246.54 |
| Rest of Missouri | $421.86 | $239.90 |
| Rest of New Jersey | $496.79 | $266.27 |
| Rest of New York | $442.73 | $242.19 |
| Rest of Oregon | $456.05 | $245.80 |
| Rest of Pennsylvania | $437.59 | $243.80 |
| Rest of Texas | $445.85 | $245.52 |
| Rest of Washington | $475.57 | $253.29 |
| Rhode Island | $472.94 | $254.88 |
| Riverside, CA | $490.37 | $259.01 |
| Sacramento, CA | $507.17 | $261.67 |
| Salinas, CA | $505.23 | $260.58 |
| San Benito County, CA | $599.48 | $295.09 |
| San Diego, CA | $515.89 | $263.43 |
| San Francisco, CA | $585.99 | $288.35 |
| San Luis Obispo, CA | $497.26 | $256.83 |
| Santa Clara County, CA | $597.11 | $292.72 |
| Santa Cruz, CA | $519.89 | $263.42 |
| Santa Maria, CA | $506.79 | $260.66 |
| Santa Rosa, CA | $525.06 | $265.84 |
| South Carolina | $437.70 | $242.65 |
| South Dakota | $450.96 | $239.86 |
| Southern Maine, ME | $453.38 | $244.18 |
| Stockton, CA | $484.81 | $253.45 |
| Suburban Chicago, IL | $484.33 | $267.53 |
| Tennessee | $428.03 | $236.15 |
| Utah | $443.16 | $244.73 |
| Vallejo, CA | $554.95 | $276.73 |
| Vermont | $450.96 | $241.97 |
| Virgin Islands, VI | $465.20 | $251.78 |
| Virginia | $452.34 | $244.83 |
| Visalia, CA | $484.81 | $253.45 |
| Washington, DC area | $524.14 | $275.48 |
| West Virginia | $431.67 | $248.23 |
| Wisconsin | $438.32 | $236.09 |
| Wyoming | $457.84 | $246.75 |
| Yuba City, CA | $484.81 | $253.45 |
13132 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.
$413.18
$551.27
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 | $551.27 | 1 |
| AL | $418.68 | 1 |
| AR | $413.18 | 1 |
| AZ | $450.84 | 1 |
| CA | $484.81–$599.48 | 29 |
| CO | $478.94 | 1 |
| CT | $491.26 | 1 |
| DC | $524.14 | 1 |
| DE | $457.85 | 1 |
| FL | $458.10–$500.19 | 3 |
| GA | $434.26–$470.79 | 2 |
| GU | $494.77 | 1 |
| HI | $494.77 | 1 |
| IA | $427.38 | 1 |
| ID | $430.12 | 1 |
| IL | $446.66–$486.87 | 4 |
| IN | $432.37 | 1 |
| KS | $426.02 | 1 |
| KY | $428.68 | 1 |
| LA | $428.25–$447.50 | 2 |
| MA | $476.65–$522.96 | 2 |
| MD | $465.90–$524.14 | 3 |
| ME | $432.66–$453.38 | 2 |
| MI | $439.27–$463.82 | 2 |
| MN | $458.67 | 1 |
| MO | $421.86–$448.40 | 3 |
| MS | $417.57 | 1 |
| MT | $462.23 | 1 |
| NC | $436.72 | 1 |
| ND | $452.15 | 1 |
| NE | $429.37 | 1 |
| NH | $472.01 | 1 |
| NJ | $496.79–$519.57 | 2 |
| NM | $441.66 | 1 |
| NV | $459.71 | 1 |
| NY | $442.73–$541.56 | 5 |
| OH | $437.21 | 1 |
| OK | $427.48 | 1 |
| OR | $456.05–$492.54 | 2 |
| PA | $437.59–$480.23 | 2 |
| PR | $465.20 | 1 |
| RI | $472.94 | 1 |
| SC | $437.70 | 1 |
| SD | $450.96 | 1 |
| TN | $428.03 | 1 |
| TX | $435.00–$477.43 | 8 |
| UT | $443.16 | 1 |
| VA | $452.34–$524.14 | 2 |
| VI | $465.20 | 1 |
| VT | $450.96 | 1 |
| WA | $475.57–$532.67 | 2 |
| WI | $438.32 | 1 |
| WV | $431.67 | 1 |
| WY | $457.84 | 1 |
How the 13132 rate is calculated
Each of 13132’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 · 13132
RVUs × geographic indexes × conversion factor
Work4.66
4.66 RVUs× 1.000 GPCI
Practice expense8.67
8.67 RVUs× 1.000 GPCI
Malpractice0.51
0.51 RVUs× 1.000 GPCI
Adjusted RVUs
13.8400
Conversion factor
$33.4009
Medicare rate
$462.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 13132
13132 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 13132
Complex wound 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 · 13132
Complex wound 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
13132 without 51 · national office
$462.27
Complex wound repair
13132-51 · Second procedure: 50%
$231.14
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%).
13132 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 13131Complex repair
- Use 13131 for a complex repair at the same specified sites when the length is 1.1–2.5 cm; 13132 begins at 2.6 cm.
- 13133Complex repair
- 13133 reports additional complex repair length beyond the primary code’s range and is used as an add-on, not as the initial repair code.
- 13151Complex repair
- 13151 applies to complex repairs of the eyelids, nose, ears, or lips. Use 13132 for its specified group, including the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.
13132 billing questions
When should 13132 be chosen over 13131?
Use 13132 for a complex repair measuring 2.6–7.5 cm at one of its specified sites. Code 13131 covers the same site group when the repair measures 1.1–2.5 cm.
When is 13133 reported with 13132?
13133 is the add-on code for each additional 5 cm or less of complex repair beyond the initial length covered by the primary code. Report it with the applicable primary repair code, not by itself.
What documentation supports complex repair?
Record the anatomical site, final repaired length, and the work that made closure complex rather than routine layered closure, such as extensive undermining or substantial wound preparation.
Can modifier 50 be used for repairs on both sides?
No. The CMS bilateral adjustment does not apply to 13132, and modifier 50 is inappropriate for this code.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the repair. A separate service requires its own basis for reporting.
How does Medicare handle other procedures in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%. Medicare does not pay an assistant at surgery for 13132; 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
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