$359.14–$376.91
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.
On this page
CMS RVU26D · Effective 2026-10-01
13132 Complex wound repair Medicare reimbursement rates in Maine
Reports complex wound closure measuring 2.6–7.5 cm on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. Compare 13132 office and facility rates across CMS payment localities in Maine.
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.
What does Medicare pay for 13132 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$432.66–$453.38
2 of 2 localities have a supported rate.
Facility setting
$238.46–$244.18
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound repair
About 13132: Complex repair of face, neck, and hands
Reports complex wound closure measuring 2.6–7.5 cm on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot.
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.
CMS billing rules for 13132
- 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 RVU4.66 · 34%
- Practice expense (office) RVU8.67 · 63%
- Malpractice RVU0.51 · 4%
288.8K
Medicare services in 2024 · #320 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.
13132 compared with similar codes
Office rates for Maine, from the same CMS release.
$157.60–$163.89
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.
$391.97–$410.67
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.
Compare 13132 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$432.66
Facility
$238.46
Southern Maine →
Office / nonfacility
$453.38
Facility
$244.18
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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 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.
1,43713121,,Cmplx rpr s/a/l 2.6-7.5 cm,A,,3.90,8.17,,2.11,,0.44,12.51,6.45,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43813122,,Cmplx rpr s/a/l addl 5 cm/>,A,,1.40,2.23,,0.42,,0.21,3.84,2.03,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,43913131,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,3.64,7.44,,2.04,,0.43,11.51,6.11,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44013132,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,4.66,8.67,,2.35,,0.51,13.84,7.52,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44113133,,Cmplx rpr f/c/c/m/n/ax/g/h/f,A,,2.14,2.62,,0.65,,0.27,5.03,3.06,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44213151,,Cmplx rpr e/n/e/l 1.1-2.5 cm,A,,4.23,7.82,,2.25,,0.50,12.55,6.98,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44313152,,Cmplx rpr e/n/e/l 2.6-7.5 cm,A,,5.21,8.87,,2.52,,0.61,14.69,8.34,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00