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CMS RVU26D · Effective 2026-10-01

13152 in Redding

Office / nonfacility

$512.61

Base rate per service

Facility setting

$280.15

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 13152: Complex eyelid, nose, ear, or lip repair

Reports complex closure of a qualifying eyelid, nose, ear, or lip wound when the repaired length is 2.6 to 7.5 cm.

This code covers complex closure of a qualifying wound on an eyelid, nose, ear, or lip, such as a traumatic laceration or a defect after lesion removal. The repair involves more than a routine layered closure, for example because extensive undermining or another complexity is required. Plastic surgeons, facial plastic surgeons, otolaryngologists, and dermatologic surgeons may perform these repairs in office or facility settings.

Select the code by the repair’s anatomic site, complexity, and final repaired length; this level covers 2.6 to 7.5 cm. Document the specific site, length, closure performed, and the features that make the repair complex. The 10-day global period includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 13152

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 RVU5.21 · 35%
  • Practice expense (office) RVU8.87 · 60%
  • Malpractice RVU0.61 · 4%

52.1K

Medicare services in 2024 · #764 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.

13152 compared with similar codes

Office rates for Redding, from the same CMS release.

13151

Complex repair

Eyelid, nose, ear, or lip

$438.91

Use 13151 for a qualifying complex eyelid, nose, ear, or lip repair measuring 1.1 to 2.5 cm; 13152 covers 2.6 to 7.5 cm.

13132

Complex wound repair

2.6–7.5 cm, specified sites

$484.81

13132 covers the 2.6-to-7.5-cm level for a different group of sites, including the forehead, cheeks, chin, mouth, and neck. Select by the repair site, not length alone.

13153

Complex repair

Additional 5 cm or less

$194.34

13153 reports additional qualifying repair length in 5-cm-or-less increments; it is an add-on, not the primary code for the 2.6-to-7.5-cm segment.

13160

Wound closure

Extensive or complicated

No office rate

13160 concerns secondary closure of a surgical wound or dehiscence. 13152 is for a qualifying complex repair of an eyelid, nose, ear, or lip wound.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 13152 is $514.44—$1.83 higher than the $512.61 rate in Redding. Both use the same code, release and participation basis.

13152 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $512.61

  2. Bakersfield

    $514.44

    $1.83 higher than Redding

  3. Chico

    $512.61

    The same base rate than Redding

  4. El Centro

    $512.71

    $0.10 higher than Redding

  5. Fresno

    $512.61

    The same base rate than Redding

  6. Hanford-Corcoran

    $512.61

    The same base rate than Redding

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

    $545.16

    $32.55 higher than Redding

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, 13152 ranges from $439.00 in Arkansas to $631.30 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

  • Madera

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Merced

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Modesto

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Napa

    California · 13152

    Office

    $585.81

    Facility

    $306.27

    $73.20 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 13152

    Office

    $541.77

    Facility

    $291.07

    $29.16 higher than Redding for the office setting.

  • Rest Of California

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 13152

    Office

    $519.24

    Facility

    $286.78

    $6.63 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 13152

    Office

    $535.76

    Facility

    $289.09

    $23.15 higher than Redding for the office setting.

  • Salinas

    California · 13152

    Office

    $533.71

    Facility

    $287.89

    $21.10 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 13152

    Office

    $544.62

    Facility

    $290.95

    $32.01 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 13152

    Office

    $617.64

    Facility

    $318.58

    $105.03 higher than Redding for the office setting.

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

    California · 13152

    Office

    $616.94

    Facility

    $317.89

    $104.33 higher than Redding for the office setting.

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

    California · 13152

    Office

    $631.30

    Facility

    $325.46

    $118.69 higher than Redding for the office setting.

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

    California · 13152

    Office

    $628.46

    Facility

    $322.62

    $115.85 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 13152

    Office

    $525.34

    Facility

    $283.77

    $12.73 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 13152

    Office

    $548.56

    Facility

    $290.86

    $35.95 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 13152

    Office

    $535.26

    Facility

    $287.95

    $22.65 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 13152

    Office

    $553.97

    Facility

    $293.52

    $41.36 higher than Redding for the office setting.

  • Stockton

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 13152

    Office

    $584.81

    Facility

    $305.27

    $72.20 higher than Redding for the office setting.

  • Visalia

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 13152

    Office

    $512.61

    Facility

    $280.15

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 13152

    Office

    $555.09

    Facility

    $305.25

    $42.48 higher than Redding for the office setting.

  • Miami

    Florida · 13152

    Office

    $533.96

    Facility

    $313.17

    $21.35 higher than Redding for the office setting.

  • Chicago

    Illinois · 13152

    Office

    $519.74

    Facility

    $306.59

    $7.13 higher than Redding for the office setting.

  • Manhattan

    New York · 13152

    Office

    $561.73

    Facility

    $315.28

    $49.12 higher than Redding for the office setting.

  • Alaska*

    Alaska · 13152

    Office

    $587.78

    Facility

    $361.90

    $75.17 higher than Redding for the office setting.

  • Alabama

    Alabama · 13152

    Office

    $444.78

    Facility

    $259.20

    $67.83 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 13152

    Office

    $439.00

    Facility

    $256.81

    $73.61 lower than Redding for the office setting.

  • Arizona

    Arizona · 13152

    Office

    $478.54

    Facility

    $273.02

    $34.07 lower than Redding for the office setting.

  • Colorado

    Colorado · 13152

    Office

    $507.25

    Facility

    $281.58

    $5.36 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 13152

    Office

    $521.23

    Facility

    $292.80

    $8.62 higher than Redding for the office setting.

  • Delaware

    Delaware · 13152

    Office

    $485.92

    Facility

    $276.37

    $26.69 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 13152

    Office

    $510.97

    Facility

    $296.12

    $1.64 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 13152

    Office

    $487.87

    Facility

    $285.11

    $24.74 lower than Redding for the office setting.

  • Atlanta

    Georgia · 13152

    Office

    $500.02

    Facility

    $284.53

    $12.59 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 13152

    Office

    $462.57

    Facility

    $273.39

    $50.04 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 13152

    Office

    $522.67

    Facility

    $281.52

    $10.06 higher than Redding for the office setting.

  • Iowa

    Iowa · 13152

    Office

    $453.19

    Facility

    $259.12

    $59.42 lower than Redding for the office setting.

  • Idaho

    Idaho · 13152

    Office

    $456.22

    Facility

    $261.09

    $56.39 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 13152

    Office

    $487.62

    Facility

    $292.49

    $24.99 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 13152

    Office

    $476.35

    Facility

    $282.71

    $36.26 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 13152

    Office

    $515.61

    Facility

    $297.78

    $3.00 higher than Redding for the office setting.

  • Indiana

    Indiana · 13152

    Office

    $458.56

    Facility

    $261.95

    $54.05 lower than Redding for the office setting.

  • Kansas

    Kansas · 13152

    Office

    $452.11

    Facility

    $260.38

    $60.50 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 13152

    Office

    $456.04

    Facility

    $267.49

    $56.57 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 13152

    Office

    $475.95

    Facility

    $276.37

    $36.66 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 13152

    Office

    $455.73

    Facility

    $268.03

    $56.88 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 13152

    Office

    $553.03

    Facility

    $299.79

    $40.42 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 13152

    Office

    $505.01

    Facility

    $281.67

    $7.60 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 13152

    Office

    $519.90

    Facility

    $292.32

    $7.29 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 13152

    Office

    $494.28

    Facility

    $279.64

    $18.33 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 13152

    Office

    $459.26

    Facility

    $264.13

    $53.35 lower than Redding for the office setting.

  • Southern Maine

    Maine · 13152

    Office

    $480.47

    Facility

    $270.29

    $32.14 lower than Redding for the office setting.

  • Detroit

    Michigan · 13152

    Office

    $494.27

    Facility

    $289.59

    $18.34 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 13152

    Office

    $467.51

    Facility

    $273.87

    $45.10 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 13152

    Office

    $484.91

    Facility

    $266.66

    $27.70 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 13152

    Office

    $472.12

    Facility

    $272.96

    $40.49 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 13152

    Office

    $476.48

    Facility

    $274.56

    $36.13 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 13152

    Office

    $449.24

    Facility

    $266.42

    $63.37 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 13152

    Office

    $444.16

    Facility

    $261.55

    $68.45 lower than Redding for the office setting.

  • Montana**

    Montana · 13152

    Office

    $490.62

    Facility

    $278.52

    $21.99 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 13152

    Office

    $463.45

    Facility

    $265.57

    $49.16 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 13152

    Office

    $478.56

    Facility

    $266.46

    $34.05 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 13152

    Office

    $455.17

    Facility

    $259.41

    $57.44 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 13152

    Office

    $500.26

    Facility

    $279.47

    $12.35 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 13152

    Office

    $550.41

    Facility

    $304.38

    $37.80 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 13152

    Office

    $526.85

    Facility

    $295.24

    $14.24 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 13152

    Office

    $470.16

    Facility

    $275.67

    $42.45 lower than Redding for the office setting.

  • Nevada**

    Nevada · 13152

    Office

    $487.55

    Facility

    $275.25

    $25.06 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 13152

    Office

    $575.25

    Facility

    $323.07

    $62.64 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 13152

    Office

    $530.91

    Facility

    $298.67

    $18.30 higher than Redding for the office setting.

  • Queens

    New York · 13152

    Office

    $564.72

    Facility

    $314.03

    $52.11 higher than Redding for the office setting.

  • Rest Of New York

    New York · 13152

    Office

    $469.79

    Facility

    $268.30

    $42.82 lower than Redding for the office setting.

  • Ohio

    Ohio · 13152

    Office

    $465.05

    Facility

    $271.40

    $47.56 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 13152

    Office

    $454.42

    Facility

    $265.01

    $58.19 lower than Redding for the office setting.

  • Portland

    Oregon · 13152

    Office

    $521.11

    Facility

    $285.47

    $8.50 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 13152

    Office

    $483.42

    Facility

    $272.18

    $29.19 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 13152

    Office

    $509.87

    Facility

    $289.08

    $2.74 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 13152

    Office

    $465.24

    Facility

    $270.54

    $47.37 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 13152

    Office

    $493.61

    Facility

    $279.18

    $19.00 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 13152

    Office

    $501.54

    Facility

    $282.45

    $11.07 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 13152

    Office

    $465.09

    Facility

    $269.11

    $47.52 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 13152

    Office

    $477.13

    Facility

    $265.03

    $35.48 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 13152

    Office

    $454.27

    Facility

    $261.47

    $58.34 lower than Redding for the office setting.

  • Austin

    Texas · 13152

    Office

    $505.87

    Facility

    $281.47

    $6.74 lower than Redding for the office setting.

  • Beaumont

    Texas · 13152

    Office

    $462.55

    Facility

    $269.54

    $50.06 lower than Redding for the office setting.

  • Brazoria

    Texas · 13152

    Office

    $484.90

    Facility

    $274.72

    $27.71 lower than Redding for the office setting.

  • Dallas

    Texas · 13152

    Office

    $488.15

    Facility

    $276.90

    $24.46 lower than Redding for the office setting.

  • Fort Worth

    Texas · 13152

    Office

    $485.45

    Facility

    $276.32

    $27.16 lower than Redding for the office setting.

  • Galveston

    Texas · 13152

    Office

    $486.47

    Facility

    $275.86

    $26.14 lower than Redding for the office setting.

  • Houston

    Texas · 13152

    Office

    $497.64

    Facility

    $287.03

    $14.97 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 13152

    Office

    $473.57

    Facility

    $272.29

    $39.04 lower than Redding for the office setting.

  • Utah

    Utah · 13152

    Office

    $470.81

    Facility

    $271.44

    $41.80 lower than Redding for the office setting.

  • Virginia

    Virginia · 13152

    Office

    $479.63

    Facility

    $271.14

    $32.98 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 13152

    Office

    $493.61

    Facility

    $279.18

    $19.00 lower than Redding for the office setting.

  • Vermont

    Vermont · 13152

    Office

    $477.63

    Facility

    $267.66

    $34.98 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 13152

    Office

    $503.75

    Facility

    $280.42

    $8.86 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 13152

    Office

    $562.88

    Facility

    $302.64

    $50.27 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 13152

    Office

    $464.12

    Facility

    $260.93

    $48.49 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 13152

    Office

    $460.63

    Facility

    $276.32

    $51.98 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 13152

    Office

    $485.36

    Facility

    $273.27

    $27.25 lower than Redding for the office setting.

See how rates vary across the country

13152 · 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.

$439.00

$587.78

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$587.781
AL$444.781
AR$439.001
AZ$478.541
CA$512.61–$631.3029
CO$507.251
CT$521.231
DC$555.091
DE$485.921
FL$487.87–$533.963
GA$462.57–$500.022
GU$522.671
HI$522.671
IA$453.191
ID$456.221
IL$476.35–$519.744
IN$458.561
KS$452.111
KY$456.041
LA$455.73–$475.952
MA$505.01–$553.032
MD$494.28–$555.093
ME$459.26–$480.472
MI$467.51–$494.272
MN$484.911
MO$449.24–$476.483
MS$444.161
MT$490.621
NC$463.451
ND$478.561
NE$455.171
NH$500.261
NJ$526.85–$550.412
NM$470.161
NV$487.551
NY$469.79–$575.255
OH$465.051
OK$454.421
OR$483.42–$521.112
PA$465.24–$509.872
PR$493.611
RI$501.541
SC$465.091
SD$477.131
TN$454.271
TX$462.55–$505.878
UT$470.811
VA$479.63–$555.092
VI$493.611
VT$477.631
WA$503.75–$562.882
WI$464.121
WV$460.631
WY$485.361

Explore 13152 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 13152 in Redding, the physician’s office rate is $512.61 and the facility-setting rate is $280.15: a difference of $232.46.

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 13152 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$563.87

$512.61 × 110% = $563.87

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.

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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 13152 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,443

Code
13152
Physician work
5.21
Practice expense
8.87
Malpractice
0.61

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 13152 in Redding
ComponentRVULocality factorAdjusted
Physician work5.21× 1.0175.2986
Practice expense8.87× 1.0969.7215
Malpractice0.61× 0.5360.3270
Total RVUs15.3470
Conversion factor× 33.4009

Office / nonfacility rate, Redding$512.61

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

Open 13152 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.211.017
Practice expense8.871.096
Malpractice0.610.536

(5.21 × 1.017 + 8.87 × 1.096 + 0.61 × 0.536) × $33.4009 = $512.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.211.017
Practice expense2.521.096
Malpractice0.610.536

(5.21 × 1.017 + 2.52 × 1.096 + 0.61 × 0.536) × $33.4009 = $280.15

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

13152 · Office / nonfacility

$512.61

Effective 2026-10-01

The base rate is $14.39 higher than on 2025-10-01, moving from $498.22 to $512.61 (2.9%).

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

    $498.22changed to$512.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.34 changed to 5.21
    • Practice expense RVU 8.81 changed to 8.87
    • Malpractice RVU 0.64 changed to 0.61
    • 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: $498.22

    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$512.61$280.15RVU26D
2026-07-01$512.61$280.15RVU26C
2026-04-01$512.61$280.15RVU26B
2026-01-01$512.61$280.15RVU26A
2025-10-01$498.22$329.93RVU25D
2025-07-01$498.22$329.93RVU25C
2025-04-01$498.22$329.93RVU25B
2025-01-01$498.22$329.93RVU25A

13152 billing questions

How is 13152 distinguished from 13151?

Both cover complex repairs in the eyelid, nose, ear, or lip area. Choose 13152 for a repaired length of 2.6 to 7.5 cm; 13151 covers 1.1 to 2.5 cm.

Can 13153 be reported with 13152?

Yes. 13153 is the add-on code for each additional 5 cm or less of qualifying complex repair length beyond the primary-code range.

What documentation supports reporting a complex repair?

Record the exact anatomic site, final repaired length, closure details, and the specific features that made the work more complex than routine layered closure.

Can modifier 50 be used for repairs on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are related postoperative visits separately included in payment?

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

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. 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 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 13152PPRRVU2026_Oct_nonQPP.csv, line 1,443 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet