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

Reports local tissue rearrangement to repair a defect of 10 cm² or less on an eyelid, nose, ear, or lip after excision or injury.

CMS RVU26DEffective Oct 1, 2026One payment locality88.1K Medicare services in 2024

In Washington, DC area, Medicare pays $869.69 for 14060 in the office and $635.98 when it’s performed in a hospital or facility.

$869.69Office (non-facility)
$635.98Hospital or facility
+12.7%vs the national office rate ($771.89)

Check a contract rate as a % of Medicare · 14060 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 14060 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 14060 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 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.

How Washington, DC area compares for 14060

Across 109 of 109 payment localities, the office rate for 14060 runs from $693.15 in Arkansas to $980.89 in San Benito County, CA. Washington, DC area pays $869.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

14060 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$869.69
  2. Los Angeles, CA · California$851.92−$17.77
  3. Miami, FL · Florida$844.40−$25.29
  4. Chicago, IL · Illinois$822.46−$47.23
  5. Manhattan, NY · New York$882.64+$12.95
  6. Alaska · Alaska$934.46+$64.77
  7. Alabama · Alabama$701.94−$167.75

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

Every other payment area

14060 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$693.15$522.72
ArizonaArizona$753.25$561.00
Bakersfield, CACalifornia$805.45$588.00
Chico, CACalifornia$802.23$584.79
El Centro, CACalifornia$802.41$584.97
Fresno, CACalifornia$802.23$584.79
Hanford, CACalifornia$802.23$584.79
Madera, CACalifornia$802.23$584.79

14060 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.

$693.15

$934.46

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

View every state and territory as a table
14060 office rate range by state
State / territoryOffice rate rangeLocalities
AK$934.461
AL$701.941
AR$693.151
AZ$753.251
CA$802.23–$980.8929
CO$795.551
CT$818.951
DC$869.691
DE$764.561
FL$770.71–$844.403
GA$731.72–$786.952
GU$816.521
HI$816.521
IA$713.321
ID$718.221
IL$754.12–$822.464
IN$721.731
KS$712.361
KY$720.511
LA$720.31–$751.062
MA$792.53–$864.782
MD$777.20–$869.693
ME$723.54–$754.792
MI$738.61–$781.172
MN$759.371
MO$710.86–$751.063
MS$702.031
MT$771.821
NC$729.811
ND$750.671
NE$716.131
NH$785.281
NJ$827.46–$862.952
NM$742.931
NV$766.361
NY$739.50–$904.085
OH$734.291
OK$717.321
OR$759.54–$815.902
PA$734.21–$802.062
PR$776.151
RI$788.121
SC$733.431
SD$748.161
TN$715.711
TX$730.16–$793.688
UT$742.121
VA$753.98–$869.692
VI$776.151
VT$749.881
WA$790.35–$879.252
WI$728.871
WV$730.241
WY$762.601

See 14060 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,453

Code
14060
Physician work
9.00
Practice expense
13.04
Malpractice
1.07

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 14060 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work9.00× 1.0549.4860
Practice expense13.04× 1.17815.3611
Malpractice1.07× 1.1131.1909
Total RVUs26.0380
Conversion factor× 33.4009

Office rate, Washington, DC area$869.69

Office: (9 × 1.054 + 13.04 × 1.178 + 1.07 × 1.113) × $33.4009 = $869.69

Facility: (9 × 1.054 + 7.1 × 1.178 + 1.07 × 1.113) × $33.4009 = $635.98

Open 14060 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 14060

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

Codes related to 14060
CodeHow it relatesOffice range, Washington, DC area
Same family
14061Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cmAdjacent tissue transfer on the same sites for defects measuring 10.1–30 cm².$1,126.43
Used instead
14040Tissue rearrangement, defined sites, 10 cm² or lessAdjacent tissue transfer for specified other facial and body sites, including cheek, chin, and forehead.$866.71
14020Tissue rearrangement, scalp, arm, or leg; up to 10 sq cmAdjacent tissue transfer for scalp, arms, or legs, selected by defect area.$813.83
14000Tissue transfer, trunk, defect up to 10 sq cmAdjacent tissue transfer for a trunk defect of 10 cm² or less.$758.05

How 14060 has changed in Washington, DC area

14060 · Office / nonfacility

$869.69

Effective 2026-10-01

The base rate is $14.80 higher than on 2025-10-01, moving from $854.89 to $869.69 (1.7%).

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

    $854.89changed to$869.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 9.23 changed to 9.00
    • Practice expense RVU 12.89 changed to 13.04
    • Malpractice RVU 1.12 changed to 1.07
    • 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

    $876.57changed to$854.89

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.79 changed to 12.89
    • Malpractice RVU 1.14 changed to 1.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $862.26changed to$876.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $896.19changed to$862.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.62 changed to 12.79
    • Malpractice RVU 1.12 changed to 1.14
    • 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

    $909.87changed to$896.19

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.26 changed to 12.62
    • Malpractice RVU 1.09 changed to 1.12
    • 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

    $909.12changed to$909.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.12 changed to 12.26
    • Malpractice RVU 1.04 changed to 1.09

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $909.84changed to$909.12

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.63 changed to 12.12
    • 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

    $909.66changed to$909.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.54 changed to 11.63
    • Malpractice RVU 1.34 changed to 1.04
    • 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

    $910.00changed to$909.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 11.55 changed to 11.54
    • Malpractice RVU 1.36 changed to 1.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $908.27changed to$910.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.53 changed to 11.55
    • Malpractice RVU 1.37 changed to 1.36
    • 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

    $905.87changed to$908.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 11.48 changed to 11.53
    • Malpractice RVU 1.38 changed to 1.37
    • 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

    $905.00changed to$905.87

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 1.29 changed to 1.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $900.49changed to$905.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $892.88changed to$900.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 11.31 changed to 11.48
    • Malpractice RVU 1.36 changed to 1.29
    • 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

    $897.99changed to$892.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.61 changed to 11.31
    • Malpractice RVU 1.42 changed to 1.36
    • 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: $897.99

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$869.69$635.98RVU26D
2026-07-01$869.69$635.98RVU26C
2026-04-01$869.69$635.98RVU26B
2026-01-01$869.69$635.98RVU26A
2025-10-01$854.89$734.59RVU25D
2025-07-01$854.89$734.59RVU25C
2025-04-01$854.89$734.59RVU25B
2025-01-01$854.89$734.59RVU25A
2024-10-01$876.57$749.20RVU24D
2024-07-01$876.57$749.20RVU24C
2024-04-01$876.57$749.20RVU24B
2024-03-09$876.57$749.20RVU24AR
2024-01-01$862.26$736.97RVU24A
2023-10-01$896.19$764.55RVU23D
2023-07-01$896.19$764.55RVU23C
2023-04-01$896.19$764.55RVU23B
2023-01-01$896.19$764.55RVU23A
2022-10-01$909.87$773.43RVU22D
2022-07-01$909.87$773.43RVU22C
2022-04-01$909.87$773.43RVU22B
2022-01-01$909.87$773.43RVU22A
2021-10-01$909.12$771.54RVU21D
2021-07-01$909.12$771.54RVU21C
2021-04-01$909.12$771.54RVU21B
2021-01-01$909.12$771.54RVU21A
2020-10-01$909.84$782.05RVU20D
2020-07-01$909.84$782.05RVU20C
2020-04-01$909.84$782.05RVU20B
2020-01-01$909.84$782.05RVU20A
2019-10-01$909.66$787.63RVU19D
2019-07-01$909.66$787.63RVU19C
2019-04-01$909.66$787.63RVU19B
2019-01-01$909.66$787.63RVU19A
2018-10-01$910.00$789.40RVU18D
2018-07-01$910.00$789.40RVU18C
2018-04-01$910.00$789.40RVU18B
2018-01-01$910.00$789.40RVU18AR1
2017-10-01$908.27$790.21RVU17D
2017-07-01$908.27$790.21RVU17C
2017-04-01$908.27$790.21RVU17B
2017-01-01$908.27$790.21RVU17A
2016-10-01$905.87$788.08RVU16D
2016-07-01$905.87$788.08RVU16C
2016-04-01$905.87$788.08RVU16B
2016-01-01$905.87$788.08RVU16A
2015-10-01$905.00$786.79RVU15D
2015-07-01$905.00$786.79RVU15C
2015-04-01$900.49$782.87RVU15B
2015-01-01$900.49$782.87RVU15A
2014-10-01$892.88$777.48RVU14D
2014-07-01$892.88$777.48RVU14C
2014-04-01$892.88$777.48RVU14B
2014-01-01$892.88$777.48RVU14A
2013-10-01$897.99$774.49RVU13D
2013-07-01$897.99$774.49RVU13C
2013-04-01$897.99$774.49RVU13B
2013-01-01$897.99$774.49RVU13AR

Price 14060 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

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
RVUs for 14060PPRRVU2026_Oct_nonQPP.csv, line 1,453 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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