Billing code 14001: Tissue transferMedicare rate & RVUs
Reports rearrangement of nearby trunk tissue to close a defect measuring 10.1–30 cm², such as one remaining after skin-lesion removal.
Medicare pays $857.74 for 14001 nationally in the office and $601.88 in a hospital or facility. Local office rates run $758.38–$1,092.61.
Medicare rate · 14001
Tissue transfer
Swap in your local Medicare rate.
- Work RVUs
- 8.56
- Total RVUs
- 25.68
- Global days
- 090
National rate · 2026
$857.74
Office setting, before claim adjustments.
See every locality for 14001 → · Billed by an NP, PA or therapist? →
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 10 sections
What 14001 covers
A surgeon moves skin and underlying tissue next to a defect to close it, using techniques such as rotation or advancement. This service is commonly performed by plastic surgeons and dermatologic surgeons after removal of a skin cancer or other lesion on the chest, abdomen, or back. The code represents a more extensive repair than a simple closure, because adjacent tissue is incised and repositioned to cover the defect.
Choose the trunk code when the combined area of the primary defect and any secondary defect created by the transfer measures 10.1–30 cm². Document the site, dimensions, tissue movement, and defect areas; lesion removal at the same site is included when performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this trunk service. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery billing 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 14001 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$758.38 to $1092.61
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $769.43 | $545.56 |
| Alaska* | $1,009.88 | $737.39 |
| Arizona | $833.86 | $585.94 |
| Arkansas | $758.38 | $538.60 |
| Atlanta | $877.81 | $617.87 |
| Austin | $882.11 | $611.42 |
| Bakersfield | $891.55 | $611.14 |
| Baltimore/Surr. Cntys | $912.98 | $638.45 |
| Beaumont | $807.31 | $574.48 |
| Brazoria | $843.39 | $589.84 |
| Chicago | $932.83 | $675.70 |
| Chico | $887.00 | $606.59 |
| Colorado | $882.36 | $610.13 |
| Connecticut | $914.72 | $639.17 |
| Dallas | $850.51 | $595.68 |
| Dc + Md/Va Suburbs | $971.42 | $670.03 |
| Delaware | $847.46 | $594.68 |
| Detroit | $876.98 | $630.08 |
| East St. Louis | $871.55 | $636.17 |
| El Centro | $887.27 | $606.86 |
| Fort Lauderdale | $908.45 | $649.27 |
| Fort Worth | $846.04 | $593.77 |
| Fresno | $887.00 | $606.59 |
| Galveston | $847.04 | $592.98 |
| Hanford-Corcoran | $887.00 | $606.59 |
| Hawaii, Guam | $905.70 | $614.79 |
| Houston | $876.87 | $622.81 |
| Idaho | $787.65 | $552.27 |
| Indiana | $791.98 | $554.81 |
| Iowa | $780.93 | $546.82 |
| Kansas | $781.06 | $549.77 |
| Kentucky | $795.68 | $568.23 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $945.85 | $643.17 |
| Madera | $887.00 | $606.59 |
| Manhattan | $991.75 | $694.45 |
| Merced | $887.00 | $606.59 |
| Metropolitan Boston | $963.84 | $658.35 |
| Metropolitan Kansas City | $824.92 | $584.68 |
| Metropolitan Philadelphia | $894.60 | $628.26 |
| Metropolitan St. Louis | $833.01 | $589.44 |
| Miami | $962.19 | $695.85 |
| Minnesota | $834.41 | $571.14 |
| Mississippi | $771.61 | $551.32 |
| Modesto | $887.00 | $606.59 |
| Montana** | $857.63 | $601.78 |
| Napa | $1,013.49 | $676.28 |
| Nebraska | $784.03 | $547.88 |
| Nevada** | $849.16 | $593.05 |
| New Hampshire | $872.14 | $605.80 |
| New Mexico | $825.74 | $591.12 |
| New Orleans | $834.61 | $593.86 |
| North Carolina | $803.42 | $564.71 |
| North Dakota** | $825.40 | $569.54 |
| Northern Nj | $962.23 | $665.44 |
| Nyc Suburbs/Long Island | $1,020.48 | $716.27 |
| Ohio | $813.16 | $579.57 |
| Oklahoma | $790.23 | $561.76 |
| Oxnard-Thousand Oaks-Ventura | $939.38 | $636.96 |
| Portland | $905.80 | $621.55 |
| Poughkpsie/N Nyc Suburbs | $931.19 | $651.03 |
| Puerto Rico | $862.61 | $603.94 |
| Queens | $994.26 | $691.84 |
| Redding | $887.00 | $606.59 |
| Rest Of California | $887.00 | $606.59 |
| Rest Of Florida | $862.36 | $617.76 |
| Rest Of Georgia | $812.31 | $584.09 |
| Rest Of Illinois | $843.37 | $609.78 |
| Rest Of Louisiana | $795.95 | $569.52 |
| Rest Of Maine | $795.77 | $560.38 |
| Rest Of Maryland | $862.34 | $603.42 |
| Rest Of Massachusetts | $878.68 | $609.27 |
| Rest Of Michigan | $819.75 | $586.15 |
| Rest Of Missouri | $784.92 | $564.38 |
| Rest Of New Jersey | $922.05 | $642.66 |
| Rest Of New York | $815.70 | $572.64 |
| Rest Of Oregon | $839.50 | $584.67 |
| Rest Of Pennsylvania | $812.32 | $577.44 |
| Rest Of Texas | $826.07 | $583.27 |
| Rest Of Washington | $875.86 | $606.45 |
| Rhode Island | $874.36 | $610.07 |
| Riverside-San Bernardino-Ontario | $904.55 | $624.13 |
| Sacramento-Roseville-Folsom | $927.10 | $629.54 |
| Salinas | $923.60 | $627.07 |
| San Diego-Chula Vista-Carlsbad | $942.78 | $636.79 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,067.57 | $706.82 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,065.72 | $704.97 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,092.61 | $723.67 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,085.04 | $716.10 |
| San Luis Obispo-Paso Robles | $909.25 | $617.84 |
| Santa Cruz-Watsonville | $949.71 | $638.86 |
| Santa Maria-Santa Barbara | $926.36 | $628.04 |
| Santa Rosa-Petaluma | $959.01 | $644.83 |
| Seattle (King Cnty) | $979.51 | $665.58 |
| South Carolina | $810.25 | $573.84 |
| South Dakota** | $821.58 | $565.73 |
| Southern Maine | $832.99 | $579.44 |
| Stockton | $887.00 | $606.59 |
| Suburban Chicago | $915.74 | $652.98 |
| Tennessee | $785.45 | $552.88 |
| Utah | $821.14 | $580.64 |
| Vallejo | $1,010.82 | $673.61 |
| Vermont | $825.67 | $572.37 |
| Virgin Islands | $862.61 | $603.94 |
| Virginia | $832.93 | $581.43 |
| Visalia | $887.00 | $606.59 |
| West Virginia | $813.42 | $591.09 |
| Wisconsin | $798.33 | $553.23 |
| Wyoming** | $843.58 | $587.73 |
| Yuba City | $887.00 | $606.59 |
14001 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.
$758.38
$1,009.88
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 | $1,009.88 | 1 |
| AL | $769.43 | 1 |
| AR | $758.38 | 1 |
| AZ | $833.86 | 1 |
| CA | $887.00–$1,092.61 | 29 |
| CO | $882.36 | 1 |
| CT | $914.72 | 1 |
| DC | $971.42 | 1 |
| DE | $847.46 | 1 |
| FL | $862.36–$962.19 | 3 |
| GA | $812.31–$877.81 | 2 |
| GU | $905.70 | 1 |
| HI | $905.70 | 1 |
| IA | $780.93 | 1 |
| ID | $787.65 | 1 |
| IL | $843.37–$932.83 | 4 |
| IN | $791.98 | 1 |
| KS | $781.06 | 1 |
| KY | $795.68 | 1 |
| LA | $795.95–$834.61 | 2 |
| MA | $878.68–$963.84 | 2 |
| MD | $862.34–$971.42 | 3 |
| ME | $795.77–$832.99 | 2 |
| MI | $819.75–$876.98 | 2 |
| MN | $834.41 | 1 |
| MO | $784.92–$833.01 | 3 |
| MS | $771.61 | 1 |
| MT | $857.63 | 1 |
| NC | $803.42 | 1 |
| ND | $825.40 | 1 |
| NE | $784.03 | 1 |
| NH | $872.14 | 1 |
| NJ | $922.05–$962.23 | 2 |
| NM | $825.74 | 1 |
| NV | $849.16 | 1 |
| NY | $815.70–$1,020.48 | 5 |
| OH | $813.16 | 1 |
| OK | $790.23 | 1 |
| OR | $839.50–$905.80 | 2 |
| PA | $812.32–$894.60 | 2 |
| PR | $862.61 | 1 |
| RI | $874.36 | 1 |
| SC | $810.25 | 1 |
| SD | $821.58 | 1 |
| TN | $785.45 | 1 |
| TX | $807.31–$882.11 | 8 |
| UT | $821.14 | 1 |
| VA | $832.93–$971.42 | 2 |
| VI | $862.61 | 1 |
| VT | $825.67 | 1 |
| WA | $875.86–$979.51 | 2 |
| WI | $798.33 | 1 |
| WV | $813.42 | 1 |
| WY | $843.58 | 1 |
How the 14001 rate is calculated
Each of 14001’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 · 14001
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.56Practice expense 15.49Malpractice 1.63
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 14001
14001 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14001
Tissue transfer
| 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 · 14001
Tissue transfer
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
14001 without 51 · national office
$857.74
Tissue transfer
14001-51 · Second procedure: 50%
$428.87
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%).
14001 compared with similar codes
Compare codes
14001 vs 14000 vs 14021 vs 14041 vs 14301: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 14000Tissue transfer
- Both codes are for trunk tissue transfer; 14000 is selected for a combined defect area of 10 cm² or less, while 14001 covers 10.1–30 cm².
- 14021Tissue transfer
- The size range matches 14001, but 14021 is for specified scalp, arm, or leg sites rather than the trunk.
- 14041Tissue rearrangement
- This covers adjacent tissue transfer in the same size range as 14001, but for specified face and neck sites.
- 14301Tissue transfer
- Use 14301 for a 30.1–60 cm² adjacent tissue transfer defect; 14001 is for a trunk defect measuring 10.1–30 cm².
14001 billing questions
How is 14001 distinguished from 14000?
Both describe adjacent tissue transfer on the trunk. Use 14000 for a combined defect area of 10 cm² or less and 14001 for 10.1–30 cm².
Is the lesion excision billed separately?
Excision of a lesion at the same site is included when performed as part of the tissue transfer. Do not separately report the excision for that same lesion.
What area should the record support?
Document the dimensions and area of the primary defect and any secondary defect created by moving the tissue. Their combined area determines the size range.
Can modifier 50 be used for a trunk defect on both sides?
No. Modifier 50 is not appropriate for this trunk service; report the service based on the documented defect and its area.
How does the global period affect postoperative visits?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 14001. Co-surgeon and team-surgery billing 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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