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See a sample rate comparisonCPT 13133 Fee Schedule
Medicare rates as of October 2026
CPT 13133 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Cmplx Rpr F C C M N Ax G H F, Repair Complex Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Each Additional 5 Cm Or Less List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 79 - Unrelated procedure - postop period |
| Complexity Level | Low |
| Medicare Fee Schedule | $168.01 national non-facility rate (2026) · View Medicare rates for 13133 |
| Medicaid Fee Schedule | $133.855 median of the 8 states in the free preview · View Medicaid rates for 13133 |
National average reimbursement for CPT 13133 by major payers:
$198.12
BCBS / Anthem
$219.32
UnitedHealthcare
$224.80
Aetna
$270.06
Cigna
Compare published rates across providers.
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CPT 13133
5 of 25 sample ratesHigher to lower in this preview
Campus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$1,708.00Published ratePinnacle Cataract And Laser Institute LLC
$283.00Published rateGeorgia Interventional Pain
$175.00Published rateInnovative Eye Surgery Center, PLLC
Innovative Eye Surgery Center PLLC
$116.00Published rateEyecare Surgery Center, LLC
Eyecare Surgery Center LLC
$55.00Published rate
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See a sample payer proposalCPT 13133 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 13133. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 13131-CPT | Moderate | Repair Complex Forehead Che, Repair Complex Forehead Cheeks Chin Mouth Neckaxillae Genitalia Hands Andor Feet 1.1 Cm To 2.5 Cm Repair Complex Forehead Cheeks Chinmouth Neck |
| 13132-CPT | Moderate | 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 |
| 13133-CPT | Low | Cmplx Rpr F C C M N Ax G H F, Repair Complex Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Each Additional 5 Cm Or Less List Separately In Addition To Code For Primary Procedure |
| 13153-CPT | Moderate | Cmplx Rpr E N E L Addl 5cm, Repair Complex Eyelids Nose Ears And Or Lips Each Additional 5 Cm Or Less List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 13133. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 13133 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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