# CPT 13101

> Medicare paid $405.72 for CPT 13101 in the office (non-facility) setting and $262.80 in a facility under the Q2 2018 Physician Fee Schedule, effective April 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.6%.

## 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: Q2 2018 (2018 B)
- Effective: April 1 – June 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $405.72
- Facility national allowed amount: $262.80
- Sequestration: not applied

## RVUs and formula

- Work RVU: 3.50
- Office (non-facility) practice expense RVU: 7.25
- Facility practice expense RVU: 3.28
- Malpractice RVU: 0.52
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18b.zip
- Parsed file: PPRRVU18_APR.csv, row 5,411
- Canonical page: https://localishealth.com/cpt/13101/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/13101/2018/B
- Last significant update: 2026-08-04T03:08:19+00:00