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CMS RVU26D · Effective 2026-10-01

13101 in Chico

Office / nonfacility

$411.46

Base rate per service

Facility setting

$213.78

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound repair

About 13101: Complex trunk wound repair

Report this code for a complex repair of a trunk wound measuring 2.6–7.5 cm when closure requires more than routine layered approximation.

This code covers complex repair of a wound on the trunk, such as the chest, abdomen, or back, when the work goes beyond routine layered closure. A surgeon or other qualified clinician may perform it after trauma or removal of a lesion. Complex work can include extensive undermining, substantial wound-edge preparation, or retention sutures when needed to achieve closure; layered suturing alone does not make a repair complex.

Select the code by the trunk site, documented complexity, and length of the repaired wound. The operative note should describe the wound, the additional work required, and the closure length; report 13102 for qualifying additional length beyond this code’s range. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

CMS billing rules for 13101

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.41 · 29%
  • Practice expense (office) RVU7.88 · 67%
  • Malpractice RVU0.40 · 3%

96.2K

Medicare services in 2024 · #573 by national volume

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.

13101 compared with similar codes

Office rates for Chico, from the same CMS release.

13100

Complex repair

Trunk, 1.1–2.5 cm

$356.00

Both describe complex trunk repair; choose 13100 for 1.1–2.5 cm and 13101 for 2.6–7.5 cm.

13102

Complex repair

Additional trunk length

$124.85

13102 reports qualifying additional trunk repair length beyond the range covered by the primary repair code; it is not the stand-alone code for the initial length.

13121

Complex repair

Scalp, arm, or leg, 2.6–7.5 cm

$439.44

13121 is for complex repair in a different anatomical group, not the trunk, even when the wound length is 2.6–7.5 cm.

12032

Intermediate repair

2.6–7.5 cm, scalp/trunk/extremities

$317.38

12032 describes intermediate repair of a similar-length trunk wound. Use 13101 only when the documented repair meets complex-repair criteria.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 13101 is $412.66—$1.20 higher than the $411.46 rate in Chico. Both use the same code, release and participation basis.

13101 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $411.46

  2. Bakersfield

    $412.66

    $1.20 higher than Chico

  3. El Centro

    $411.53

    $0.07 higher than Chico

  4. Fresno

    $411.46

    The same base rate than Chico

  5. Hanford-Corcoran

    $411.46

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $438.80

    $27.34 higher than Chico

  7. Madera

    $411.46

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 13101 ranges from $346.87 in Arkansas to $513.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Modesto

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Napa

    California · 13101

    Office

    $474.76

    Facility

    $237.04

    $63.30 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 13101

    Office

    $436.51

    Facility

    $223.32

    $25.05 higher than Chico for the office setting.

  • Redding

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 13101

    Office

    $415.81

    Facility

    $218.13

    $4.35 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 13101

    Office

    $431.26

    Facility

    $221.49

    $19.80 higher than Chico for the office setting.

  • Salinas

    California · 13101

    Office

    $429.64

    Facility

    $220.59

    $18.18 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 13101

    Office

    $439.34

    Facility

    $223.63

    $27.88 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 13101

    Office

    $501.96

    Facility

    $247.65

    $90.50 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 13101

    Office

    $501.51

    Facility

    $247.19

    $90.05 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 13101

    Office

    $513.12

    Facility

    $253.03

    $101.66 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 13101

    Office

    $511.26

    Facility

    $251.18

    $99.80 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 13101

    Office

    $422.78

    Facility

    $217.34

    $11.32 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 13101

    Office

    $443.24

    Facility

    $224.09

    $31.78 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 13101

    Office

    $431.14

    Facility

    $220.83

    $19.68 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 13101

    Office

    $447.68

    Facility

    $226.20

    $36.22 higher than Chico for the office setting.

  • Stockton

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 13101

    Office

    $474.10

    Facility

    $236.38

    $62.64 higher than Chico for the office setting.

  • Visalia

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 13101

    Office

    $411.46

    Facility

    $213.78

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 13101

    Office

    $444.97

    Facility

    $232.50

    $33.51 higher than Chico for the office setting.

  • Miami

    Florida · 13101

    Office

    $421.68

    Facility

    $233.92

    $10.22 higher than Chico for the office setting.

  • Chicago

    Illinois · 13101

    Office

    $409.87

    Facility

    $228.60

    $1.59 lower than Chico for the office setting.

  • Manhattan

    New York · 13101

    Office

    $448.21

    Facility

    $238.63

    $36.75 higher than Chico for the office setting.

  • Alaska*

    Alaska · 13101

    Office

    $458.51

    Facility

    $266.43

    $47.05 higher than Chico for the office setting.

  • Alabama

    Alabama · 13101

    Office

    $351.76

    Facility

    $193.94

    $59.70 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 13101

    Office

    $346.87

    Facility

    $191.93

    $64.59 lower than Chico for the office setting.

  • Arizona

    Arizona · 13101

    Office

    $380.37

    Facility

    $205.60

    $31.09 lower than Chico for the office setting.

  • Colorado

    Colorado · 13101

    Office

    $405.74

    Facility

    $213.83

    $5.72 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 13101

    Office

    $415.81

    Facility

    $221.55

    $4.35 higher than Chico for the office setting.

  • Delaware

    Delaware · 13101

    Office

    $386.52

    Facility

    $208.32

    $24.94 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 13101

    Office

    $404.67

    Facility

    $221.96

    $6.79 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 13101

    Office

    $385.60

    Facility

    $213.17

    $25.86 lower than Chico for the office setting.

  • Atlanta

    Georgia · 13101

    Office

    $397.69

    Facility

    $214.44

    $13.77 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 13101

    Office

    $364.60

    Facility

    $203.71

    $46.86 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 13101

    Office

    $420.89

    Facility

    $215.82

    $9.43 higher than Chico for the office setting.

  • Iowa

    Iowa · 13101

    Office

    $360.03

    Facility

    $194.99

    $51.43 lower than Chico for the office setting.

  • Idaho

    Idaho · 13101

    Office

    $362.36

    Facility

    $196.42

    $49.10 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 13101

    Office

    $382.95

    Facility

    $217.01

    $28.51 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 13101

    Office

    $375.08

    Facility

    $210.41

    $36.38 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 13101

    Office

    $408.67

    Facility

    $223.44

    $2.79 lower than Chico for the office setting.

  • Indiana

    Indiana · 13101

    Office

    $364.38

    Facility

    $197.18

    $47.08 lower than Chico for the office setting.

  • Kansas

    Kansas · 13101

    Office

    $358.56

    Facility

    $195.51

    $52.90 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 13101

    Office

    $360.11

    Facility

    $199.76

    $51.35 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 13101

    Office

    $376.74

    Facility

    $207.02

    $34.72 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 13101

    Office

    $359.63

    Facility

    $200.00

    $51.83 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 13101

    Office

    $444.72

    Facility

    $229.36

    $33.26 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 13101

    Office

    $403.52

    Facility

    $213.59

    $7.94 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 13101

    Office

    $414.66

    Facility

    $221.13

    $3.20 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 13101

    Office

    $393.66

    Facility

    $211.13

    $17.80 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 13101

    Office

    $364.35

    Facility

    $198.41

    $47.11 lower than Chico for the office setting.

  • Southern Maine

    Maine · 13101

    Office

    $383.16

    Facility

    $204.42

    $28.30 lower than Chico for the office setting.

  • Detroit

    Michigan · 13101

    Office

    $390.41

    Facility

    $216.36

    $21.05 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 13101

    Office

    $369.28

    Facility

    $204.61

    $42.18 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 13101

    Office

    $388.68

    Facility

    $203.09

    $22.78 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 13101

    Office

    $374.09

    Facility

    $204.73

    $37.37 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 13101

    Office

    $377.85

    Facility

    $206.14

    $33.61 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 13101

    Office

    $353.79

    Facility

    $198.31

    $57.67 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 13101

    Office

    $350.38

    Facility

    $195.09

    $61.08 lower than Chico for the office setting.

  • Montana**

    Montana · 13101

    Office

    $390.43

    Facility

    $210.06

    $21.03 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 13101

    Office

    $368.00

    Facility

    $199.72

    $43.46 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 13101

    Office

    $382.52

    Facility

    $202.16

    $28.94 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 13101

    Office

    $361.88

    Facility

    $195.40

    $49.58 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 13101

    Office

    $399.58

    Facility

    $211.82

    $11.88 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 13101

    Office

    $440.65

    Facility

    $231.43

    $29.19 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 13101

    Office

    $420.52

    Facility

    $223.56

    $9.06 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 13101

    Office

    $371.30

    Facility

    $205.90

    $40.16 lower than Chico for the office setting.

  • Nevada**

    Nevada · 13101

    Office

    $388.49

    Facility

    $207.94

    $22.97 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 13101

    Office

    $458.94

    Facility

    $244.49

    $47.48 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 13101

    Office

    $423.39

    Facility

    $225.89

    $11.93 higher than Chico for the office setting.

  • Queens

    New York · 13101

    Office

    $451.55

    Facility

    $238.36

    $40.09 higher than Chico for the office setting.

  • Rest Of New York

    New York · 13101

    Office

    $373.33

    Facility

    $201.98

    $38.13 lower than Chico for the office setting.

  • Ohio

    Ohio · 13101

    Office

    $367.67

    Facility

    $202.99

    $43.79 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 13101

    Office

    $359.31

    Facility

    $198.25

    $52.15 lower than Chico for the office setting.

  • Portland

    Oregon · 13101

    Office

    $418.07

    Facility

    $217.69

    $6.61 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 13101

    Office

    $385.44

    Facility

    $205.79

    $26.02 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 13101

    Office

    $405.88

    Facility

    $218.12

    $5.58 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 13101

    Office

    $368.14

    Facility

    $202.56

    $43.32 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 13101

    Office

    $393.15

    Facility

    $210.80

    $18.31 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 13101

    Office

    $399.86

    Facility

    $213.55

    $11.60 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 13101

    Office

    $368.45

    Facility

    $201.79

    $43.01 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 13101

    Office

    $381.59

    Facility

    $201.22

    $29.87 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 13101

    Office

    $360.32

    Facility

    $196.37

    $51.14 lower than Chico for the office setting.

  • Austin

    Texas · 13101

    Office

    $404.43

    Facility

    $213.60

    $7.03 lower than Chico for the office setting.

  • Beaumont

    Texas · 13101

    Office

    $365.82

    Facility

    $201.69

    $45.64 lower than Chico for the office setting.

  • Brazoria

    Texas · 13101

    Office

    $386.06

    Facility

    $207.32

    $25.40 lower than Chico for the office setting.

  • Dallas

    Texas · 13101

    Office

    $388.53

    Facility

    $208.89

    $22.93 lower than Chico for the office setting.

  • Fort Worth

    Texas · 13101

    Office

    $386.07

    Facility

    $208.23

    $25.39 lower than Chico for the office setting.

  • Galveston

    Texas · 13101

    Office

    $387.23

    Facility

    $208.13

    $24.23 lower than Chico for the office setting.

  • Houston

    Texas · 13101

    Office

    $394.55

    Facility

    $215.45

    $16.91 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 13101

    Office

    $375.74

    Facility

    $204.57

    $35.72 lower than Chico for the office setting.

  • Utah

    Utah · 13101

    Office

    $373.30

    Facility

    $203.76

    $38.16 lower than Chico for the office setting.

  • Virginia

    Virginia · 13101

    Office

    $382.05

    Facility

    $204.76

    $29.41 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 13101

    Office

    $393.15

    Facility

    $210.80

    $18.31 lower than Chico for the office setting.

  • Vermont

    Vermont · 13101

    Office

    $381.22

    Facility

    $202.66

    $30.24 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 13101

    Office

    $402.69

    Facility

    $212.77

    $8.77 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 13101

    Office

    $453.45

    Facility

    $232.14

    $41.99 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 13101

    Office

    $370.16

    Facility

    $197.37

    $41.30 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 13101

    Office

    $361.74

    Facility

    $205.00

    $49.72 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 13101

    Office

    $386.98

    Facility

    $206.62

    $24.48 lower than Chico for the office setting.

See how rates vary across the country

13101 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$346.87

$462.29

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$458.511
AL$351.761
AR$346.871
AZ$380.371
CA$411.46–$513.1229
CO$405.741
CT$415.811
DC$444.971
DE$386.521
FL$385.60–$421.683
GA$364.60–$397.692
GU$420.891
HI$420.891
IA$360.031
ID$362.361
IL$375.08–$409.874
IN$364.381
KS$358.561
KY$360.111
LA$359.63–$376.742
MA$403.52–$444.722
MD$393.66–$444.973
ME$364.35–$383.162
MI$369.28–$390.412
MN$388.681
MO$353.79–$377.853
MS$350.381
MT$390.431
NC$368.001
ND$382.521
NE$361.881
NH$399.581
NJ$420.52–$440.652
NM$371.301
NV$388.491
NY$373.33–$458.945
OH$367.671
OK$359.311
OR$385.44–$418.072
PA$368.14–$405.882
PR$393.151
RI$399.861
SC$368.451
SD$381.591
TN$360.321
TX$365.82–$404.438
UT$373.301
VA$382.05–$444.972
VI$393.151
VT$381.221
WA$402.69–$453.452
WI$370.161
WV$361.741
WY$386.981

Explore 13101 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 13101 in Chico, the physician’s office rate is $411.46 and the facility-setting rate is $213.78: a difference of $197.68.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 13101 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$452.61

$411.46 × 110% = $452.61

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 13101 in Chico.

PPRRVU2026_Oct_nonQPP.csv

1,434

Code
13101
Physician work
3.41
Practice expense
7.88
Malpractice
0.40

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 13101 in Chico
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0173.4680
Practice expense7.88× 1.0968.6365
Malpractice0.40× 0.5360.2144
Total RVUs12.3188
Conversion factor× 33.4009

Office / nonfacility rate, Chico$411.46

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 13101 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense7.881.096
Malpractice0.40.536

(3.41 × 1.017 + 7.88 × 1.096 + 0.4 × 0.536) × $33.4009 = $411.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.411.017
Practice expense2.481.096
Malpractice0.40.536

(3.41 × 1.017 + 2.48 × 1.096 + 0.4 × 0.536) × $33.4009 = $213.78

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

13101 · Office / nonfacility

$411.46

Effective 2026-10-01

The base rate is $10.99 higher than on 2025-10-01, moving from $400.47 to $411.46 (2.7%).

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

    $400.47changed to$411.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 7.86 changed to 7.88
    • Malpractice RVU 0.43 changed to 0.40
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $400.47

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$411.46$213.78RVU26D
2026-07-01$411.46$213.78RVU26C
2026-04-01$411.46$213.78RVU26B
2026-01-01$411.46$213.78RVU26A
2025-10-01$400.47$245.27RVU25D
2025-07-01$400.47$245.27RVU25C
2025-04-01$400.47$245.27RVU25B
2025-01-01$400.47$245.27RVU25A

13101 billing questions

When is 13101 chosen instead of 13100?

Use 13101 for a complex trunk repair measuring 2.6–7.5 cm. Code 13100 is for the shorter 1.1–2.5 cm range.

Can layered closure alone support complex repair?

No. The documentation should show work beyond routine layered approximation, such as extensive undermining or substantial wound-edge preparation.

When is 13102 reported with 13101?

Report 13102 for qualifying additional trunk repair length beyond the 13101 range. Document the total repaired length and the additional work.

Should modifier 50 be used for wounds on both sides of the trunk?

No. CMS identifies bilateral adjustment as inappropriate for this code; report based on the repair site and length.

Are postoperative visits separately payable during the global period?

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

How are other procedures in the same session paid?

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

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 13101PPRRVU2026_Oct_nonQPP.csv, line 1,434 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet