CPT code 14060: Local flap repair, eyelid, nose, ear, or lip up to 10 cm²2026 Medicare rate & RVUs in California
Reports local tissue rearrangement to repair a defect of 10 cm² or less on an eyelid, nose, ear, or lip after excision or injury.
Medicare pays $802.23–$980.89 for 14060 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 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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$802.23 to $980.89
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $805.45 | $588.00 |
| Chico, CA | $802.23 | $584.79 |
| El Centro, CA | $802.41 | $584.97 |
| Fresno, CA | $802.23 | $584.79 |
| Hanford, CA | $802.23 | $584.79 |
| Los Angeles, CA | $851.92 | $617.21 |
| Madera, CA | $802.23 | $584.79 |
| Marin County, CA | $959.69 | $679.95 |
| Merced, CA | $802.23 | $584.79 |
| Modesto, CA | $802.23 | $584.79 |
| Napa, CA | $911.75 | $650.26 |
| Oxnard, CA | $846.11 | $611.60 |
| Redding, CA | $802.23 | $584.79 |
| Rest of California | $802.23 | $584.79 |
| Riverside, CA | $813.86 | $596.42 |
| Sacramento, CA | $837.13 | $606.39 |
| Salinas, CA | $833.88 | $603.94 |
| San Benito County, CA | $980.89 | $694.80 |
| San Diego, CA | $849.91 | $612.62 |
| San Francisco, CA | $958.48 | $678.73 |
| San Luis Obispo, CA | $820.96 | $594.98 |
| Santa Clara County, CA | $975.92 | $689.83 |
| Santa Cruz, CA | $855.27 | $614.21 |
| Santa Maria, CA | $836.03 | $604.69 |
| Santa Rosa, CA | $863.64 | $620.00 |
| Stockton, CA | $802.23 | $584.79 |
| Vallejo, CA | $910.00 | $648.51 |
| Visalia, CA | $802.23 | $584.79 |
| Yuba City, CA | $802.23 | $584.79 |
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.
How the rate is built · 14060
RVUs × geographic indexes × conversion factor
Work9.00
9.00 RVUs× 1.000 GPCI
Practice expense13.04
13.04 RVUs× 1.000 GPCI
Malpractice1.07
1.07 RVUs× 1.000 GPCI
Adjusted RVUs
23.1100
Conversion factor
$33.4009
Medicare rate
$771.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 14060
14060 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14060
Local flap repair, eyelid, nose, ear, or lip up to 10 cm²
| 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 · 14060
Local flap repair, eyelid, nose, ear, or lip up to 10 cm²
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
14060 without 51 · national office
$771.89
Local flap repair, eyelid, nose, ear, or lip up to 10 cm²
14060-51 · Second procedure: 50%
$385.95
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%).
14060 compared with similar codes
Compare codes · National
4 codes, side by side
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.
14060 billing questions
How does 14060 differ from 14061?
Both cover adjacent tissue transfer on an eyelid, nose, ear, or lip. Choose 14060 for a defect up to 10 cm² and 14061 for a defect measuring 10.1–30 cm².
Can the lesion excision be billed separately?
Do not separately report excision for the same defect when the same surgeon performs the adjacent tissue transfer. The transfer service includes the work needed to prepare and close that defect.
What documentation supports 14060?
Document the repaired site, the reason a local flap was used, and the dimensions of the primary and secondary defects. The documented combined area must be 10 cm² or less.
Is modifier 50 appropriate for defects on both sides?
No. The CMS bilateral adjustment does not apply to this code; modifier 50 is inappropriate.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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