CPT code 14000: Tissue transfer, trunk, defect up to 10 sq cm2026 Medicare rate & RVUs

Medicare pays $667.35 for 14000 nationally in the office and $465.27 in a hospital or facility. Local office rates run $589.98–$860.47.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 14000 covers

An adjacent tissue transfer moves nearby skin and subcutaneous tissue—using an advancement, rotation, or transposition flap, for example—to close a trunk defect. Dermatologic, plastic, and general surgeons commonly perform it after removing a skin lesion or treating a wound when direct closure is unsuitable. The service includes moving the flap and closing the donor area created by that movement.

Select this code by the combined area of the primary defect and the secondary defect created by the flap, not by lesion diameter or flap dimensions; the total must be 10 sq cm or less. Document the trunk location, defect measurements, flap technique, and reason for tissue rearrangement. Excision of the lesion that creates the reconstructed defect and its closure are included. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 14000 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

14000 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 14000 rate is calculated

Each of 14000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 14000

14000 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

14000 compared with similar codes

How to choose

14001Tissue transferTrunk, 10.1–30 cm²

Both codes cover trunk tissue transfer. Choose 14000 for a combined defect area of 10 sq cm or less and 14001 for 10.1 to 30 sq cm.

14020Tissue rearrangementScalp, arm, or leg; up to 10 sq cm

This is the corresponding small-defect transfer code for the scalp, arms, or legs; 14000 is for the trunk.

11600Malignant lesion excisionTrunk or extremity, 0.5 cm or less

11600 describes excision of a small malignant lesion on the trunk or extremities, not reconstruction with an adjacent tissue flap. Use 14000 when the trunk defect is repaired by tissue transfer.

Codes related to 14000

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates