CPT code 14301: Tissue transfer, 30.1–60 square centimeters2026 Medicare rate & RVUs in Tennessee
Reports local tissue rearrangement to close a defect measuring 30.1 to 60 square centimeters, such as a sizable defect after skin cancer removal.
In Tennessee, Medicare pays $1,030.45 for 14301 in the office and $710.44 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 14301 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 14301 covers
This code covers reconstruction using nearby tissue that is cut and moved or rearranged to close a defect, such as with an advancement, rotation, or transposition flap. Plastic, dermatologic, and other surgeons commonly perform the service after skin cancer removal or treatment of another lesion leaves a defect too large or poorly suited to simple closure. The code applies to any anatomic area when the measured defect falls within this size level.
Select the code from the documented defect area, rather than the flap’s dimensions; document the relevant defect measurements, including primary and secondary defects when applicable. Code 14302 may be reported for each additional 30 square centimeters or part thereof. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; 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 Tennessee compares for 14301
Across 109 of 109 payment localities, the office rate for 14301 runs from $996.94 in Arkansas to $1,416.96 in San Benito County, CA. Tennessee pays $1,030.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$1,030.45
- Los Angeles, CA · California$1,231.43+$200.98
- Washington, DC area · District of Columbia$1,264.18+$233.73
- Miami, FL · Florida$1,250.70+$220.25
- Chicago, IL · Illinois$1,214.59+$184.14
- Manhattan, NY · New York$1,290.28+$259.83
- Alaska · Alaska$1,337.21+$306.76
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,010.66 | $702.62 |
| ArkansasArkansas | $996.94 | $694.53 |
| ArizonaArizona | $1,090.61 | $749.47 |
| Bakersfield, CACalifornia | $1,162.92 | $777.08 |
| Chico, CACalifornia | $1,157.12 | $771.28 |
| El Centro, CACalifornia | $1,157.46 | $771.62 |
| Fresno, CACalifornia | $1,157.12 | $771.28 |
| Hanford, CACalifornia | $1,157.12 | $771.28 |
| Madera, CACalifornia | $1,157.12 | $771.28 |
| Merced, CACalifornia | $1,157.12 | $771.28 |
| Modesto, CACalifornia | $1,157.12 | $771.28 |
| Napa, CACalifornia | $1,316.30 | $852.31 |
| Oxnard, CACalifornia | $1,222.64 | $806.53 |
| Redding, CACalifornia | $1,157.12 | $771.28 |
| Rest of CaliforniaCalifornia | $1,157.12 | $771.28 |
| Riverside, CACalifornia | $1,179.13 | $793.29 |
| Sacramento, CACalifornia | $1,207.84 | $798.42 |
| Salinas, CACalifornia | $1,203.22 | $795.20 |
| San Diego, CACalifornia | $1,226.91 | $805.87 |
| Marin County, CACalifornia | $1,385.05 | $888.66 |
| San Francisco, CACalifornia | $1,382.73 | $886.35 |
| San Benito County, CACalifornia | $1,416.96 | $909.31 |
| Santa Clara County, CACalifornia | $1,407.49 | $899.84 |
| San Luis Obispo, CACalifornia | $1,184.65 | $783.67 |
| Santa Cruz, CACalifornia | $1,234.96 | $807.23 |
| Santa Maria, CACalifornia | $1,206.47 | $795.99 |
| Santa Rosa, CACalifornia | $1,246.99 | $814.68 |
| Stockton, CACalifornia | $1,157.12 | $771.28 |
| Vallejo, CACalifornia | $1,312.96 | $848.97 |
| Visalia, CACalifornia | $1,157.12 | $771.28 |
| Yuba City, CACalifornia | $1,157.12 | $771.28 |
| ColoradoColorado | $1,151.26 | $776.69 |
| ConnecticutConnecticut | $1,192.11 | $812.96 |
| DelawareDelaware | $1,107.76 | $759.94 |
| Fort Lauderdale, FLFlorida | $1,183.65 | $827.02 |
| Rest of FloridaFlorida | $1,126.37 | $789.81 |
| Atlanta, GAGeorgia | $1,145.44 | $787.76 |
| Rest of GeorgiaGeorgia | $1,064.20 | $750.17 |
| Hawaii, Guam, HIHawaii | $1,179.30 | $779.02 |
| IowaIowa | $1,024.75 | $702.63 |
| IdahoIdaho | $1,033.13 | $709.25 |
| East St. Louis, ILIllinois | $1,138.13 | $814.25 |
| Rest of IllinoisIllinois | $1,102.92 | $781.50 |
| Suburban Chicago, ILIllinois | $1,193.04 | $831.49 |
| IndianaIndiana | $1,038.50 | $712.16 |
| KansasKansas | $1,025.00 | $706.75 |
| KentuckyKentucky | $1,043.40 | $730.43 |
| New Orleans, LALouisiana | $1,091.76 | $760.48 |
| Rest of LouisianaLouisiana | $1,043.77 | $732.21 |
| Metropolitan Boston, MAMassachusetts | $1,253.87 | $833.53 |
| Rest of MassachusettsMassachusetts | $1,146.96 | $776.26 |
| Baltimore area, MDMaryland | $1,189.75 | $812.00 |
| Rest of MarylandMaryland | $1,126.48 | $770.21 |
| Rest of MaineMaine | $1,043.29 | $719.40 |
| Southern Maine, MEMaine | $1,089.36 | $740.48 |
| Detroit, MIMichigan | $1,144.60 | $804.87 |
| Rest of MichiganMichigan | $1,073.35 | $751.93 |
| MinnesotaMinnesota | $1,090.87 | $728.61 |
| Metropolitan Kansas City, MOMissouri | $1,079.64 | $749.07 |
| Metropolitan St. Louis, MOMissouri | $1,089.67 | $754.52 |
| Rest of MissouriMissouri | $1,030.13 | $726.67 |
| MississippiMississippi | $1,013.48 | $710.37 |
| MontanaMontana | $1,120.13 | $768.08 |
| North CarolinaNorth Carolina | $1,052.77 | $724.31 |
| North DakotaNorth Dakota | $1,079.79 | $727.75 |
| NebraskaNebraska | $1,028.58 | $703.64 |
| New HampshireNew Hampshire | $1,138.00 | $771.52 |
| Northern New JerseyNew Jersey | $1,253.29 | $844.92 |
| Rest of New JerseyNew Jersey | $1,202.26 | $817.82 |
| New MexicoNew Mexico | $1,080.82 | $757.99 |
| NevadaNevada | $1,109.53 | $757.13 |
| NYC suburbs and Long Island, NYNew York | $1,326.03 | $907.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,213.94 | $828.45 |
| Queens, NYNew York | $1,293.27 | $877.16 |
| Rest of New YorkNew York | $1,068.01 | $733.57 |
| OhioOhio | $1,065.11 | $743.69 |
| OklahomaOklahoma | $1,036.56 | $722.18 |
| Portland, OROregon | $1,180.49 | $789.36 |
| Rest of OregonOregon | $1,097.47 | $746.83 |
| Metropolitan Philadelphia, PAPennsylvania | $1,167.08 | $800.60 |
| Rest of PennsylvaniaPennsylvania | $1,064.01 | $740.84 |
| Puerto RicoPuerto Rico | $1,126.29 | $770.37 |
| Rhode IslandRhode Island | $1,141.86 | $778.20 |
| South CarolinaSouth Carolina | $1,061.38 | $736.09 |
| South DakotaSouth Dakota | $1,075.02 | $722.98 |
| Austin, TXTexas | $1,150.46 | $778.00 |
| Beaumont, TXTexas | $1,057.80 | $737.44 |
| Brazoria, TXTexas | $1,102.81 | $753.93 |
| Dallas, TXTexas | $1,111.74 | $761.10 |
| Fort Worth, TXTexas | $1,106.22 | $759.10 |
| Galveston, TXTexas | $1,107.36 | $757.78 |
| Houston, TXTexas | $1,144.70 | $795.12 |
| Rest of TexasTexas | $1,081.00 | $746.91 |
| UtahUtah | $1,074.90 | $743.98 |
| VirginiaVirginia | $1,089.35 | $743.29 |
| Virgin Islands, VIUnited States Virgin Islands | $1,126.29 | $770.37 |
| VermontVermont | $1,080.20 | $731.68 |
| Rest of WashingtonWashington | $1,143.27 | $772.57 |
| King County, WAWashington | $1,273.74 | $841.78 |
| WisconsinWisconsin | $1,046.22 | $708.96 |
| West VirginiaWest Virginia | $1,065.75 | $759.83 |
| WyomingWyoming | $1,102.55 | $750.50 |
14301 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$996.94
$1,337.21
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,337.21 | 1 |
| AL | $1,010.66 | 1 |
| AR | $996.94 | 1 |
| AZ | $1,090.61 | 1 |
| CA | $1,157.12–$1,416.96 | 29 |
| CO | $1,151.26 | 1 |
| CT | $1,192.11 | 1 |
| DC | $1,264.18 | 1 |
| DE | $1,107.76 | 1 |
| FL | $1,126.37–$1,250.70 | 3 |
| GA | $1,064.20–$1,145.44 | 2 |
| GU | $1,179.30 | 1 |
| HI | $1,179.30 | 1 |
| IA | $1,024.75 | 1 |
| ID | $1,033.13 | 1 |
| IL | $1,102.92–$1,214.59 | 4 |
| IN | $1,038.50 | 1 |
| KS | $1,025.00 | 1 |
| KY | $1,043.40 | 1 |
| LA | $1,043.77–$1,091.76 | 2 |
| MA | $1,146.96–$1,253.87 | 2 |
| MD | $1,126.48–$1,264.18 | 3 |
| ME | $1,043.29–$1,089.36 | 2 |
| MI | $1,073.35–$1,144.60 | 2 |
| MN | $1,090.87 | 1 |
| MO | $1,030.13–$1,089.67 | 3 |
| MS | $1,013.48 | 1 |
| MT | $1,120.13 | 1 |
| NC | $1,052.77 | 1 |
| ND | $1,079.79 | 1 |
| NE | $1,028.58 | 1 |
| NH | $1,138.00 | 1 |
| NJ | $1,202.26–$1,253.29 | 2 |
| NM | $1,080.82 | 1 |
| NV | $1,109.53 | 1 |
| NY | $1,068.01–$1,326.03 | 5 |
| OH | $1,065.11 | 1 |
| OK | $1,036.56 | 1 |
| OR | $1,097.47–$1,180.49 | 2 |
| PA | $1,064.01–$1,167.08 | 2 |
| PR | $1,126.29 | 1 |
| RI | $1,141.86 | 1 |
| SC | $1,061.38 | 1 |
| SD | $1,075.02 | 1 |
| TN | $1,030.45 | 1 |
| TX | $1,057.80–$1,150.46 | 8 |
| UT | $1,074.90 | 1 |
| VA | $1,089.35–$1,264.18 | 2 |
| VI | $1,126.29 | 1 |
| VT | $1,080.20 | 1 |
| WA | $1,143.27–$1,273.74 | 2 |
| WI | $1,046.22 | 1 |
| WV | $1,065.75 | 1 |
| WY | $1,102.55 | 1 |
How the 14301 rate is calculated
Each of 14301’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 · 14301
RVUs × geographic indexes × conversion factor
Work12.33
12.33 RVUs× 1.000 GPCI
Practice expense19.17
19.17 RVUs× 1.000 GPCI
Malpractice2.04
2.04 RVUs× 1.000 GPCI
Adjusted RVUs
33.5400
Conversion factor
$33.4009
Medicare rate
$1,120.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,455
- Code
- 14301
- Physician work
- 12.33
- Practice expense
- 19.17
- Malpractice
- 2.04
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.33 | × 1.000 | 12.3300 |
| Practice expense | 19.17 | × 0.909 | 17.4255 |
| Malpractice | 2.04 | × 0.537 | 1.0955 |
| Total RVUs | 30.8510 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$1030.45
Office: (12.33 × 1 + 19.17 × 0.909 + 2.04 × 0.537) × $33.4009 = $1030.45
Facility: (12.33 × 1 + 8.63 × 0.909 + 2.04 × 0.537) × $33.4009 = $710.44
Payment rules and modifiers for 14301
14301 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14301
Tissue transfer, 30.1–60 square centimeters
| 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) | 2 | Paid. |
| 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 · 14301
Tissue transfer, 30.1–60 square centimeters
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
14301 without 51 · national office
$1,120.27
Tissue transfer, 30.1–60 square centimeters
14301-51 · Second procedure: 50%
$560.14
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%).
How 14301 has changed in Tennessee
14301 · Office / nonfacility
$1030.45
Effective 2026-10-01
The base rate is $65.07 higher than on 2025-10-01, moving from $965.38 to $1030.45 (6.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$965.38changed to$1030.45
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 12.65 changed to 12.33
- Practice expense RVU 17.94 changed to 19.17
- Malpractice RVU 2.06 changed to 2.04
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$991.79changed to$965.38
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 17.89 changed to 17.94
- Malpractice RVU 2.05 changed to 2.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$975.60changed to$991.79
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1003.72changed to$975.60
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 17.84 changed to 17.89
- Malpractice RVU 1.97 changed to 2.05
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$1011.31changed to$1003.72
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 17.51 changed to 17.84
- Malpractice RVU 1.94 changed to 1.97
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1011.85changed to$1011.31
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 17.28 changed to 17.51
- Malpractice RVU 1.90 changed to 1.94
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1019.99changed to$1011.85
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 16.35 changed to 17.28
- Malpractice RVU 1.86 changed to 1.90
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1016.54changed to$1019.99
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 16.04 changed to 16.35
- Malpractice RVU 2.10 changed to 1.86
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1012.45changed to$1016.54
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 15.96 changed to 16.04
- Malpractice RVU 2.08 changed to 2.10
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$1012.45
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,030.45 | $710.44 | RVU26D |
| 2026-07-01 | $1,030.45 | $710.44 | RVU26C |
| 2026-04-01 | $1,030.45 | $710.44 | RVU26B |
| 2026-01-01 | $1,030.45 | $710.44 | RVU26A |
| 2025-10-01 | $965.38 | $779.89 | RVU25D |
| 2025-07-01 | $965.38 | $779.89 | RVU25C |
| 2025-04-01 | $965.38 | $779.89 | RVU25B |
| 2025-01-01 | $965.38 | $779.89 | RVU25A |
| 2024-10-01 | $991.79 | $796.73 | RVU24D |
| 2024-07-01 | $991.79 | $796.73 | RVU24C |
| 2024-04-01 | $991.79 | $796.73 | RVU24B |
| 2024-03-09 | $991.79 | $796.73 | RVU24AR |
| 2024-01-01 | $975.60 | $783.73 | RVU24A |
| 2023-10-01 | $1,003.72 | $803.47 | RVU23D |
| 2023-07-01 | $1,003.72 | $803.47 | RVU23C |
| 2023-04-01 | $1,003.72 | $803.47 | RVU23B |
| 2023-01-01 | $1,003.72 | $803.47 | RVU23A |
| 2022-10-01 | $1,011.31 | $806.65 | RVU22D |
| 2022-07-01 | $1,011.31 | $806.65 | RVU22C |
| 2022-04-01 | $1,011.31 | $806.65 | RVU22B |
| 2022-01-01 | $1,011.31 | $806.65 | RVU22A |
| 2021-10-01 | $1,011.85 | $808.29 | RVU21D |
| 2021-07-01 | $1,011.85 | $808.29 | RVU21C |
| 2021-04-01 | $1,011.85 | $808.29 | RVU21B |
| 2021-01-01 | $1,011.85 | $808.29 | RVU21A |
| 2020-10-01 | $1,019.99 | $830.61 | RVU20D |
| 2020-07-01 | $1,019.99 | $830.61 | RVU20C |
| 2020-04-01 | $1,019.99 | $830.61 | RVU20B |
| 2020-01-01 | $1,019.99 | $830.61 | RVU20A |
| 2019-10-01 | $1,016.54 | $836.65 | RVU19D |
| 2019-07-01 | $1,016.54 | $836.65 | RVU19C |
| 2019-04-01 | $1,016.54 | $836.65 | RVU19B |
| 2019-01-01 | $1,016.54 | $836.65 | RVU19A |
| 2018-10-01 | $1,012.45 | $839.25 | RVU18D |
| 2018-07-01 | $1,012.45 | $839.25 | RVU18C |
| 2018-04-01 | $1,012.45 | $839.25 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
14301 billing questions
How is 14301 different from the smaller adjacent tissue transfer codes?
Choose 14301 when the defect measures 30.1 to 60 square centimeters, regardless of anatomic area. Smaller defects are coded from the site-specific adjacent tissue transfer series.
When can I report 14302 with 14301?
Report 14302 for each additional 30 square centimeters or part thereof beyond the area covered by 14301. The record should support the total defect area used to select the codes.
Can I separately report lesion excision at the reconstructed site?
When lesion excision creates the same defect repaired with adjacent tissue transfer, the transfer code includes that work; do not separately report the lesion excision.
Should modifier 50 be appended for bilateral defects?
No. Modifier 50 is inappropriate for this code; report the service based on the applicable defect area.
What postoperative care is included in the Medicare global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or another surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
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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