| Code | Description | States | Median rate |
|---|---|---|---|
| 13100 | Complex wound repair, trunk, 1.1-2.5 cm | 48 | $252.50 |
| 13101 | Complex wound repair, trunk, 2.6-7.5 cm | 48 | $299.23 |
| 13102 | Complex wound repair, trunk, each added 5 cm | 46 | $92.04 |
| 13120 | Complex wound repair, scalp/arms/legs, 1.1-2.5 cm | 48 | $268.62 |
| 13121 | Complex wound repair, scalp/arms/legs, 2.6-7.5 cm | 48 | $319.82 |
| 13122 | Complex wound repair, scalp/arms/legs, each added 5 cm | 46 | $101.83 |
| 13131 | Complex wound repair, forehead/cheeks/hands/feet, 1.1-2.5 cm | 48 | $293.83 |
| 13132 | Complex wound repair, forehead/cheeks/hands/feet, 2.6-7.5 cm | 48 | $372.67 |
| 13133 | Complex wound repair, face/neck/hand/foot, each added 5 cm | 47 | $133.38 |
| 13151 | Complex wound repair, eyelid, nose, ear or lip, 1.1-2.5 cm | 48 | $319.56 |
| 13152 | Complex wound repair, eyelid, nose, ear or lip, 2.6-7.5 cm | 48 | $399.48 |
| 13153 | Complex wound repair, eyelid/nose/ear/lip, each added 5 cm | 46 | $149.57 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.