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CPT code 14041: Tissue rearrangement, 10.1–30 sq cm, specified sites2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $1,044.56 for 14041 in the office and $722.31 when it’s performed in a hospital or facility.

$1,044.56Office (non-facility)
$722.31Hospital or facility
+12.8%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $1,044.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

14041 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,044.56
  2. Los Angeles, CA · California$1,023.43−$21.13
  3. Miami, FL · Florida$1,013.34−$31.22
  4. Chicago, IL · Illinois$986.69−$57.87
  5. Manhattan, NY · New York$1,059.81+$15.25
  6. Alaska · Alaska$1,117.87+$73.31
  7. Alabama · Alabama$841.31−$203.25

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

14041 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$830.64$595.65
ArizonaArizona$903.60$638.52
Bakersfield, CACalifornia$967.14$667.33
Chico, CACalifornia$963.32$663.50
El Centro, CACalifornia$963.53$663.72
Fresno, CACalifornia$963.32$663.50
Hanford, CACalifornia$963.32$663.50
Madera, CACalifornia$963.32$663.50

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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 14041 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work10.56× 1.05411.1302
Practice expense15.89× 1.17818.7184
Malpractice1.28× 1.1131.4246
Total RVUs31.2733
Conversion factor× 33.4009

Office rate, Washington, DC area$1044.56

Office: (10.56 × 1.054 + 15.89 × 1.178 + 1.28 × 1.113) × $33.4009 = $1044.56

Facility: (10.56 × 1.054 + 7.7 × 1.178 + 1.28 × 1.113) × $33.4009 = $722.31

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, Washington, DC area
Same family
14040Tissue rearrangement, defined sites, 10 cm² or lessSame anatomical sites, for defects measuring 10 sq cm or less.$866.71
14021Tissue transfer, scalp, arms, or legsAdjacent tissue transfer for a 10.1–30 sq cm defect at scalp, arm, or leg sites.$997.81
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.$1,126.43
14001Tissue transfer, trunk, 10.1–30 cm²Adjacent tissue transfer for a 10.1–30 sq cm defect on the trunk.$971.42
14301Tissue transfer, 30.1–60 square centimetersAdjacent tissue transfer code for a larger defect area.$1,264.18

How 14041 has changed in Washington, DC area

14041 · Office / nonfacility

$1044.56

Effective 2026-10-01

The base rate is $14.07 higher than on 2025-10-01, moving from $1030.49 to $1044.56 (1.4%).

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

    $1030.49changed to$1044.56

    • 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 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1054.12changed to$1030.49

    • 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

    $1036.92changed to$1054.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1076.97changed to$1036.92

    • 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 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1092.66changed to$1076.97

    • 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
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1094.76changed to$1092.66

    • 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

    $1097.24changed to$1094.76

    • 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 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $1102.54changed to$1097.24

    • 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 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $1106.95changed to$1102.54

    • 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

    $1105.74changed to$1106.95

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 1.64 changed to 1.63
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $1101.41changed to$1105.74

    • 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 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $1099.84changed to$1101.41

    • 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

    $1094.37changed to$1099.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $1080.11changed to$1094.37

    • 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 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $1091.58changed to$1080.11

    • 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 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $1091.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,044.56$722.31RVU26D
2026-07-01$1,044.56$722.31RVU26C
2026-04-01$1,044.56$722.31RVU26B
2026-01-01$1,044.56$722.31RVU26A
2025-10-01$1,030.49$840.78RVU25D
2025-07-01$1,030.49$840.78RVU25C
2025-04-01$1,030.49$840.78RVU25B
2025-01-01$1,030.49$840.78RVU25A
2024-10-01$1,054.12$856.52RVU24D
2024-07-01$1,054.12$856.52RVU24C
2024-04-01$1,054.12$856.52RVU24B
2024-03-09$1,054.12$856.52RVU24AR
2024-01-01$1,036.92$842.54RVU24A
2023-10-01$1,076.97$873.75RVU23D
2023-07-01$1,076.97$873.75RVU23C
2023-04-01$1,076.97$873.75RVU23B
2023-01-01$1,076.97$873.75RVU23A
2022-10-01$1,092.66$884.35RVU22D
2022-07-01$1,092.66$884.35RVU22C
2022-04-01$1,092.66$884.35RVU22B
2022-01-01$1,092.66$884.35RVU22A
2021-10-01$1,094.76$885.15RVU21D
2021-07-01$1,094.76$885.15RVU21C
2021-04-01$1,094.76$885.15RVU21B
2021-01-01$1,094.76$885.15RVU21A
2020-10-01$1,097.24$898.51RVU20D
2020-07-01$1,097.24$898.51RVU20C
2020-04-01$1,097.24$898.51RVU20B
2020-01-01$1,097.24$898.51RVU20A
2019-10-01$1,102.54$909.72RVU19D
2019-07-01$1,102.54$909.72RVU19C
2019-04-01$1,102.54$909.72RVU19B
2019-01-01$1,102.54$909.72RVU19A
2018-10-01$1,106.95$912.17RVU18D
2018-07-01$1,106.95$912.17RVU18C
2018-04-01$1,106.95$912.17RVU18B
2018-01-01$1,106.95$912.17RVU18AR1
2017-10-01$1,105.74$914.17RVU17D
2017-07-01$1,105.74$914.17RVU17C
2017-04-01$1,105.74$914.17RVU17B
2017-01-01$1,105.74$914.17RVU17A
2016-10-01$1,101.41$910.28RVU16D
2016-07-01$1,101.41$910.28RVU16C
2016-04-01$1,101.41$910.28RVU16B
2016-01-01$1,101.41$910.28RVU16A
2015-10-01$1,099.84$907.15RVU15D
2015-07-01$1,099.84$907.15RVU15C
2015-04-01$1,094.37$902.64RVU15B
2015-01-01$1,094.37$902.64RVU15A
2014-10-01$1,080.11$893.66RVU14D
2014-07-01$1,080.11$893.66RVU14C
2014-04-01$1,080.11$893.66RVU14B
2014-01-01$1,080.11$893.66RVU14A
2013-10-01$1,091.58$891.05RVU13D
2013-07-01$1,091.58$891.05RVU13C
2013-04-01$1,091.58$891.05RVU13B
2013-01-01$1,091.58$891.05RVU13AR

Price 14041 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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