$396.64–$436.06
13131 reports the initial 1.1–2.5 cm of qualifying complex repair at the specified sites. 13133 reports additional length beyond the primary repair.
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CMS RVU26D · Effective 2026-10-01
13133 Complex repair Medicare reimbursement rates in Massachusetts
Reports each additional 5 cm or less of qualifying complex repair on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot beyond the primary repair length. Compare 13133 office and facility rates across CMS payment localities in Massachusetts.
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 13133 in Massachusetts?
Massachusetts 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
$171.96–$186.92
2 of 2 localities have a supported rate.
Facility setting
$102.67–$108.36
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 13133: Additional complex repair, specified sites
Reports each additional 5 cm or less of qualifying complex repair on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot beyond the primary repair length.
Code 13133 captures additional length when a complex repair involves the forehead, cheek, chin, mouth, neck, axilla, genital region, hand, or foot. The repair must require work beyond routine layered closure, such as extensive undermining or other substantial additional work; wound length alone does not make a repair complex. Plastic surgeons, dermatologic surgeons, and other physicians who perform wound repair may report it in office or facility settings. A long facial laceration repaired with complex techniques is one typical situation.
Report one unit for each additional 5 cm or less beyond the length covered by the primary repair code, 13131 or 13132. Documentation should identify the repair site, measured length, and features that support complex repair. CMS classifies 13133 as an add-on code: report it only with a qualifying primary procedure, and payment falls within that procedure's global period.
CMS billing rules for 13133
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.14 · 43%
- Practice expense (office) RVU2.62 · 52%
- Malpractice RVU0.27 · 5%
13.1K
Medicare services in 2024 · #1335 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.
13133 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$476.65–$522.96
13132 reports the initial 2.6–7.5 cm of qualifying complex repair at the specified sites. Use 13133 for each additional 5 cm or less.
$131.53–$143.86
Both report additional length of complex repair, but 13122 is for a different site group, including scalp, arms, or legs; 13133 is for the sites associated with 13131 and 13132.
$123.41–$135.36
13102 reports additional length of complex repair on the trunk. 13133 applies to the forehead, cheek, chin, mouth, neck, axilla, genital region, hand, or foot.
Compare 13133 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
Metropolitan Boston →
Office / nonfacility
$186.92
Facility
$108.36
Rest Of Massachusetts →
Office / nonfacility
$171.96
Facility
$102.67
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13133 billing questions
When is 13133 reported with 13131 versus 13132?
Choose the primary code based on the initial length of the complex repair: 13131 covers 1.1–2.5 cm and 13132 covers 2.6–7.5 cm. Report 13133 for each additional 5 cm or less.
Can 13133 be reported by itself?
No. It is an add-on code and must accompany a qualifying primary complex-repair procedure, such as 13131 or 13132.
What documentation supports reporting 13133?
Document the anatomical site, total repaired length, and the work that made the closure complex, such as extensive undermining. The record should make clear which additional length is being reported.
Does 13133 have a separate global period?
No separate period is assigned in the CMS facts for this code. It is paid within the global period of the primary procedure.
Does a long wound automatically qualify as complex repair?
No. Length determines the applicable repair code and add-on units, but the operative documentation must also support complex repair rather than routine layered closure.
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.
1,43813122,,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
1,44413153,,Cmplx rpr e/n/e/l addl 5cm/<,A,,2.32,2.98,,0.72,,0.36,5.66,3.40,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00