CPT code 14060: Local flap repair, eyelid, nose, ear, or lip up to 10 cm²2026 Medicare rate & RVUs

Medicare pays $771.89 for 14060 nationally in the office and $573.49 in a hospital or facility. Local office rates run $693.15–$980.89.

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

What 14060 covers

A surgeon moves and reshapes nearby skin or tissue to close a defect on an eyelid, nose, ear, or lip. This local flap repair is used when a simple closure would not adequately repair the defect or preserve contour. Dermatologic, plastic, facial plastic, otolaryngologic, and oculoplastic surgeons commonly perform it after tumor removal or to repair traumatic defects, in office procedure rooms or operating rooms.

Select the code by the qualifying anatomic site and the documented defect area. Record the primary defect and any secondary defect created by the tissue transfer; their combined area determines the size level. The tissue transfer includes the work needed to prepare and close that defect, so do not separately report an excision for the same defect by the same surgeon. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and 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 14060 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

14060 rates by state

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

How the 14060 rate is calculated

Each of 14060’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.

Payment rules and modifiers for 14060

14060 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

14060 compared with similar codes

How to choose

14061Tissue transferEyelid, nose, ear, or lip, 10.1–30 sq cm

Use 14061 for an eyelid, nose, ear, or lip defect measuring 10.1–30 cm²; 14060 is the level for defects up to 10 cm².

14040Tissue rearrangementDefined sites, 10 cm² or less

14040 covers adjacent tissue transfer at specified sites such as the forehead, cheek, chin, and neck. Use 14060 for the eyelid, nose, ear, or lip.

14020Tissue rearrangementScalp, arm, or leg; up to 10 sq cm

14020 is for adjacent tissue transfer on the scalp, arms, or legs, rather than the eyelid, nose, ear, or lip.

Codes related to 14060

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

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

Open CMS sourceHow we calculate rates