# CPT 13131: Complex repair, forehead/cheeks/chin/mouth/neck/axillae/genitalia/hands/feet, 1.1 to 2.5cm

Medicare CPT 13131 pays $384.44 in a non-facility setting and $204.08 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $342.44 in Arkansas to $454.94 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/13131-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Emergency Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $384.44 |
| National facility | $204.08 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $454.94 | $262.85 |
| District of Columbia | $436.87 | $224.40 |
| California | $427.77 | $214.35 |
| New York | $424.10 | $222.89 |
| New Jersey | $423.20 | $220.11 |
| Washington | $420.04 | $214.42 |
| Massachusetts | $416.35 | $213.71 |
| Hawaii | $412.44 | $207.37 |
| Connecticut | $409.03 | $214.77 |
| Florida | $398.87 | $217.90 |
| Colorado | $398.66 | $206.75 |
| Maryland | $397.70 | $209.67 |
| Oregon | $394.74 | $204.73 |
| Rhode Island | $393.40 | $207.09 |
| New Hampshire | $392.84 | $205.08 |
| Illinois | $389.57 | $215.29 |
| Puerto Rico | $386.96 | $204.61 |
| Virgin Islands | $386.96 | $204.61 |
| Montana | $384.42 | $204.05 |
| Nevada | $382.29 | $201.75 |
| Minnesota | $381.54 | $195.94 |
| Pennsylvania | $381.43 | $204.77 |
| Wyoming | $380.71 | $200.35 |
| Delaware | $380.62 | $202.42 |
| Texas | $380.24 | $202.67 |
| Georgia | $376.02 | $203.95 |
| Virginia | $376.00 | $198.70 |
| North Dakota | $375.91 | $195.55 |
| Michigan | $375.14 | $205.78 |
| South Dakota | $374.91 | $194.54 |
| Vermont | $374.86 | $196.30 |
| Arizona | $374.67 | $199.90 |
| Utah | $368.07 | $198.53 |
| Maine | $368.03 | $195.69 |
| New Mexico | $366.71 | $201.31 |
| Wisconsin | $364.07 | $191.28 |
| Missouri | $363.76 | $198.24 |
| Louisiana | $363.50 | $198.83 |
| South Carolina | $363.40 | $196.75 |
| Ohio | $362.94 | $198.27 |
| North Carolina | $362.61 | $194.33 |
| Indiana | $358.92 | $191.72 |
| West Virginia | $358.08 | $201.34 |
| Idaho | $357.00 | $191.06 |
| Nebraska | $356.38 | $189.90 |
| Kentucky | $355.64 | $195.30 |
| Tennessee | $355.18 | $191.23 |
| Iowa | $354.66 | $189.63 |
| Oklahoma | $354.65 | $193.59 |
| Kansas | $353.46 | $190.41 |
| Alabama | $347.15 | $189.33 |
| Mississippi | $346.15 | $190.86 |
| Arkansas | $342.44 | $187.51 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule

Commercial negotiated rates for 13131 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules