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

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 Ohio, Medicare pays $734.29 for 14060 in the office and $553.15 when it’s performed in a hospital or facility.

$734.29Office (non-facility)
$553.15Hospital or facility
−4.9%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 Ohio
  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 Ohio 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. Ohio pays $734.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

14060 in Ohio vs other payment areas
  1. Ohio · this page$734.29
  2. Los Angeles, CA · California$851.92+$117.63
  3. Washington, DC area · District of Columbia$869.69+$135.40
  4. Miami, FL · Florida$844.40+$110.11
  5. Chicago, IL · Illinois$822.46+$88.17
  6. Manhattan, NY · New York$882.64+$148.35
  7. Alaska · Alaska$934.46+$200.17

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

Every other payment area

14060 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$701.94$528.34
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

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 Ohio 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

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 14060 in Ohio
ComponentRVULocality factorAdjusted
Physician work9.00× 1.0009.0000
Practice expense13.04× 0.91311.9055
Malpractice1.07× 1.0081.0786
Total RVUs21.9841
Conversion factor× 33.4009

Office rate, Ohio$734.29

Office: (9 × 1 + 13.04 × 0.913 + 1.07 × 1.008) × $33.4009 = $734.29

Facility: (9 × 1 + 7.1 × 0.913 + 1.07 × 1.008) × $33.4009 = $553.15

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, Ohio
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.$947.93
Used instead
14040Tissue rearrangement, defined sites, 10 cm² or lessAdjacent tissue transfer for specified other facial and body sites, including cheek, chin, and forehead.$728.25
14020Tissue rearrangement, scalp, arm, or leg; up to 10 sq cmAdjacent tissue transfer for scalp, arms, or legs, selected by defect area.$678.66
14000Tissue transfer, trunk, defect up to 10 sq cmAdjacent tissue transfer for a trunk defect of 10 cm² or less.$630.79

How 14060 has changed in Ohio

14060 · Office / nonfacility

$734.29

Effective 2026-10-01

The base rate is $18.47 higher than on 2025-10-01, moving from $715.82 to $734.29 (2.6%).

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

    $715.82changed to$734.29

    • 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
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $734.30changed to$715.82

    • 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

    $722.31changed to$734.30

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $743.15changed to$722.31

    • 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
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033

  5. January 1, 2023

    RVU23A

    $748.04changed to$743.15

    • 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
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $747.87changed to$748.04

    • 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

    $756.52changed to$747.87

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.63 changed to 12.12
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $762.55changed to$756.52

    • 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
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $762.76changed to$762.55

    • 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

    $760.24changed to$762.76

    • 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
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $756.87changed to$760.24

    • 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
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $756.39changed to$756.87

    • 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

    $752.62changed to$756.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $759.02changed to$752.62

    • 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
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $771.65changed to$759.02

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $771.65

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$734.29$553.15RVU26D
2026-07-01$734.29$553.15RVU26C
2026-04-01$734.29$553.15RVU26B
2026-01-01$734.29$553.15RVU26A
2025-10-01$715.82$623.88RVU25D
2025-07-01$715.82$623.88RVU25C
2025-04-01$715.82$623.88RVU25B
2025-01-01$715.82$623.88RVU25A
2024-10-01$734.30$636.96RVU24D
2024-07-01$734.30$636.96RVU24C
2024-04-01$734.30$636.96RVU24B
2024-03-09$734.30$636.96RVU24AR
2024-01-01$722.31$626.56RVU24A
2023-10-01$743.15$644.25RVU23D
2023-07-01$743.15$644.25RVU23C
2023-04-01$743.15$644.25RVU23B
2023-01-01$743.15$644.25RVU23A
2022-10-01$748.04$647.25RVU22D
2022-07-01$748.04$647.25RVU22C
2022-04-01$748.04$647.25RVU22B
2022-01-01$748.04$647.25RVU22A
2021-10-01$747.87$646.25RVU21D
2021-07-01$747.87$646.25RVU21C
2021-04-01$747.87$646.25RVU21B
2021-01-01$747.87$646.25RVU21A
2020-10-01$756.52$660.76RVU20D
2020-07-01$756.52$660.76RVU20C
2020-04-01$756.52$660.76RVU20B
2020-01-01$756.52$660.76RVU20A
2019-10-01$762.55$669.68RVU19D
2019-07-01$762.55$669.68RVU19C
2019-04-01$762.55$669.68RVU19B
2019-01-01$762.55$669.68RVU19A
2018-10-01$762.76$670.99RVU18D
2018-07-01$762.76$670.99RVU18C
2018-04-01$762.76$670.99RVU18B
2018-01-01$762.76$670.99RVU18AR1
2017-10-01$760.24$670.29RVU17D
2017-07-01$760.24$670.29RVU17C
2017-04-01$760.24$670.29RVU17B
2017-01-01$760.24$670.29RVU17A
2016-10-01$756.87$667.14RVU16D
2016-07-01$756.87$667.14RVU16C
2016-04-01$756.87$667.14RVU16B
2016-01-01$756.87$667.14RVU16A
2015-10-01$756.39$666.33RVU15D
2015-07-01$756.39$666.33RVU15C
2015-04-01$752.62$663.02RVU15B
2015-01-01$752.62$663.02RVU15A
2014-10-01$759.02$670.41RVU14D
2014-07-01$759.02$670.41RVU14C
2014-04-01$759.02$670.41RVU14B
2014-01-01$759.02$670.41RVU14A
2013-10-01$771.65$676.09RVU13D
2013-07-01$771.65$676.09RVU13C
2013-04-01$771.65$676.09RVU13B
2013-01-01$771.65$676.09RVU13AR

Price 14060 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

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 OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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