CPT code 14041: Tissue rearrangement, 10.1–30 sq cm, specified sites2026 Medicare rate & RVUs in California
Reports local tissue rearrangement to close a 10.1–30 sq cm defect on specified face, neck, axillary, genital, hand, or foot sites.
Medicare pays $963.32–$1,179.76 for 14041 in the office in California, from Chico, CA to San Benito County, CA. 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 14041 covers
A surgeon moves neighboring skin and tissue—using an advancement, rotation, or transposition flap, for example—to close a defect on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. This is commonly performed after removing a skin lesion or to reconstruct a traumatic or surgical defect. Plastic, dermatologic, otolaryngology, and hand surgeons may perform the service in an office procedure room or operating room.
Select 14041 when the combined primary and secondary defect area is 10.1–30 sq cm; use the applicable site and size code when the anatomy or area differs. Document the treated site, flap technique, and measurements supporting the total defect area. Lesion excision performed as part of the tissue transfer is included in the service. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Medicare does not pay an assistant at surgery for this code; 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 14041 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$963.32 to $1179.76
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $967.14 | $667.33 |
| Chico, CA | $963.32 | $663.50 |
| El Centro, CA | $963.53 | $663.72 |
| Fresno, CA | $963.32 | $663.50 |
| Hanford, CA | $963.32 | $663.50 |
| Los Angeles, CA | $1,023.43 | $699.81 |
| Madera, CA | $963.32 | $663.50 |
| Marin County, CA | $1,154.19 | $768.48 |
| Merced, CA | $963.32 | $663.50 |
| Modesto, CA | $963.32 | $663.50 |
| Napa, CA | $1,096.17 | $735.63 |
| Oxnard, CA | $1,016.56 | $693.22 |
| Redding, CA | $963.32 | $663.50 |
| Rest of California | $963.32 | $663.50 |
| Riverside, CA | $977.22 | $677.41 |
| Sacramento, CA | $1,005.58 | $687.44 |
| Salinas, CA | $1,001.69 | $684.64 |
| San Benito County, CA | $1,179.76 | $785.29 |
| San Diego, CA | $1,021.23 | $694.06 |
| San Francisco, CA | $1,152.74 | $767.02 |
| San Luis Obispo, CA | $986.14 | $674.56 |
| Santa Clara County, CA | $1,173.81 | $779.35 |
| Santa Cruz, CA | $1,027.89 | $695.52 |
| Santa Maria, CA | $1,004.35 | $685.39 |
| Santa Rosa, CA | $1,037.96 | $702.04 |
| Stockton, CA | $963.32 | $663.50 |
| Vallejo, CA | $1,094.07 | $733.53 |
| Visalia, CA | $963.32 | $663.50 |
| Yuba City, CA | $963.32 | $663.50 |
How the 14041 rate is calculated
Each of 14041’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 · 14041
RVUs × geographic indexes × conversion factor
Work10.56
10.56 RVUs× 1.000 GPCI
Practice expense15.89
15.89 RVUs× 1.000 GPCI
Malpractice1.28
1.28 RVUs× 1.000 GPCI
Adjusted RVUs
27.7300
Conversion factor
$33.4009
Medicare rate
$926.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 14041
14041 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14041
Tissue rearrangement, 10.1–30 sq cm, specified sites
| 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 · 14041
Tissue rearrangement, 10.1–30 sq cm, specified sites
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
14041 without 51 · national office
$926.21
Tissue rearrangement, 10.1–30 sq cm, specified sites
14041-51 · Second procedure: 50%
$463.11
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%).
14041 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 14040Tissue rearrangementDefined sites, 10 cm² or less
- Use 14040 for the same listed sites when the total defect area is 10 sq cm or less; 14041 begins at 10.1 sq cm.
- 14021Tissue transferScalp, arms, or legs
- This code covers the 10.1–30 sq cm range at scalp, arm, or leg sites; 14041 covers its own specified sites.
- 14061Tissue transferEyelid, nose, ear, or lip, 10.1–30 sq cm
- This code covers the 10.1–30 sq cm range at eyelid, nose, ear, or lip sites, rather than the sites assigned to 14041.
- 14301Tissue transfer30.1–60 square centimeters
- Consider 14301 for an adjacent tissue transfer defect larger than 30 sq cm; 14041 is for 10.1–30 sq cm.
14041 billing questions
How is 14041 distinguished from 14040?
Both cover the same listed anatomical sites. Use 14041 for a total defect area of 10.1–30 sq cm; 14040 is for 10 sq cm or less.
Which area should the surgeon document?
Document the defect measurements supporting the code, including the primary defect and the secondary defect created by moving the flap.
Can lesion excision be billed separately?
Excision performed to create the defect for the tissue transfer is included. Do not separately report the lesion excision for that same defect.
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 reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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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