CPT code 14000: Tissue transfer, trunk, defect up to 10 sq cm2026 Medicare rate & RVUs in Florida
Reports local-flap rearrangement of trunk skin to close a defect whose combined area, including the flap-created secondary defect, is 10 sq cm or less.
Medicare pays $667.03–$740.38 for 14000 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$667.03 to $740.38
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $702.27 | $497.57 |
| Miami, FL | $740.38 | $530.02 |
| Rest of Florida | $667.03 | $473.84 |
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.
How the rate is built · 14000
RVUs × geographic indexes × conversion factor
Work6.21
6.21 RVUs× 1.000 GPCI
Practice expense12.68
12.68 RVUs× 1.000 GPCI
Malpractice1.09
1.09 RVUs× 1.000 GPCI
Adjusted RVUs
19.9800
Conversion factor
$33.4009
Medicare rate
$667.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 14000
14000 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14000
Tissue transfer, trunk, defect up to 10 sq cm
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.71/0.19 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 14000
Tissue transfer, trunk, defect up to 10 sq cm
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
14000 without 51 · national office
$667.35
Tissue transfer, trunk, defect up to 10 sq cm
14000-51 · Second procedure: 50%
$333.68
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
14000 compared with similar codes
Compare codes · National
4 codes, side by side
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.
14000 billing questions
How is the 10 sq cm threshold measured?
Use the combined area of the primary defect and the secondary defect created by the flap. Do not select the code using the lesion diameter or flap dimensions.
Can the lesion excision be reported separately?
The excision that creates the defect being reconstructed is included in the adjacent tissue transfer. Do not separately report that excision or a closure of the same defect.
When is 14001 a better choice?
Use 14001 when the combined defect area on the trunk is 10.1 to 30 sq cm. Code 14000 is for a combined area of 10 sq cm or less.
Should modifier 50 be appended for bilateral trunk defects?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid for this procedure?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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
Show the CMS file lines behind this rate
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