CPT code 14061: Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cm2026 Medicare rate & RVUs in California
Adjacent tissue rearrangement repairs 10.1–30 sq cm defects of the eyelid, nose, ear, or lip, often after lesion removal or Mohs surgery.
Medicare pays $1,039.42–$1,274.81 for 14061 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 14061 covers
A surgeon moves and rearranges skin next to a defect to close it, using techniques such as rotation, advancement, or transposition flaps. The code covers repairs involving the eyelid, nose, ear, or lip when the defect area is 10.1–30 sq cm. These repairs commonly follow removal of a skin cancer, including Mohs surgery, and may be performed by a plastic, dermatologic, oculoplastic, or otolaryngologic surgeon in an office or facility setting. Excision of the lesion being repaired is included in the tissue-transfer service.
Report the code for the documented defect area and eligible anatomic site; the record should identify the site, defect dimensions or area, and tissue-rearrangement method. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay for 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 14061 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
$1039.42 to $1274.81
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $1,043.42 | $715.41 |
| Chico, CA | $1,039.42 | $711.42 |
| El Centro, CA | $1,039.65 | $711.64 |
| Fresno, CA | $1,039.42 | $711.42 |
| Hanford, CA | $1,039.42 | $711.42 |
| Los Angeles, CA | $1,104.53 | $750.49 |
| Madera, CA | $1,039.42 | $711.42 |
| Marin County, CA | $1,247.23 | $825.25 |
| Merced, CA | $1,039.42 | $711.42 |
| Modesto, CA | $1,039.42 | $711.42 |
| Napa, CA | $1,184.10 | $789.66 |
| Oxnard, CA | $1,097.27 | $743.53 |
| Redding, CA | $1,039.42 | $711.42 |
| Rest of California | $1,039.42 | $711.42 |
| Riverside, CA | $1,053.88 | $725.88 |
| Sacramento, CA | $1,085.38 | $737.32 |
| Salinas, CA | $1,081.19 | $734.33 |
| San Benito County, CA | $1,274.81 | $843.26 |
| San Diego, CA | $1,102.53 | $744.60 |
| San Francisco, CA | $1,245.72 | $823.74 |
| San Luis Obispo, CA | $1,064.36 | $723.49 |
| Santa Clara County, CA | $1,268.63 | $837.08 |
| Santa Cruz, CA | $1,109.92 | $746.31 |
| Santa Maria, CA | $1,084.13 | $735.17 |
| Santa Rosa, CA | $1,120.82 | $753.32 |
| Stockton, CA | $1,039.42 | $711.42 |
| Vallejo, CA | $1,181.92 | $787.48 |
| Visalia, CA | $1,039.42 | $711.42 |
| Yuba City, CA | $1,039.42 | $711.42 |
How the 14061 rate is calculated
Each of 14061’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 · 14061
RVUs × geographic indexes × conversion factor
Work11.19
11.19 RVUs× 1.000 GPCI
Practice expense17.36
17.36 RVUs× 1.000 GPCI
Malpractice1.33
1.33 RVUs× 1.000 GPCI
Adjusted RVUs
29.8800
Conversion factor
$33.4009
Medicare rate
$998.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 14061
14061 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14061
Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cm
| 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 · 14061
Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cm
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
14061 without 51 · national office
$998.02
Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cm
14061-51 · Second procedure: 50%
$499.01
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%).
14061 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 14060Local flap repairEyelid, nose, ear, or lip up to 10 cm²
- The anatomic sites are the same, but 14060 applies to defects of 10 sq cm or less. Use 14061 when the defect measures 10.1–30 sq cm.
- 14041Tissue rearrangement10.1–30 sq cm, specified sites
- This code covers the 10.1–30 sq cm size range for a different site group, including areas such as the forehead, cheek, chin, mouth, or neck. 14061 is for the eyelid, nose, ear, or lip.
- 14001Tissue transferTrunk, 10.1–30 cm²
- Both codes cover adjacent tissue transfer for defects of 10.1–30 sq cm, but 14001 is for the trunk. Use 14061 for the eyelid, nose, ear, or lip.
14061 billing questions
How is 14061 distinguished from 14060?
Both cover adjacent tissue rearrangement of the eyelid, nose, ear, or lip. Select 14061 for a defect area of 10.1–30 sq cm; 14060 is for a defect of 10 sq cm or less.
Can the lesion excision be billed separately?
Excision of the lesion being repaired is included in the adjacent tissue-transfer service. Document the defect and the tissue rearrangement used to close it.
Should modifier 50 be appended for bilateral repairs?
No. The CMS bilateral adjustment does not apply to this code, and 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.
Can an assistant or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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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