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CMS RVU26D · Effective 2026-10-01

13151 in Delaware

Office / nonfacility

$415.07

Base rate per service

Facility setting

$231.26

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 13151: Complex eyelid, nose, ear, or lip repair

Report this service for a complex repair of a wound on an eyelid, nose, ear, or lip when the repaired length is 1.1 to 2.5 cm.

This service covers a complex repair of a wound on an eyelid, nose, ear, or lip, with a repaired length of 1.1 to 2.5 cm. It may be performed for a traumatic laceration or another wound requiring work beyond routine layered closure, such as extensive undermining, substantial wound preparation, or scar revision. Surgeons, plastic surgeons, dermatologic surgeons, and emergency clinicians may perform these repairs in office or facility settings.

Choose the code by the wound’s anatomic site, complexity, and repaired length. Document the location, length, wound characteristics, and additional work that supports complex repair. Related postoperative visits during the 10-day global period are included. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgery and team surgery are not permitted.

CMS billing rules for 13151

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 RVU4.23 · 34%
  • Practice expense (office) RVU7.82 · 62%
  • Malpractice RVU0.50 · 4%

29.8K

Medicare services in 2024 · #978 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.

13151 compared with similar codes

Office rates for Delaware, from the same CMS release.

13152

Complex repair

Eyelid, nose, ear, or lip

$485.92

This code applies to repaired lengths of 1.1 to 2.5 cm. Use 13152 for the same anatomic group when the repaired length is 2.6 to 7.5 cm.

12051

Facial repair

Intermediate, 2.5 cm or less

$279.94

Both cover repairs in the same general anatomic group, but 12051 is for intermediate repair. Choose 13151 only when the wound and repair work meet complex-repair criteria.

12011

Wound repair

Face, 2.5 cm or less

$137.85

This code is for simple repair of a short wound in the same general anatomic group. It does not represent the additional work required for complex repair.

The same code, a different location

How does Delaware compare?

13151 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $415.07

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

    $467.16

    $52.09 higher than Delaware

  3. Dc + Md/Va Suburbs

    $475.19

    $60.12 higher than Delaware

  4. Miami

    $455.43

    $40.36 higher than Delaware

  5. Chicago

    $443.10

    $28.03 higher than Delaware

  6. Manhattan

    $480.32

    $65.25 higher than Delaware

  7. Alaska*

    $499.30

    $84.23 higher than Delaware

Other payment areas listed in Delaware 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, 13151 ranges from $374.25 in Arkansas to $542.42 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

  • Alabama

    Alabama · 13151

    Office

    $379.28

    Facility

    $216.50

    $35.79 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 13151

    Office

    $374.25

    Facility

    $214.44

    $40.82 lower than Delaware for the office setting.

  • Arizona

    Arizona · 13151

    Office

    $408.68

    Facility

    $228.40

    $6.39 lower than Delaware for the office setting.

  • Bakersfield

    California · 13151

    Office

    $440.41

    Facility

    $236.51

    $25.34 higher than Delaware for the office setting.

  • Chico

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • El Centro

    California · 13151

    Office

    $438.99

    Facility

    $235.09

    $23.92 higher than Delaware for the office setting.

  • Fresno

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Madera

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Merced

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Modesto

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Napa

    California · 13151

    Office

    $502.93

    Facility

    $257.72

    $87.86 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 13151

    Office

    $464.38

    Facility

    $244.48

    $49.31 higher than Delaware for the office setting.

  • Redding

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Rest Of California

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 13151

    Office

    $444.34

    Facility

    $240.44

    $29.27 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 13151

    Office

    $459.09

    Facility

    $242.73

    $44.02 higher than Delaware for the office setting.

  • Salinas

    California · 13151

    Office

    $457.34

    Facility

    $241.72

    $42.27 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 13151

    Office

    $466.97

    Facility

    $244.46

    $51.90 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 13151

    Office

    $530.66

    Facility

    $268.34

    $115.59 higher than Delaware for the office setting.

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

    California · 13151

    Office

    $530.09

    Facility

    $267.77

    $115.02 higher than Delaware for the office setting.

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

    California · 13151

    Office

    $542.42

    Facility

    $274.15

    $127.35 higher than Delaware for the office setting.

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

    California · 13151

    Office

    $540.10

    Facility

    $271.83

    $125.03 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 13151

    Office

    $450.14

    Facility

    $238.24

    $35.07 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 13151

    Office

    $470.56

    Facility

    $244.51

    $55.49 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 13151

    Office

    $458.75

    Facility

    $241.82

    $43.68 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 13151

    Office

    $475.22

    Facility

    $246.76

    $60.15 higher than Delaware for the office setting.

  • Stockton

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Vallejo

    California · 13151

    Office

    $502.11

    Facility

    $256.90

    $87.04 higher than Delaware for the office setting.

  • Visalia

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Yuba City

    California · 13151

    Office

    $438.91

    Facility

    $235.01

    $23.84 higher than Delaware for the office setting.

  • Colorado

    Colorado · 13151

    Office

    $433.94

    Facility

    $235.99

    $18.87 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 13151

    Office

    $445.63

    Facility

    $245.26

    $30.56 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 13151

    Office

    $436.07

    Facility

    $247.61

    $21.00 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 13151

    Office

    $416.09

    Facility

    $238.23

    $1.02 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 13151

    Office

    $427.14

    Facility

    $238.12

    $12.07 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 13151

    Office

    $394.18

    Facility

    $228.23

    $20.89 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 13151

    Office

    $447.93

    Facility

    $236.40

    $32.86 higher than Delaware for the office setting.

  • Iowa

    Iowa · 13151

    Office

    $386.91

    Facility

    $216.68

    $28.16 lower than Delaware for the office setting.

  • Idaho

    Idaho · 13151

    Office

    $389.48

    Facility

    $218.32

    $25.59 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 13151

    Office

    $415.22

    Facility

    $244.06

    $0.15 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 13151

    Office

    $405.86

    Facility

    $236.00

    $9.21 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 13151

    Office

    $440.12

    Facility

    $249.05

    $25.05 higher than Delaware for the office setting.

  • Indiana

    Indiana · 13151

    Office

    $391.53

    Facility

    $219.07

    $23.54 lower than Delaware for the office setting.

  • Kansas

    Kansas · 13151

    Office

    $385.82

    Facility

    $217.64

    $29.25 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 13151

    Office

    $388.77

    Facility

    $223.38

    $26.30 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 13151

    Office

    $406.04

    Facility

    $230.98

    $9.03 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 13151

    Office

    $388.44

    Facility

    $223.79

    $26.63 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 13151

    Office

    $473.81

    Facility

    $251.67

    $58.74 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 13151

    Office

    $431.90

    Facility

    $235.99

    $16.83 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 13151

    Office

    $444.47

    Facility

    $244.84

    $29.40 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 13151

    Office

    $422.36

    Facility

    $234.08

    $7.29 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 13151

    Office

    $391.97

    Facility

    $220.81

    $23.10 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 13151

    Office

    $410.67

    Facility

    $226.30

    $4.40 lower than Delaware for the office setting.

  • Detroit

    Michigan · 13151

    Office

    $421.50

    Facility

    $241.96

    $6.43 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 13151

    Office

    $398.61

    Facility

    $228.75

    $16.46 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 13151

    Office

    $415.00

    Facility

    $223.56

    $0.07 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 13151

    Office

    $402.86

    Facility

    $228.17

    $12.21 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 13151

    Office

    $406.68

    Facility

    $229.56

    $8.39 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 13151

    Office

    $382.70

    Facility

    $222.33

    $32.37 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 13151

    Office

    $378.52

    Facility

    $218.33

    $36.55 lower than Delaware for the office setting.

  • Montana**

    Montana · 13151

    Office

    $419.15

    Facility

    $233.10

    $4.08 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 13151

    Office

    $395.65

    Facility

    $222.07

    $19.42 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 13151

    Office

    $409.26

    Facility

    $223.22

    $5.81 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 13151

    Office

    $388.68

    Facility

    $216.96

    $26.39 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 13151

    Office

    $427.80

    Facility

    $234.13

    $12.73 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 13151

    Office

    $471.01

    Facility

    $255.20

    $55.94 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 13151

    Office

    $450.48

    Facility

    $247.32

    $35.41 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 13151

    Office

    $400.86

    Facility

    $230.26

    $14.21 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 13151

    Office

    $416.65

    Facility

    $230.42

    $1.58 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 13151

    Office

    $491.90

    Facility

    $270.70

    $76.83 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 13151

    Office

    $453.86

    Facility

    $250.14

    $38.79 higher than Delaware for the office setting.

  • Queens

    New York · 13151

    Office

    $483.14

    Facility

    $263.24

    $68.07 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 13151

    Office

    $401.16

    Facility

    $224.42

    $13.91 lower than Delaware for the office setting.

  • Ohio

    Ohio · 13151

    Office

    $396.59

    Facility

    $226.73

    $18.48 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 13151

    Office

    $387.51

    Facility

    $221.37

    $27.56 lower than Delaware for the office setting.

  • Portland

    Oregon · 13151

    Office

    $446.16

    Facility

    $239.47

    $31.09 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 13151

    Office

    $413.18

    Facility

    $227.88

    $1.89 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 13151

    Office

    $435.66

    Facility

    $241.99

    $20.59 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 13151

    Office

    $396.84

    Facility

    $226.06

    $18.23 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 13151

    Office

    $421.80

    Facility

    $233.71

    $6.73 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 13151

    Office

    $428.68

    Facility

    $236.50

    $13.61 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 13151

    Office

    $396.83

    Facility

    $224.92

    $18.24 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 13151

    Office

    $408.09

    Facility

    $222.05

    $6.98 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 13151

    Office

    $387.68

    Facility

    $218.57

    $27.39 lower than Delaware for the office setting.

  • Austin

    Texas · 13151

    Office

    $432.71

    Facility

    $235.88

    $17.64 higher than Delaware for the office setting.

  • Beaumont

    Texas · 13151

    Office

    $394.49

    Facility

    $225.19

    $20.58 lower than Delaware for the office setting.

  • Brazoria

    Texas · 13151

    Office

    $414.29

    Facility

    $229.92

    $0.78 lower than Delaware for the office setting.

  • Dallas

    Texas · 13151

    Office

    $417.04

    Facility

    $231.74

    $1.97 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 13151

    Office

    $414.64

    Facility

    $231.20

    $0.43 lower than Delaware for the office setting.

  • Galveston

    Texas · 13151

    Office

    $415.61

    Facility

    $230.87

    $0.54 higher than Delaware for the office setting.

  • Houston

    Texas · 13151

    Office

    $424.76

    Facility

    $240.02

    $9.69 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 13151

    Office

    $404.24

    Facility

    $227.69

    $10.83 lower than Delaware for the office setting.

  • Utah

    Utah · 13151

    Office

    $401.81

    Facility

    $226.93

    $13.26 lower than Delaware for the office setting.

  • Virginia

    Virginia · 13151

    Office

    $409.83

    Facility

    $226.95

    $5.24 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 13151

    Office

    $421.80

    Facility

    $233.71

    $6.73 higher than Delaware for the office setting.

  • Vermont

    Vermont · 13151

    Office

    $408.32

    Facility

    $224.14

    $6.75 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 13151

    Office

    $430.87

    Facility

    $234.97

    $15.80 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 13151

    Office

    $482.48

    Facility

    $254.21

    $67.41 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 13151

    Office

    $396.65

    Facility

    $218.43

    $18.42 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 13151

    Office

    $392.16

    Facility

    $230.49

    $22.91 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 13151

    Office

    $414.84

    Facility

    $228.80

    $0.23 lower than Delaware for the office setting.

See how rates vary across the country

13151 · 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.

$374.25

$499.30

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$499.301
AL$379.281
AR$374.251
AZ$408.681
CA$438.91–$542.4229
CO$433.941
CT$445.631
DC$475.191
DE$415.071
FL$416.09–$455.433
GA$394.18–$427.142
GU$447.931
HI$447.931
IA$386.911
ID$389.481
IL$405.86–$443.104
IN$391.531
KS$385.821
KY$388.771
LA$388.44–$406.042
MA$431.90–$473.812
MD$422.36–$475.193
ME$391.97–$410.672
MI$398.61–$421.502
MN$415.001
MO$382.70–$406.683
MS$378.521
MT$419.151
NC$395.651
ND$409.261
NE$388.681
NH$427.801
NJ$450.48–$471.012
NM$400.861
NV$416.651
NY$401.16–$491.905
OH$396.591
OK$387.511
OR$413.18–$446.162
PA$396.84–$435.662
PR$421.801
RI$428.681
SC$396.831
SD$408.091
TN$387.681
TX$394.49–$432.718
UT$401.811
VA$409.83–$475.192
VI$421.801
VT$408.321
WA$430.87–$482.482
WI$396.651
WV$392.161
WY$414.841

Explore 13151 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 13151 in Delaware, the physician’s office rate is $415.07 and the facility-setting rate is $231.26: a difference of $183.81.

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 13151 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$456.58

$415.07 × 110% = $456.58

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 13151 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,442

Code
13151
Physician work
4.23
Practice expense
7.82
Malpractice
0.50

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 13151 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.23× 1.0054.2511
Practice expense7.82× 0.9887.7262
Malpractice0.50× 0.8990.4495
Total RVUs12.4268
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$415.07

Open 13151 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.231.005
Practice expense7.820.988
Malpractice0.50.899

(4.23 × 1.005 + 7.82 × 0.988 + 0.5 × 0.899) × $33.4009 = $415.07

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.231.005
Practice expense2.250.988
Malpractice0.50.899

(4.23 × 1.005 + 2.25 × 0.988 + 0.5 × 0.899) × $33.4009 = $231.26

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

13151 · Office / nonfacility

$415.07

Effective 2026-10-01

The base rate is $8.50 higher than on 2025-10-01, moving from $406.57 to $415.07 (2.1%).

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

    $406.57changed to$415.07

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.34 changed to 4.23
    • Practice expense RVU 7.73 changed to 7.82
    • Malpractice RVU 0.55 changed to 0.50
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $406.57

    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$415.07$231.26RVU26D
2026-07-01$415.07$231.26RVU26C
2026-04-01$415.07$231.26RVU26B
2026-01-01$415.07$231.26RVU26A
2025-10-01$406.57$269.55RVU25D
2025-07-01$406.57$269.55RVU25C
2025-04-01$406.57$269.55RVU25B
2025-01-01$406.57$269.55RVU25A

13151 billing questions

How is this code distinguished from 13152?

Both describe complex repair in the same anatomic group. Use 13151 for a repaired length of 1.1 to 2.5 cm; 13152 covers the next length range, 2.6 to 7.5 cm.

When is 13151 appropriate instead of 12051?

Use 13151 when the repair meets the criteria for complex repair. Code 12051 is for an intermediate repair in the same general anatomic group, not a complex repair.

What wound details should the record include?

Document the specific site, repaired length, and wound features or repair work supporting complexity, such as extensive undermining or substantial wound preparation.

Can 13153 be reported with 13151?

13153 is the add-on code for each additional length increment beyond the initial repair range. Report it with the appropriate primary complex-repair code when the documented total repaired length supports it.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.

Are related postoperative visits separately reported?

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 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 13151PPRRVU2026_Oct_nonQPP.csv, line 1,442 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet