How much does Medicare pay for CPT 13102?

Medicare allowed an average of $96.99 per service and paid $77.52 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $415.20, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 13102?

Complicated repair of wound of trunk, each additional 5.0 cm or less. It was billed 5,159 times to 3,604 Medicare beneficiaries by 192 providers in 2024.

Does 13102 pay differently in an office than a hospital?

Yes. The allowed amount averaged $113.15 in an office setting and $72.11 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 13102 most?

Dermatology, with 2,419 services from 104 clinicians. Next are Plastic and Reconstructive Surgery, Micrographic Dermatologic Surgery, General Surgery.

CPT 13102

Complicated repair of wound of trunk, each additional 5.0 cm or less

$96.99Medicare-allowed amount per service, averaged across 5,159 services

Providers submitted

$415.20

Asking price, not received

Medicare allowed

$96.99

The fee schedule figure

Medicare paid

$77.52

Balance is patient coinsurance

Providers submitted an average of $415.20 for this code and Medicare allowed $96.99 — 4.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $77.52 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $113.15
Hospital / facility: $72.11

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 3,127 services were billed in an office setting and 2,032 in a facility.

Services: 5,159
Beneficiaries: 3,604
Providers billing it: 192
Total allowed: $500,371

What Medicare pays for CPT 13102

Across 5,159 services billed by 192 providers to 3,604 beneficiaries, Medicare allowed an average of $96.99 per service. That is 1.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 13102

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	2,419	1,999	$108.69	104
Plastic and Reconstructive Surgery	1,165	472	$79.30	27
Micrographic Dermatologic Surgery	582	496	$108.09	27
General Surgery	466	248	$75.93	15
Surgical Oncology	230	164	$87.40	6
Physician Assistant	110	101	$96.18	7
General Practice	62	30	$80.68	1
Pathology	41	33	$64.81	1
Otolaryngology	33	27	$116.82	2
Neurosurgery	27	16	$73.56	1
Preventive Medicine	24	18	$107.06	1

13102 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	651	$107.26	$82.16	24
California	616	$102.05	$76.63	26
Texas	554	$94.71	$75.40	16
New York	397	$103.02	$70.85	13
Louisiana	272	$69.14	$54.36	4
New Jersey	248	$103.01	$78.70	8
Georgia	230	$104.83	$88.90	7
Indiana	223	$78.44	$66.78	8
Arizona	218	$85.90	$70.60	5
Virginia	162	$99.57	$78.97	7
Illinois	148	$114.82	$85.97	5
Pennsylvania	145	$86.74	$67.95	8
Massachusetts	108	$120.76	$90.81	6
North Carolina	102	$105.89	$89.30	5
Missouri	101	$78.60	$64.90	6
South Carolina	88	$99.11	$83.94	5
Kansas	73	$75.20	$63.63	3
Colorado	73	$90.74	$69.40	3
Delaware	67	$80.45	$62.38	2
Michigan	62	$102.92	$76.55	2
Tennessee	59	$86.87	$74.89	3
District of Columbia	59	$77.81	$56.42	1
Nevada	56	$111.75	$91.59	2
Alabama	56	$100.60	$91.22	2
Ohio	54	$98.27	$82.20	3
Maryland	50	$125.71	$90.63	3
Rhode Island	49	$70.18	$55.20	1
Kentucky	48	$96.80	$81.52	3
Connecticut	48	$81.77	$69.55	2
Arkansas	41	$76.79	$68.29	2
Wisconsin	38	$110.10	$90.92	3
Wyoming	19	$111.95	$90.84	1
Utah	15	$111.31	$90.78	1
Montana	15	$112.98	$90.78	1
Oklahoma	14	$106.32	$90.33	1

Related codes

13132Complicated repair of wound of forehead$269.67
13121Complicated repair of wound of scalp$297.90
13101Complicated repair of wound of trunk$328.17
13152Complicated repair of wound of eyelids$268.00
13131Complicated repair of wound of forehead$229.32
13151Complicated repair of wound of eyelids$235.39
13122Complicated repair of wound of scalp$115.92
13120Complicated repair of wound of scalp$264.15
13133Complicated repair of wound of forehead$157.28
13160Extensive or complicated repair of surface wound reopening$650.97
13100Complicated repair of wound of trunk$317.65

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.