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CPT code 14041: Tissue rearrangement, 10.1–30 sq cm, specified sites2026 Medicare rate & RVUs in Oxnard, CA

Reports local tissue rearrangement to close a 10.1–30 sq cm defect on specified face, neck, axillary, genital, hand, or foot sites.

CMS RVU26DEffective Oct 1, 2026One payment locality48.1K Medicare services in 2024

In Oxnard, CA, Medicare pays $1,016.56 for 14041 in the office and $693.22 when it’s performed in a hospital or facility.

$1,016.56Office (non-facility)
$693.22Hospital or facility
+9.8%vs the national office rate ($926.21)

Check a contract rate as a % of Medicare · 14041 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 14041 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 14041 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 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.

How Oxnard, CA compares for 14041

Across 109 of 109 payment localities, the office rate for 14041 runs from $830.64 in Arkansas to $1,179.76 in San Benito County, CA. Oxnard, CA pays $1,016.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

14041 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$1,016.56
  2. Bakersfield, CA · California$967.14−$49.42
  3. Chico, CA · California$963.32−$53.24
  4. El Centro, CA · California$963.53−$53.03
  5. Fresno, CA · California$963.32−$53.24
  6. Hanford, CA · California$963.32−$53.24
  7. Los Angeles, CA · California$1,023.43+$6.87

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

Every other payment area

14041 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$963.32$663.50
Merced, CACalifornia$963.32$663.50
Modesto, CACalifornia$963.32$663.50
Napa, CACalifornia$1,096.17$735.63
Redding, CACalifornia$963.32$663.50
Rest of CaliforniaCalifornia$963.32$663.50
Riverside, CACalifornia$977.22$677.41
Sacramento, CACalifornia$1,005.58$687.44

14041 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.

$830.64

$1,117.87

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

View every state and territory as a table
14041 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,117.871
AL$841.311
AR$830.641
AZ$903.601
CA$963.32–$1,179.7629
CO$955.041
CT$983.111
DC$1,044.561
DE$917.281
FL$924.36–$1,013.343
GA$877.10–$944.352
GU$980.921
HI$980.921
IA$855.311
ID$861.221
IL$904.10–$986.694
IN$865.491
KS$854.051
KY$863.661
LA$863.38–$900.712
MA$951.30–$1,038.932
MD$932.60–$1,044.563
ME$867.59–$905.652
MI$885.55–$936.962
MN$911.501
MO$851.85–$900.823
MS$841.281
MT$926.121
NC$875.211
ND$900.811
NE$858.751
NH$942.621
NJ$993.29–$1,036.252
NM$890.751
NV$919.601
NY$886.97–$1,085.735
OH$880.371
OK$859.881
OR$911.39–$979.822
PA$880.33–$962.572
PR$931.401
RI$945.811
SC$879.461
SD$897.821
TN$858.111
TX$875.40–$952.828
UT$890.001
VA$904.61–$1,044.562
VI$931.401
VT$899.781
WA$948.70–$1,056.502
WI$874.331
WV$875.111
WY$915.091

See 14041 in every payment locality

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

Office or facility?

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.

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,452

Code
14041
Physician work
10.56
Practice expense
15.89
Malpractice
1.28

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Office calculation for 14041 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work10.56× 1.02810.8557
Practice expense15.89× 1.18218.7820
Malpractice1.28× 0.6230.7974
Total RVUs30.4351
Conversion factor× 33.4009

Office rate, Oxnard, CA$1016.56

Office: (10.56 × 1.028 + 15.89 × 1.182 + 1.28 × 0.623) × $33.4009 = $1016.56

Facility: (10.56 × 1.028 + 7.7 × 1.182 + 1.28 × 0.623) × $33.4009 = $693.22

Open 14041 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 14041

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

Codes related to 14041
CodeHow it relatesOffice range, Oxnard, CA
Same family
14040Tissue rearrangement, defined sites, 10 cm² or lessSame anatomical sites, for defects measuring 10 sq cm or less.$843.72
14021Tissue transfer, scalp, arms, or legsAdjacent tissue transfer for a 10.1–30 sq cm defect at scalp, arm, or leg sites.$970.23
14061Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cmAdjacent tissue transfer for a 10.1–30 sq cm defect at eyelid, nose, ear, or lip sites.$1,097.27
14001Tissue transfer, trunk, 10.1–30 cm²Adjacent tissue transfer for a 10.1–30 sq cm defect on the trunk.$939.38
14301Tissue transfer, 30.1–60 square centimetersAdjacent tissue transfer code for a larger defect area.$1,222.64

How 14041 has changed in Oxnard, CA

14041 · Office / nonfacility

$1016.56

Effective 2026-10-01

The base rate is $24.11 higher than on 2025-10-01, moving from $992.45 to $1016.56 (2.4%).

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

    $992.45changed to$1016.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 10.83 changed to 10.56
    • Practice expense RVU 15.80 changed to 15.89
    • Malpractice RVU 1.35 changed to 1.28
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.183 changed to 1.182
    • Malpractice GPCI 0.651 changed to 0.623

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1015.20changed to$992.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 15.65 changed to 15.80
    • Malpractice RVU 1.34 changed to 1.35

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $998.63changed to$1015.20

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1025.01changed to$998.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 15.43 changed to 15.65
    • Malpractice RVU 1.31 changed to 1.34
    • Work GPCI 1.027 changed to 1.026
    • Practice expense GPCI 1.181 changed to 1.183
    • Malpractice GPCI 0.689 changed to 0.651

  5. January 1, 2023

    RVU23A

    $1027.85changed to$1025.01

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 14.97 changed to 15.43
    • Malpractice RVU 1.28 changed to 1.31
    • Practice expense GPCI 1.179 changed to 1.181
    • Malpractice GPCI 0.726 changed to 0.689

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1030.26changed to$1027.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 14.84 changed to 14.97
    • Malpractice RVU 1.25 changed to 1.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $1040.63changed to$1030.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 14.32 changed to 14.84
    • Malpractice RVU 1.22 changed to 1.25
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.178 changed to 1.179
    • Malpractice GPCI 0.700 changed to 0.726

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1044.66changed to$1040.63

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 14.28 changed to 14.32
    • Malpractice RVU 1.64 changed to 1.22
    • Work GPCI 1.024 changed to 1.026
    • Practice expense GPCI 1.176 changed to 1.178
    • Malpractice GPCI 0.673 changed to 0.700

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1049.20changed to$1044.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 14.42 changed to 14.28
    • Malpractice RVU 1.63 changed to 1.64

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $1053.18changed to$1049.20

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 1.64 changed to 1.63
    • Work GPCI 1.027 changed to 1.024
    • Practice expense GPCI 1.178 changed to 1.176
    • Malpractice GPCI 0.754 changed to 0.673

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1054.09changed to$1053.18

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 14.33 changed to 14.42
    • Malpractice RVU 1.65 changed to 1.64
    • Work GPCI 1.030 changed to 1.027
    • Practice expense GPCI 1.180 changed to 1.178
    • Malpractice GPCI 0.834 changed to 0.754

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1054.42changed to$1054.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 14.34 changed to 14.33
    • Malpractice RVU 1.52 changed to 1.65

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $1049.18changed to$1054.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1038.63changed to$1049.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 14.07 changed to 14.34
    • Malpractice RVU 1.55 changed to 1.52
    • Work GPCI 1.032 changed to 1.030
    • Practice expense GPCI 1.187 changed to 1.180
    • Malpractice GPCI 0.720 changed to 0.834

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1054.44changed to$1038.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.77 changed to 14.07
    • Malpractice RVU 1.62 changed to 1.55
    • Work GPCI 1.034 changed to 1.032
    • Practice expense GPCI 1.193 changed to 1.187
    • Malpractice GPCI 0.605 changed to 0.720

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$1054.44

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,016.56$693.22RVU26D
2026-07-01$1,016.56$693.22RVU26C
2026-04-01$1,016.56$693.22RVU26B
2026-01-01$1,016.56$693.22RVU26A
2025-10-01$992.45$804.18RVU25D
2025-07-01$992.45$804.18RVU25C
2025-04-01$992.45$804.18RVU25B
2025-01-01$992.45$804.18RVU25A
2024-10-01$1,015.20$819.09RVU24D
2024-07-01$1,015.20$819.09RVU24C
2024-04-01$1,015.20$819.09RVU24B
2024-03-09$1,015.20$819.09RVU24AR
2024-01-01$998.63$805.72RVU24A
2023-10-01$1,025.01$827.31RVU23D
2023-07-01$1,025.01$827.31RVU23C
2023-04-01$1,025.01$827.31RVU23B
2023-01-01$1,025.01$827.31RVU23A
2022-10-01$1,027.85$829.15RVU22D
2022-07-01$1,027.85$829.15RVU22C
2022-04-01$1,027.85$829.15RVU22B
2022-01-01$1,027.85$829.15RVU22A
2021-10-01$1,030.26$830.33RVU21D
2021-07-01$1,030.26$830.33RVU21C
2021-04-01$1,030.26$830.33RVU21B
2021-01-01$1,030.26$830.33RVU21A
2020-10-01$1,040.63$848.89RVU20D
2020-07-01$1,040.63$848.89RVU20C
2020-04-01$1,040.63$848.89RVU20B
2020-01-01$1,040.63$848.89RVU20A
2019-10-01$1,044.66$856.49RVU19D
2019-07-01$1,044.66$856.49RVU19C
2019-04-01$1,044.66$856.49RVU19B
2019-01-01$1,044.66$856.49RVU19A
2018-10-01$1,049.20$859.12RVU18D
2018-07-01$1,049.20$859.12RVU18C
2018-04-01$1,049.20$859.12RVU18B
2018-01-01$1,049.20$859.12RVU18AR1
2017-10-01$1,053.18$865.89RVU17D
2017-07-01$1,053.18$865.89RVU17C
2017-04-01$1,053.18$865.89RVU17B
2017-01-01$1,053.18$865.89RVU17A
2016-10-01$1,054.09$866.93RVU16D
2016-07-01$1,054.09$866.93RVU16C
2016-04-01$1,054.09$866.93RVU16B
2016-01-01$1,054.09$866.93RVU16A
2015-10-01$1,054.42$865.74RVU15D
2015-07-01$1,054.42$865.74RVU15C
2015-04-01$1,049.18$861.43RVU15B
2015-01-01$1,049.18$861.43RVU15A
2014-10-01$1,038.63$854.51RVU14D
2014-07-01$1,038.63$854.51RVU14C
2014-04-01$1,038.63$854.51RVU14B
2014-01-01$1,038.63$854.51RVU14A
2013-10-01$1,054.44$854.74RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 14041 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

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
RVUs for 14041PPRRVU2026_Oct_nonQPP.csv, line 1,452 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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