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CPT code 14302: Tissue rearrangement, each additional 30 sq cm2026 Medicare rate & RVUs in South Carolina

Reports additional local tissue rearrangement beyond the initial 60 sq cm when a surgeon expands an adjacent tissue transfer for a large skin defect.

CMS RVU26DEffective Oct 1, 2026One payment locality72.5K Medicare services in 2024

In South Carolina, Medicare pays $212.84 for 14302 in the office and $176.43 when it’s performed in a hospital or facility.

$212.84Office (non-facility)
$176.43Hospital or facility
−4.2%vs the national office rate ($222.12)

Check a contract rate as a % of Medicare · 14302 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 14302 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 14302 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 14302 covers

This add-on represents further movement of nearby skin to close a defect after the initial area covered by the primary adjacent tissue transfer code. Surgeons use local advancement, rotation, or transposition techniques, including designs such as Z-plasty or V-Y advancement, when direct closure would distort nearby structures or leave excessive tension. The work is commonly performed by plastic, dermatologic, or other surgeons treating defects after tumor removal or other skin excision.

Report 14302 with 14301 when the total area of adjacent tissue transfer exceeds the primary code’s 60-square-centimeter upper threshold. Each unit represents another 30 square centimeters, or part of that increment, beyond the area covered by 14301. The operative note should support the defect and rearrangement area, flap design, and additional tissue movement. This add-on must be billed with its primary procedure, and its payment falls within that procedure’s global period.

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 South Carolina compares for 14302

Across 109 of 109 payment localities, the office rate for 14302 runs from $200.36 in Arkansas to $278.11 in Alaska. South Carolina pays $212.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

14302 in South Carolina vs other payment areas
  1. South Carolina · this page$212.84
  2. Los Angeles, CA · California$234.06+$21.22
  3. Washington, DC area · District of Columbia$245.14+$32.30
  4. Miami, FL · Florida$259.04+$46.20
  5. Chicago, IL · Illinois$251.91+$39.07
  6. Manhattan, NY · New York$255.53+$42.69
  7. Alaska · Alaska$278.11+$65.27

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

Every other payment area

14302 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$202.74$168.25
ArkansasArkansas$200.36$166.50
ArizonaArizona$216.51$178.32
Bakersfield, CACalifornia$223.34$180.15
Chico, CACalifornia$221.49$178.29
El Centro, CACalifornia$221.60$178.40
Fresno, CACalifornia$221.49$178.29
Hanford, CACalifornia$221.49$178.29

14302 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.

$200.36

$278.11

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

View every state and territory as a table
14302 office rate range by state
State / territoryOffice rate rangeLocalities
AK$278.111
AL$202.741
AR$200.361
AZ$216.511
CA$221.49–$259.9529
CO$223.771
CT$235.221
DC$245.141
DE$219.561
FL$229.75–$259.043
GA$217.87–$228.172
GU$223.591
HI$223.591
IA$202.151
ID$204.221
IL$227.70–$251.914
IN$205.061
KS$203.651
KY$211.531
LA$212.16–$220.482
MA$223.75–$239.902
MD$222.47–$245.143
ME$207.50–$213.282
MI$218.13–$234.492
MN$208.871
MO$210.71–$218.393
MS$205.451
MT$222.071
NC$208.901
ND$209.021
NE$202.361
NH$222.581
NJ$236.34–$243.832
NM$220.031
NV$218.511
NY$211.64–$263.625
OH$215.461
OK$208.801
OR$215.25–$227.132
PA$214.47–$231.782
PR$222.651
RI$224.641
SC$212.841
SD$207.481
TN$204.771
TX$213.49–$230.838
UT$215.161
VA$214.30–$245.142
VI$222.651
VT$210.441
WA$222.59–$241.982
WI$203.561
WV$221.331
WY$216.381

See 14302 in every payment locality

How the 14302 rate is calculated

Each of 14302’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 · 14302

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.64

3.64 RVUs× 1.000 GPCI

Practice expense2.35

2.35 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

6.6500

Conversion factor

$33.4009

Medicare rate

$222.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,456

Code
14302
Physician work
3.64
Practice expense
2.35
Malpractice
0.66

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 14302 in South Carolina
ComponentRVULocality factorAdjusted
Physician work3.64× 1.0003.6400
Practice expense2.35× 0.9242.1714
Malpractice0.66× 0.8500.5610
Total RVUs6.3724
Conversion factor× 33.4009

Office rate, South Carolina$212.84

Office: (3.64 × 1 + 2.35 × 0.924 + 0.66 × 0.85) × $33.4009 = $212.84

Facility: (3.64 × 1 + 1.17 × 0.924 + 0.66 × 0.85) × $33.4009 = $176.43

Open 14302 in the RVU calculator

Payment rules and modifiers for 14302

The CMS indicators that decide how 14302 is paid alongside other services.

CMS payment indicators · 14302

Tissue rearrangement, each additional 30 sq cm

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

14302 without 80 · national office

$222.12

Tissue rearrangement, each additional 30 sq cm

14302-80 · Assistant: 16%

$35.54

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

Codes related to 14302

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

Codes related to 14302
CodeHow it relatesOffice range, South Carolina
Add-on codes
14301Tissue transfer, 30.1–60 square centimetersPrimary adjacent tissue transfer code; 14302 reports additional area beyond its initial 60 square centimeters.$1,061.38
Used instead
14000Tissue transfer, trunk, defect up to 10 sq cmSite-specific trunk transfer code for smaller areas, rather than an additional-area unit.$629.70
14020Tissue rearrangement, scalp, arm, or leg; up to 10 sq cmSite-specific scalp, arm, or leg transfer code for smaller areas.$678.32
14040Tissue rearrangement, defined sites, 10 cm² or lessSite-specific face, scalp, or neck transfer code for smaller areas.$727.56
14060Local flap repair, eyelid, nose, ear, or lip up to 10 cm²Site-specific eyelid, nose, ear, or lip transfer code for smaller areas.$733.43

How 14302 has changed in South Carolina

14302 · Office / nonfacility

$212.84

Effective 2026-10-01

The base rate is $14.50 higher than on 2025-10-01, moving from $198.34 to $212.84 (7.3%).

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

    $198.34changed to$212.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.73 changed to 3.64
    • Practice expense RVU 2.04 changed to 2.35
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $203.13changed to$198.34

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.99 changed to 2.04
    • Malpractice RVU 0.68 changed to 0.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $199.82changed to$203.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $205.15changed to$199.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.01 changed to 1.99
    • Malpractice RVU 0.66 changed to 0.68
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $205.96changed to$205.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.96 changed to 2.01
    • Malpractice RVU 0.65 changed to 0.66
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $207.43changed to$205.96

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.64 changed to 0.65

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $212.73changed to$207.43

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.62 changed to 0.64
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $211.80changed to$212.73

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.65 changed to 0.62
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $212.88changed to$211.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.00 changed to 1.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $214.67changed to$212.88

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.01 changed to 2.00
    • Malpractice RVU 0.66 changed to 0.65
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $216.15changed to$214.67

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.02 changed to 2.01
    • Malpractice RVU 0.65 changed to 0.66
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $216.35changed to$216.15

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.01 changed to 2.02
    • Malpractice RVU 0.64 changed to 0.65

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $215.27changed to$216.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $213.48changed to$215.27

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.04 changed to 2.01
    • Malpractice RVU 0.60 changed to 0.64
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $203.62changed to$213.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.12 changed to 2.04
    • Malpractice RVU 0.63 changed to 0.60
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $203.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$212.84$176.43RVU26D
2026-07-01$212.84$176.43RVU26C
2026-04-01$212.84$176.43RVU26B
2026-01-01$212.84$176.43RVU26A
2025-10-01$198.34$198.34RVU25D
2025-07-01$198.34$198.34RVU25C
2025-04-01$198.34$198.34RVU25B
2025-01-01$198.34$198.34RVU25A
2024-10-01$203.13$203.13RVU24D
2024-07-01$203.13$203.13RVU24C
2024-04-01$203.13$203.13RVU24B
2024-03-09$203.13$203.13RVU24AR
2024-01-01$199.82$199.82RVU24A
2023-10-01$205.15$205.15RVU23D
2023-07-01$205.15$205.15RVU23C
2023-04-01$205.15$205.15RVU23B
2023-01-01$205.15$205.15RVU23A
2022-10-01$205.96$205.96RVU22D
2022-07-01$205.96$205.96RVU22C
2022-04-01$205.96$205.96RVU22B
2022-01-01$205.96$205.96RVU22A
2021-10-01$207.43$207.43RVU21D
2021-07-01$207.43$207.43RVU21C
2021-04-01$207.43$207.43RVU21B
2021-01-01$207.43$207.43RVU21A
2020-10-01$212.73$212.73RVU20D
2020-07-01$212.73$212.73RVU20C
2020-04-01$212.73$212.73RVU20B
2020-01-01$212.73$212.73RVU20A
2019-10-01$211.80$211.80RVU19D
2019-07-01$211.80$211.80RVU19C
2019-04-01$211.80$211.80RVU19B
2019-01-01$211.80$211.80RVU19A
2018-10-01$212.88$212.88RVU18D
2018-07-01$212.88$212.88RVU18C
2018-04-01$212.88$212.88RVU18B
2018-01-01$212.88$212.88RVU18AR1
2017-10-01$214.67$214.67RVU17D
2017-07-01$214.67$214.67RVU17C
2017-04-01$214.67$214.67RVU17B
2017-01-01$214.67$214.67RVU17A
2016-10-01$216.15$216.15RVU16D
2016-07-01$216.15$216.15RVU16C
2016-04-01$216.15$216.15RVU16B
2016-01-01$216.15$216.15RVU16A
2015-10-01$216.35$216.35RVU15D
2015-07-01$216.35$216.35RVU15C
2015-04-01$215.27$215.27RVU15B
2015-01-01$215.27$215.27RVU15A
2014-10-01$213.48$213.48RVU14D
2014-07-01$213.48$213.48RVU14C
2014-04-01$213.48$213.48RVU14B
2014-01-01$213.48$213.48RVU14A
2013-10-01$203.62$203.62RVU13D
2013-07-01$203.62$203.62RVU13C
2013-04-01$203.62$203.62RVU13B
2013-01-01$203.62$203.62RVU13AR

Price 14302 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

14302 billing questions

When is 14302 reported with 14301?

Use 14302 when the adjacent tissue transfer area exceeds the first 60 square centimeters represented by 14301. Report it with 14301, not by itself.

How many units of 14302 should be reported?

Report one unit for each additional 30 square centimeters, or part of an additional 30, beyond the area covered by 14301.

Can 14302 be used for a defect of 60 square centimeters or less?

No. 14301 covers the primary area through 60 square centimeters; 14302 represents additional area beyond that threshold.

What operative documentation supports 14302?

Document the defect and rearrangement area, the local flap design, and the additional tissue movement that extends beyond the primary area.

Can the lesion excision at the transfer site be reported separately?

Excision of the lesion at the same site is generally included in adjacent tissue transfer coding; 14302 represents additional transfer area, not a separate excision.

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 14302PPRRVU2026_Oct_nonQPP.csv, line 1,456 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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