Billing code 13102: Complex repairMedicare rate & RVUs in Ohio
Reported for each additional 5 cm or less of complex trunk repair beyond the primary repair length, together with the appropriate base code.
Medicare pays $113.93 for 13102 in the office in Ohio (Ohio). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 13102 covers
This add-on captures additional length in a complex wound closure on the trunk after the primary repair length has been coded. It may apply to repairs on the chest, abdomen, or back when closure involves work beyond routine layered approximation, such as extensive undermining, scar revision, or substantial wound-edge preparation. Surgeons, dermatologists, and other clinicians performing wound repair may report it in office, emergency, or operating-room settings.
Report one unit for each additional 5 cm or less beyond the base repair length, with 13101 as the primary code; 13102 is not reported alone. Documentation should identify the trunk site, total repaired length, and the work supporting complex rather than intermediate repair. Medicare treats this add-on within the primary procedure’s global period, so postoperative care follows that primary service’s global-period framework.
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.
13102 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $113.93 | $58.74 |
How the 13102 rate is calculated
Each of 13102’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 13102
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.21Practice expense 2.19Malpractice 0.20
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 13102
The CMS indicators that decide how 13102 is paid alongside other services.
CMS payment indicators · 13102
Complex repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
13102 compared with similar codes
Compare codes
13102 vs 13101 vs 13100 vs 13122 vs 13120: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 13101Complex repair
- Use 13101 for the primary complex trunk repair length of 2.6–7.5 cm. Add 13102 for each additional 5 cm or less.
- 13100Complex repair
- 13100 is the primary code for a shorter complex trunk repair, 1.1–2.5 cm; 13102 reports additional length with its primary code.
- 13122Complex repair
- 13122 captures additional complex repair length for the scalp, arms, or legs; 13102 is for trunk repairs.
- 13120Complex repair
- 13120 is the primary complex repair code for the scalp, arms, or legs, rather than the trunk.
13102 billing questions
Can 13102 be reported by itself?
No. It is an add-on reported with 13101 for additional complex repair length on the trunk.
How much additional length does one unit cover?
Each unit represents an additional 5 cm or less beyond the length covered by the primary repair code. Document the total repaired length.
When is 13101 used instead?
13101 reports the primary complex trunk repair when its length is 2.6–7.5 cm. 13102 captures additional length beyond that base range.
Does layered closure alone support complex repair?
Not by itself. The record should describe the additional work or wound features that make the repair complex, such as extensive undermining or scar revision.
Does 13102 have its own global period?
Medicare treats this add-on within the primary procedure’s global period. Postoperative care is associated with that primary service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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