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CPT code 14020: Tissue rearrangement, scalp, arm, or leg; up to 10 sq cm2026 Medicare rate & RVUs in Indiana

Reports local skin and tissue rearrangement to close a defect on the scalp, arm, or leg when the total defect area is 10 sq cm or less.

CMS RVU26DEffective Oct 1, 2026One payment locality17.1K Medicare services in 2024

In Indiana, Medicare pays $667.51 for 14020 in the office and $470.28 when it’s performed in a hospital or facility.

$667.51Office (non-facility)
$470.28Hospital or facility
−7.0%vs the national office rate ($717.45)

Check a contract rate as a % of Medicare · 14020 nationwide

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

We’ll open 14020 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Indiana
  2. What 14020 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 14020 covers

This code covers rearrangement of skin and nearby tissue to close a defect on the scalp, an arm, or a leg when the applicable area is no more than 10 sq cm. The surgeon advances, rotates, or transposes tissue next to the wound rather than bringing in a distant graft. It may be performed after lesion or tumor removal, or for a traumatic or other cutaneous defect when local tissue is rearranged. Dermatologic, plastic, general, and other surgeons may perform the procedure in an office procedure room, ambulatory surgery center, or hospital.

Select the size level using the total defect area, including the primary defect and the secondary defect created by the tissue transfer, rather than the lesion’s dimensions alone. The operative report should identify the site, flap or rearrangement performed, and documented defect measurements. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. 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.

How Indiana compares for 14020

Across 109 of 109 payment localities, the office rate for 14020 runs from $637.96 in Arkansas to $926.24 in San Benito County, CA. Indiana pays $667.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

14020 in Indiana vs other payment areas
  1. Indiana · this page$667.51
  2. Los Angeles, CA · California$798.02+$130.51
  3. Washington, DC area · District of Columbia$813.83+$146.32
  4. Miami, FL · Florida$786.93+$119.42
  5. Chicago, IL · Illinois$764.60+$97.09
  6. Manhattan, NY · New York$824.80+$157.29
  7. Alaska · Alaska$849.20+$181.69

Other areas in Indiana first, then benchmark localities. Bars start at $0.

Every other payment area

14020 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$646.84$460.67
ArkansasArkansas$637.96$455.19
ArizonaArizona$698.73$492.56
Bakersfield, CACalifornia$751.95$518.77
Chico, CACalifornia$749.05$515.86
El Centro, CACalifornia$749.21$516.02
Fresno, CACalifornia$749.05$515.86
Hanford, CACalifornia$749.05$515.86

14020 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$637.96

$849.20

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
14020 office rate range by state
State / territoryOffice rate rangeLocalities
AK$849.201
AL$646.841
AR$637.961
AZ$698.731
CA$749.05–$926.2429
CO$741.691
CT$763.731
DC$813.831
DE$709.871
FL$714.50–$786.933
GA$675.38–$732.052
GU$764.891
HI$764.891
IA$659.151
ID$663.941
IL$697.20–$764.604
IN$667.511
KS$657.791
KY$664.781
LA$664.42–$695.512
MA$738.23–$810.512
MD$722.45–$813.833
ME$668.91–$701.092
MI$682.71–$724.652
MN$706.961
MO$654.63–$695.973
MS$646.341
MT$717.381
NC$675.321
ND$697.611
NE$662.111
NH$731.681
NJ$771.40–$806.362
NM$686.911
NV$712.321
NY$685.09–$845.975
OH$678.661
OK$661.971
OR$705.74–$762.492
PA$678.80–$746.542
PR$721.891
RI$733.131
SC$678.321
SD$695.271
TN$661.141
TX$674.68–$740.158
UT$687.111
VA$700.00–$813.832
VI$721.891
VT$696.461
WA$736.32–$825.002
WI$675.481
WV$673.041
WY$708.771

See 14020 in every payment locality

How the 14020 rate is calculated

Each of 14020’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 · 14020

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.04

7.04 RVUs× 1.000 GPCI

Practice expense13.44

13.44 RVUs× 1.000 GPCI

Malpractice1.00

1.00 RVUs× 1.000 GPCI

Adjusted RVUs

21.4800

Conversion factor

$33.4009

Medicare rate

$717.45

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Indiana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,449

Code
14020
Physician work
7.04
Practice expense
13.44
Malpractice
1.00

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office calculation for 14020 in Indiana
ComponentRVULocality factorAdjusted
Physician work7.04× 1.0007.0400
Practice expense13.44× 0.92712.4589
Malpractice1.00× 0.4860.4860
Total RVUs19.9849
Conversion factor× 33.4009

Office rate, Indiana$667.51

Office: (7.04 × 1 + 13.44 × 0.927 + 1 × 0.486) × $33.4009 = $667.51

Facility: (7.04 × 1 + 7.07 × 0.927 + 1 × 0.486) × $33.4009 = $470.28

Open 14020 in the RVU calculator

Payment rules and modifiers for 14020

14020 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 14020

Tissue rearrangement, scalp, arm, or leg; up to 10 sq cm

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 14020

Tissue rearrangement, scalp, arm, or leg; 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

14020 without 51 · national office

$717.45

Tissue rearrangement, scalp, arm, or leg; up to 10 sq cm

14020-51 · Second procedure: 50%

$358.73

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%).

When to use modifier 51

Codes related to 14020

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

Codes related to 14020
CodeHow it relatesOffice range, Indiana
Same family
14021Tissue transfer, scalp, arms, or legsSame scalp, arm, or leg sites, for the next defect-area level.$822.16
14000Tissue transfer, trunk, defect up to 10 sq cmSmall-area tissue rearrangement for a trunk defect rather than a scalp or limb defect.$617.72
14040Tissue rearrangement, defined sites, 10 cm² or lessSmall-area tissue rearrangement for specified face, cheek, chin, mouth, neck, axilla, genital, hand, or foot sites.$715.91
14060Local flap repair, eyelid, nose, ear, or lip up to 10 cm²Small-area tissue rearrangement for specified eyelid, nose, ear, or lip sites.$721.73

How 14020 has changed in Indiana

14020 · Office / nonfacility

$667.51

Effective 2026-10-01

The base rate is $28.61 higher than on 2025-10-01, moving from $638.90 to $667.51 (4.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $638.90changed to$667.51

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 7.22 changed to 7.04
    • Practice expense RVU 13.05 changed to 13.44
    • Malpractice RVU 1.03 changed to 1.00
    • Practice expense GPCI 0.922 changed to 0.927
    • Malpractice GPCI 0.485 changed to 0.486

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $655.35changed to$638.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.97 changed to 13.05
    • Malpractice RVU 1.05 changed to 1.03

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $644.65changed to$655.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $656.54changed to$644.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.81 changed to 12.97
    • Malpractice RVU 1.02 changed to 1.05
    • Practice expense GPCI 0.911 changed to 0.922
    • Malpractice GPCI 0.475 changed to 0.485

  5. January 1, 2023

    RVU23A

    $655.12changed to$656.54

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.49 changed to 12.81
    • Malpractice RVU 1.01 changed to 1.02
    • Practice expense GPCI 0.900 changed to 0.911
    • Malpractice GPCI 0.465 changed to 0.475

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $653.62changed to$655.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.29 changed to 12.49
    • Malpractice RVU 0.97 changed to 1.01

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $657.33changed to$653.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.65 changed to 12.29
    • Malpractice RVU 0.93 changed to 0.97
    • Practice expense GPCI 0.910 changed to 0.900
    • Malpractice GPCI 0.422 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $656.79changed to$657.33

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.50 changed to 11.65
    • Malpractice RVU 1.15 changed to 0.93
    • Practice expense GPCI 0.919 changed to 0.910
    • Malpractice GPCI 0.379 changed to 0.422

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $654.75changed to$656.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.46 changed to 11.50

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $657.57changed to$654.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.44 changed to 11.46
    • Malpractice RVU 1.16 changed to 1.15
    • Practice expense GPCI 0.920 changed to 0.919
    • Malpractice GPCI 0.498 changed to 0.379

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $659.62changed to$657.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.38 changed to 11.44
    • Malpractice RVU 1.17 changed to 1.16
    • Practice expense GPCI 0.921 changed to 0.920
    • Malpractice GPCI 0.617 changed to 0.498

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $661.00changed to$659.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.39 changed to 11.38
    • Malpractice RVU 1.11 changed to 1.17

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $657.71changed to$661.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $654.45changed to$657.71

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.21 changed to 11.39
    • Malpractice RVU 1.16 changed to 1.11
    • Practice expense GPCI 0.922 changed to 0.921
    • Malpractice GPCI 0.615 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $664.99changed to$654.45

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.55 changed to 11.21
    • Malpractice RVU 1.21 changed to 1.16
    • Practice expense GPCI 0.923 changed to 0.922
    • Malpractice GPCI 0.613 changed to 0.615

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $664.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$667.51$470.28RVU26D
2026-07-01$667.51$470.28RVU26C
2026-04-01$667.51$470.28RVU26B
2026-01-01$667.51$470.28RVU26A
2025-10-01$638.90$516.92RVU25D
2025-07-01$638.90$516.92RVU25C
2025-04-01$638.90$516.92RVU25B
2025-01-01$638.90$516.92RVU25A
2024-10-01$655.35$527.06RVU24D
2024-07-01$655.35$527.06RVU24C
2024-04-01$655.35$527.06RVU24B
2024-03-09$655.35$527.06RVU24AR
2024-01-01$644.65$518.46RVU24A
2023-10-01$656.54$526.89RVU23D
2023-07-01$656.54$526.89RVU23C
2023-04-01$656.54$526.89RVU23B
2023-01-01$656.54$526.89RVU23A
2022-10-01$655.12$524.62RVU22D
2022-07-01$655.12$524.62RVU22C
2022-04-01$655.12$524.62RVU22B
2022-01-01$655.12$524.62RVU22A
2021-10-01$653.62$523.92RVU21D
2021-07-01$653.62$523.92RVU21C
2021-04-01$653.62$523.92RVU21B
2021-01-01$653.62$523.92RVU21A
2020-10-01$657.33$534.18RVU20D
2020-07-01$657.33$534.18RVU20C
2020-04-01$657.33$534.18RVU20B
2020-01-01$657.33$534.18RVU20A
2019-10-01$656.79$537.23RVU19D
2019-07-01$656.79$537.23RVU19C
2019-04-01$656.79$537.23RVU19B
2019-01-01$656.79$537.23RVU19A
2018-10-01$654.75$538.29RVU18D
2018-07-01$654.75$538.29RVU18C
2018-04-01$654.75$538.29RVU18B
2018-01-01$654.75$538.29RVU18AR1
2017-10-01$657.57$543.00RVU17D
2017-07-01$657.57$543.00RVU17C
2017-04-01$657.57$543.00RVU17B
2017-01-01$657.57$543.00RVU17A
2016-10-01$659.62$545.85RVU16D
2016-07-01$659.62$545.85RVU16C
2016-04-01$659.62$545.85RVU16B
2016-01-01$659.62$545.85RVU16A
2015-10-01$661.00$546.49RVU15D
2015-07-01$661.00$546.49RVU15C
2015-04-01$657.71$543.77RVU15B
2015-01-01$657.71$543.77RVU15A
2014-10-01$654.45$542.48RVU14D
2014-07-01$654.45$542.48RVU14C
2014-04-01$654.45$542.48RVU14B
2014-01-01$654.45$542.48RVU14A
2013-10-01$664.99$543.78RVU13D
2013-07-01$664.99$543.78RVU13C
2013-04-01$664.99$543.78RVU13B
2013-01-01$664.99$543.78RVU13AR

Price 14020 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Abington
  • Adams
  • Adams Lake
  • Advance
  • Akron
  • Alamo
  • Albany

Browse all communities in Indiana

14020 billing questions

How is this code distinguished from 14021?

Both cover scalp, arm, or leg tissue rearrangement. Choose this code for a total defect area of 10 sq cm or less; 14021 is for the next size level.

Can the lesion excision be billed separately?

When lesion removal and adjacent tissue rearrangement are performed together to close the same defect, the excision is included in the tissue-transfer service.

What area should the operative report support?

Document the defect measurements after removal and include the secondary defect created by the rearrangement when determining the total area.

Should modifier 50 be reported for two sides?

No. Modifier 50 is inappropriate for this descriptor; the anatomy and service definition do not support a bilateral adjustment.

How does the global period affect postoperative visits?

The code has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code, and 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
RVUs for 14020PPRRVU2026_Oct_nonQPP.csv, line 1,449 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)

Open CMS sourceHow we calculate rates

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