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

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 Minnesota, Medicare pays $911.50 for 14041 in the office and $630.01 when it’s performed in a hospital or facility.

$911.50Office (non-facility)
$630.01Hospital or facility
−1.6%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 Minnesota
  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 Minnesota 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. Minnesota pays $911.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

14041 in Minnesota vs other payment areas
  1. Minnesota · this page$911.50
  2. Los Angeles, CA · California$1,023.43+$111.93
  3. Washington, DC area · District of Columbia$1,044.56+$133.06
  4. Miami, FL · Florida$1,013.34+$101.84
  5. Chicago, IL · Illinois$986.69+$75.19
  6. Manhattan, NY · New York$1,059.81+$148.31
  7. Alaska · Alaska$1,117.87+$206.37

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

Every other payment area

14041 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$841.31$601.95
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

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 Minnesota 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

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 14041 in Minnesota
ComponentRVULocality factorAdjusted
Physician work10.56× 1.00010.5600
Practice expense15.89× 1.02916.3508
Malpractice1.28× 0.2960.3789
Total RVUs27.2897
Conversion factor× 33.4009

Office rate, Minnesota$911.50

Office: (10.56 × 1 + 15.89 × 1.029 + 1.28 × 0.296) × $33.4009 = $911.50

Facility: (10.56 × 1 + 7.7 × 1.029 + 1.28 × 0.296) × $33.4009 = $630.01

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, Minnesota
Same family
14040Tissue rearrangement, defined sites, 10 cm² or lessSame anatomical sites, for defects measuring 10 sq cm or less.$755.14
14021Tissue transfer, scalp, arms, or legsAdjacent tissue transfer for a 10.1–30 sq cm defect at scalp, arm, or leg sites.$867.13
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.$983.56
14001Tissue transfer, trunk, 10.1–30 cm²Adjacent tissue transfer for a 10.1–30 sq cm defect on the trunk.$834.41
14301Tissue transfer, 30.1–60 square centimetersAdjacent tissue transfer code for a larger defect area.$1,090.87

How 14041 has changed in Minnesota

14041 · Office / nonfacility

$911.50

Effective 2026-10-01

The base rate is $24.24 higher than on 2025-10-01, moving from $887.26 to $911.50 (2.7%).

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

    $887.26changed to$911.50

    • 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
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $907.86changed to$887.26

    • 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

    $893.04changed to$907.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $914.28changed to$893.04

    • 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
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300

  5. January 1, 2023

    RVU23A

    $915.21changed to$914.28

    • 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 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $917.83changed to$915.21

    • 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

    $929.57changed to$917.83

    • 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
    • Practice expense GPCI 1.012 changed to 1.013
    • Malpractice GPCI 0.357 changed to 0.353

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $932.00changed to$929.57

    • 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
    • Practice expense GPCI 1.011 changed to 1.012
    • Malpractice GPCI 0.362 changed to 0.357

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $935.94changed to$932.00

    • 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

    $934.54changed to$935.94

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 1.64 changed to 1.63
    • Practice expense GPCI 1.016 changed to 1.011
    • Malpractice GPCI 0.341 changed to 0.362

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $929.94changed to$934.54

    • 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
    • Practice expense GPCI 1.020 changed to 1.016
    • Malpractice GPCI 0.319 changed to 0.341

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $932.18changed to$929.94

    • 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

    $927.54changed to$932.18

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $916.77changed to$927.54

    • 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
    • Practice expense GPCI 1.016 changed to 1.020
    • Malpractice GPCI 0.301 changed to 0.319

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $926.99changed to$916.77

    • 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
    • Practice expense GPCI 1.012 changed to 1.016
    • Malpractice GPCI 0.282 changed to 0.301

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$926.99

  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$911.50$630.01RVU26D
2026-07-01$911.50$630.01RVU26C
2026-04-01$911.50$630.01RVU26B
2026-01-01$911.50$630.01RVU26A
2025-10-01$887.26$724.14RVU25D
2025-07-01$887.26$724.14RVU25C
2025-04-01$887.26$724.14RVU25B
2025-01-01$887.26$724.14RVU25A
2024-10-01$907.86$737.94RVU24D
2024-07-01$907.86$737.94RVU24C
2024-04-01$907.86$737.94RVU24B
2024-03-09$907.86$737.94RVU24AR
2024-01-01$893.04$725.90RVU24A
2023-10-01$914.28$743.70RVU23D
2023-07-01$914.28$743.70RVU23C
2023-04-01$914.28$743.70RVU23B
2023-01-01$914.28$743.70RVU23A
2022-10-01$915.21$744.49RVU22D
2022-07-01$915.21$744.49RVU22C
2022-04-01$915.21$744.49RVU22B
2022-01-01$915.21$744.49RVU22A
2021-10-01$917.83$746.05RVU21D
2021-07-01$917.83$746.05RVU21C
2021-04-01$917.83$746.05RVU21B
2021-01-01$917.83$746.05RVU21A
2020-10-01$929.57$764.86RVU20D
2020-07-01$929.57$764.86RVU20C
2020-04-01$929.57$764.86RVU20B
2020-01-01$929.57$764.86RVU20A
2019-10-01$932.00$770.22RVU19D
2019-07-01$932.00$770.22RVU19C
2019-04-01$932.00$770.22RVU19B
2019-01-01$932.00$770.22RVU19A
2018-10-01$935.94$772.53RVU18D
2018-07-01$935.94$772.53RVU18C
2018-04-01$935.94$772.53RVU18B
2018-01-01$935.94$772.53RVU18AR1
2017-10-01$934.54$773.01RVU17D
2017-07-01$934.54$773.01RVU17C
2017-04-01$934.54$773.01RVU17B
2017-01-01$934.54$773.01RVU17A
2016-10-01$929.94$768.16RVU16D
2016-07-01$929.94$768.16RVU16C
2016-04-01$929.94$768.16RVU16B
2016-01-01$929.94$768.16RVU16A
2015-10-01$932.18$769.07RVU15D
2015-07-01$932.18$769.07RVU15C
2015-04-01$927.54$765.25RVU15B
2015-01-01$927.54$765.25RVU15A
2014-10-01$916.77$759.17RVU14D
2014-07-01$916.77$759.17RVU14C
2014-04-01$916.77$759.17RVU14B
2014-01-01$916.77$759.17RVU14A
2013-10-01$926.99$757.59RVU13D
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 Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

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 MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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