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CMS October 2026Physician Fee Schedule · Free lookup

CPT 13132 Medicare Fee Schedule 2026

Medicare's 2026 national payment for CPT 13132 is $462.27 in a non-facility setting ($251.18 in a facility), up 1.9% from $453.50 in 2025.

National rate, October 2026
Non-facility
$462.27
Facility
$251.18
vs. 2025
+1.9%
Commercial national avg.
$653.88

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13132
20262025

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Up to 5 codes · 4 remaining

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Physician Fee Schedule·13132·National·2026, 2025
Current non-facility rate
$462.27▲0.0%
Facility: $251.18
Recent trend
Code description

Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
1313210/2026N/A0000000$462.27$251.18Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131327/2026N/A0000000$462.27$251.18Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131324/2026N/A0000000$462.27$251.18Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131321/2026N/A0000000$462.27$251.18Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
1313210/2025N/A0000000$453.50$293.06Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131327/2025N/A0000000$453.50$293.06Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131324/2025N/A0000000$453.50$293.06Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck
131321/2025N/A0000000$453.50$293.06Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 2.6 Cm To 7.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck

13132 national rate by year

Each row is the latest CMS file published that year. Change is against the year before.

CMS fileNon-facilityFacilityChange
October 2026$462.27$251.18+1.9%
October 2025$453.50$293.06-3.5%
March 2024$470.02$299.59-2.0%
January 2023$479.84$303.97-1.5%
July 2022$486.91$305.57-

This is the national amount before geographic adjustment. Medicare multiplies each relative value unit by its locality's geographic practice cost index, so a practice's own allowed amount can be higher or lower; pick a state above to see its localities. The facility amount applies when the service is performed in a hospital or other facility setting.

13132: Medicare vs. commercial national average

The commercial national average for 13132, the mean of what BCBS, UnitedHealthcare, Aetna and Cigna publish nationwide, is $653.88, 141% of Medicare's $462.27.

  • BCBS $550.58
  • UnitedHealthcare $629.37
  • Aetna $657.65
  • Cigna $777.91

A national average, not a local rate: each payer's figure averages the unmodified, in-network professional rates it publishes for 13132 across the country in its transparency files. Contracted rates vary widely by market, provider and plan. Medicare's figure is its national non-facility amount before geographic adjustment.

Nearby codes

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Medicaid comparison

See what state Medicaid programs pay for 13132

50 state Medicaid agencies publish their own physician fee schedule. The 13132 page shows real published rates for several of them free, with effective dates and official sources.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.