{
    "code": "13101",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/13101/2015/A",
    "release_specific_url": "https://localishealth.com/cpt/13101/2015/A",
    "description": "The most involved tier of wound closure on the torso, going beyond layered stitching to include work such as extensive undermining of the surrounding skin, trimming ragged or scarred wound edges, or placing stress-relieving sutures so the closure holds. This code covers a mid-length wound on the trunk; a shorter wound has its own code, and extra length beyond this band is reported with an additional code. Complexity here refers to the reconstructive effort, not simply the size of the defect.",
    "answer": {
        "question": "How much did Medicare pay for CPT 13101 in Q1 2015?",
        "text": "Medicare paid $399.02 for CPT 13101 in the office (non-facility) setting and $258.86 in a facility under the Q1 2015 Physician Fee Schedule, effective January 2015. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 1.1% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2015,
        "quarter": "A",
        "label": "Q1 2015",
        "effective": "January 1 – March 31, 2015",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 399.02,
        "facility": 258.86,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.5,
        "practice_expense_non_facility": 7.17,
        "practice_expense_facility": 3.25,
        "malpractice": 0.49
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.7547,
    "source": {
        "label": "Physician relative value file (Q1 2015)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu15a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2015/A",
        "file": "PPRRVU15_V1223c.csv",
        "row": 4919,
        "sha256": "d600c52a7d5f75737599c9a879cc0ffc8c85766bee82e9e2eadf49af364314d2"
    },
    "modified_at": "2026-08-04T03:05:39+00:00"
}