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CPT code 14061: Tissue transfer, eyelid, nose, ear, or lip, 10.1–30 sq cm2026 Medicare rate & RVUs in Puerto Rico

Adjacent tissue rearrangement repairs 10.1–30 sq cm defects of the eyelid, nose, ear, or lip, often after lesion removal or Mohs surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality34K Medicare services in 2024

In Puerto Rico, Medicare pays $1,003.73 for 14061 in the office and $701.17 when it’s performed in a hospital or facility.

$1,003.73Office (non-facility)
$701.17Hospital or facility
+0.6%vs the national office rate ($998.02)

Check a contract rate as a % of Medicare · 14061 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 14061 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 14061 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 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.

How Puerto Rico compares for 14061

Across 109 of 109 payment localities, the office rate for 14061 runs from $894.72 in Arkansas to $1,274.81 in San Benito County, CA. Puerto Rico pays $1,003.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

14061 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$1,003.73
  2. Los Angeles, CA · California$1,104.53+$100.80
  3. Washington, DC area · District of Columbia$1,126.43+$122.70
  4. Miami, FL · Florida$1,089.72+$85.99
  5. Chicago, IL · Illinois$1,061.06+$57.33
  6. Manhattan, NY · New York$1,141.91+$138.18
  7. Alaska · Alaska$1,202.64+$198.91

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

Every other payment area

14061 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$906.26$644.40
ArkansasArkansas$894.72$637.64
ArizonaArizona$973.65$683.65
Bakersfield, CACalifornia$1,043.42$715.41
Chico, CACalifornia$1,039.42$711.42
El Centro, CACalifornia$1,039.65$711.64
Fresno, CACalifornia$1,039.42$711.42
Hanford, CACalifornia$1,039.42$711.42

14061 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.

$894.72

$1,202.64

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

View every state and territory as a table
14061 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,202.641
AL$906.261
AR$894.721
AZ$973.651
CA$1,039.42–$1,274.8129
CO$1,029.891
CT$1,059.471
DC$1,126.431
DE$988.441
FL$994.85–$1,089.723
GA$943.93–$1,017.352
GU$1,058.751
HI$1,058.751
IA$921.951
ID$928.221
IL$972.58–$1,061.064
IN$932.861
KS$920.321
KY$929.881
LA$929.47–$969.852
MA$1,025.71–$1,120.952
MD$1,005.07–$1,126.433
ME$934.84–$976.412
MI$953.30–$1,008.202
MN$983.561
MO$916.85–$970.283
MS$905.831
MT$997.931
NC$943.131
ND$971.631
NE$925.741
NH$1,016.241
NJ$1,070.62–$1,117.362
NM$958.821
NV$991.181
NY$955.83–$1,169.605
OH$947.931
OK$926.071
OR$982.51–$1,056.992
PA$948.03–$1,037.092
PR$1,003.731
RI$1,019.461
SC$947.291
SD$968.521
TN$924.691
TX$942.68–$1,027.338
UT$958.701
VA$975.10–$1,126.432
VI$1,003.731
VT$970.281
WA$1,022.99–$1,140.202
WI$942.921
WV$941.211
WY$986.471

See 14061 in every payment locality

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

Office or facility?

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.

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,454

Code
14061
Physician work
11.19
Practice expense
17.36
Malpractice
1.33

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 14061 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work11.19× 1.00011.1900
Practice expense17.36× 1.01117.5510
Malpractice1.33× 0.9851.3101
Total RVUs30.0510
Conversion factor× 33.4009

Office rate, Puerto Rico$1003.73

Office: (11.19 × 1 + 17.36 × 1.011 + 1.33 × 0.985) × $33.4009 = $1003.73

Facility: (11.19 × 1 + 8.4 × 1.011 + 1.33 × 0.985) × $33.4009 = $701.17

Open 14061 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

Codes related to 14061

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

Codes related to 14061
CodeHow it relatesOffice range, Puerto Rico
Same family
14060Local flap repair, eyelid, nose, ear, or lip up to 10 cm²Same eyelid, nose, ear, or lip sites; covers defects of 10 sq cm or less.$776.15
14040Tissue rearrangement, defined sites, 10 cm² or lessAdjacent tissue transfer for a different site group, with defects of 10 sq cm or less.$771.65
14041Tissue rearrangement, 10.1–30 sq cm, specified sitesAdjacent tissue transfer for a different site group, with defects of 10.1–30 sq cm.$931.40
14001Tissue transfer, trunk, 10.1–30 cm²Adjacent tissue transfer for trunk defects of 10.1–30 sq cm.$862.61

How 14061 has changed in Puerto Rico

14061 · Office / nonfacility

$1003.73

Effective 2026-10-01

The base rate is $24.75 higher than on 2025-10-01, moving from $978.98 to $1003.73 (2.5%).

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

    $978.98changed to$1003.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 11.48 changed to 11.19
    • Practice expense RVU 17.27 changed to 17.36
    • Malpractice RVU 1.42 changed to 1.33
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1002.75changed to$978.98

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 17.11 changed to 17.27
    • Malpractice RVU 1.44 changed to 1.42

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $986.38changed to$1002.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1010.95changed to$986.38

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 16.86 changed to 17.11
    • Malpractice RVU 1.38 changed to 1.44
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $1007.13changed to$1010.95

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $1013.34changed to$1007.13

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 16.35 changed to 16.86
    • Malpractice RVU 1.34 changed to 1.38
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $1015.76changed to$1013.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 16.18 changed to 16.35

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $1027.46changed to$1015.76

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 15.61 changed to 16.18
    • Malpractice RVU 1.27 changed to 1.34
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $1040.15changed to$1027.46

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 15.56 changed to 15.61
    • Malpractice RVU 1.73 changed to 1.27
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $1044.44changed to$1040.15

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.71 changed to 15.56

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $934.72changed to$1044.44

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 1.74 changed to 1.73
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $823.42changed to$934.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 15.61 changed to 15.71
    • Malpractice RVU 1.75 changed to 1.74
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $825.42changed to$823.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 15.63 changed to 15.61
    • Malpractice RVU 1.61 changed to 1.75

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $821.32changed to$825.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $806.69changed to$821.32

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 15.31 changed to 15.63
    • Malpractice RVU 1.64 changed to 1.61
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $800.45changed to$806.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 17.14 changed to 15.31
    • Malpractice RVU 1.71 changed to 1.64
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $800.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,003.73$701.17RVU26D
2026-07-01$1,003.73$701.17RVU26C
2026-04-01$1,003.73$701.17RVU26B
2026-01-01$1,003.73$701.17RVU26A
2025-10-01$978.98$801.46RVU25D
2025-07-01$978.98$801.46RVU25C
2025-04-01$978.98$801.46RVU25B
2025-01-01$978.98$801.46RVU25A
2024-10-01$1,002.75$818.38RVU24D
2024-07-01$1,002.75$818.38RVU24C
2024-04-01$1,002.75$818.38RVU24B
2024-03-09$1,002.75$818.38RVU24AR
2024-01-01$986.38$805.03RVU24A
2023-10-01$1,010.95$825.47RVU23D
2023-07-01$1,007.13$823.12RVU23C
2023-04-01$1,007.13$823.12RVU23B
2023-01-01$1,007.13$823.12RVU23A
2022-10-01$1,013.34$827.41RVU22D
2022-07-01$1,013.34$827.41RVU22C
2022-04-01$1,013.34$827.41RVU22B
2022-01-01$1,013.34$827.41RVU22A
2021-10-01$1,015.76$828.65RVU21D
2021-07-01$1,015.76$828.65RVU21C
2021-04-01$1,015.76$828.65RVU21B
2021-01-01$1,015.76$828.65RVU21A
2020-10-01$1,027.46$847.39RVU20D
2020-07-01$1,027.46$847.39RVU20C
2020-04-01$1,027.46$847.39RVU20B
2020-01-01$1,027.46$847.39RVU20A
2019-10-01$1,040.15$862.32RVU19D
2019-07-01$1,040.15$862.32RVU19C
2019-04-01$1,040.15$862.32RVU19B
2019-01-01$1,040.15$862.32RVU19A
2018-10-01$1,044.44$864.27RVU18D
2018-07-01$1,044.44$864.27RVU18C
2018-04-01$1,044.44$864.27RVU18B
2018-01-01$1,044.44$864.27RVU18AR1
2017-10-01$934.72$784.18RVU17D
2017-07-01$934.72$784.18RVU17C
2017-04-01$934.72$784.18RVU17B
2017-01-01$934.72$784.18RVU17A
2016-10-01$823.42$699.99RVU16D
2016-07-01$823.42$699.99RVU16C
2016-04-01$823.42$699.99RVU16B
2016-01-01$823.42$699.99RVU16A
2015-10-01$825.42$700.79RVU15D
2015-07-01$825.42$700.79RVU15C
2015-04-01$821.32$697.30RVU15B
2015-01-01$821.32$697.30RVU15A
2014-10-01$806.69$688.45RVU14D
2014-07-01$806.69$688.45RVU14C
2014-04-01$806.69$688.45RVU14B
2014-01-01$806.69$688.45RVU14A
2013-10-01$800.45$675.19RVU13D
2013-07-01$800.45$675.19RVU13C
2013-04-01$800.45$675.19RVU13B
2013-01-01$800.45$675.19RVU13AR

Price 14061 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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
RVUs for 14061PPRRVU2026_Oct_nonQPP.csv, line 1,454 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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