# CPT 13101

> Medicare paid $401.37 for CPT 13101 in the office (non-facility) setting and $261.37 in a facility under the Q4 2016 Physician Fee Schedule, effective October 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it increased 0.1%.

## What it is

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.

## Selected release

- Release: Q4 2016 (2016 D)
- Effective: October 1 – December 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $401.37
- Facility national allowed amount: $261.37
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.50
- Office (non-facility) practice expense RVU: 7.17
- Facility practice expense RVU: 3.26
- Malpractice RVU: 0.54
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip
- Parsed file: PPRRVU16_V0804.csv, row 5,130
- Canonical page: https://localishealth.com/cpt/13101/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/13101/2016/D
- Last significant update: 2026-08-04T03:07:13+00:00