$894.72–$1,274.81
Use 14061 for an eyelid, nose, ear, or lip defect measuring 10.1–30 cm²; 14060 is the level for defects up to 10 cm².
On this page
CMS RVU26D · Effective 2026-10-01
14060 Local flap repair Medicare reimbursement rates
Reports local tissue rearrangement to repair a defect of 10 cm² or less on an eyelid, nose, ear, or lip after excision or injury. Compare 14060 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 14060?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$693.15–$980.89
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $287.74 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 14060 pays more and less
109 payment localities
$693.15 to $980.89
Dermatology procedure
About 14060: Adjacent tissue transfer for facial defects
Reports local tissue rearrangement to repair a defect of 10 cm² or less on an eyelid, nose, ear, or lip after excision or injury.
A surgeon moves and reshapes nearby skin or tissue to close a defect on an eyelid, nose, ear, or lip. This local flap repair is used when a simple closure would not adequately repair the defect or preserve contour. Dermatologic, plastic, facial plastic, otolaryngologic, and oculoplastic surgeons commonly perform it after tumor removal or to repair traumatic defects, in office procedure rooms or operating rooms.
Select the code by the qualifying anatomic site and the documented defect area. Record the primary defect and any secondary defect created by the tissue transfer; their combined area determines the size level. The tissue transfer includes the work needed to prepare and close that defect, so do not separately report an excision for the same defect by the same surgeon. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure situation, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 14060
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU9.00 · 39%
- Practice expense (office) RVU13.04 · 56%
- Malpractice RVU1.07 · 5%
88.1K
Medicare services in 2024 · #600 by national volume
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.
14060 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$686.26–$980.91
14040 covers adjacent tissue transfer at specified sites such as the forehead, cheek, chin, and neck. Use 14060 for the eyelid, nose, ear, or lip.
$637.96–$926.24
14020 is for adjacent tissue transfer on the scalp, arms, or legs, rather than the eyelid, nose, ear, or lip.
See how rates vary across the country
14060 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$693.15
$934.46
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $934.46 | 1 |
| AL | $701.94 | 1 |
| AR | $693.15 | 1 |
| AZ | $753.25 | 1 |
| CA | $802.23–$980.89 | 29 |
| CO | $795.55 | 1 |
| CT | $818.95 | 1 |
| DC | $869.69 | 1 |
| DE | $764.56 | 1 |
| FL | $770.71–$844.40 | 3 |
| GA | $731.72–$786.95 | 2 |
| GU | $816.52 | 1 |
| HI | $816.52 | 1 |
| IA | $713.32 | 1 |
| ID | $718.22 | 1 |
| IL | $754.12–$822.46 | 4 |
| IN | $721.73 | 1 |
| KS | $712.36 | 1 |
| KY | $720.51 | 1 |
| LA | $720.31–$751.06 | 2 |
| MA | $792.53–$864.78 | 2 |
| MD | $777.20–$869.69 | 3 |
| ME | $723.54–$754.79 | 2 |
| MI | $738.61–$781.17 | 2 |
| MN | $759.37 | 1 |
| MO | $710.86–$751.06 | 3 |
| MS | $702.03 | 1 |
| MT | $771.82 | 1 |
| NC | $729.81 | 1 |
| ND | $750.67 | 1 |
| NE | $716.13 | 1 |
| NH | $785.28 | 1 |
| NJ | $827.46–$862.95 | 2 |
| NM | $742.93 | 1 |
| NV | $766.36 | 1 |
| NY | $739.50–$904.08 | 5 |
| OH | $734.29 | 1 |
| OK | $717.32 | 1 |
| OR | $759.54–$815.90 | 2 |
| PA | $734.21–$802.06 | 2 |
| PR | $776.15 | 1 |
| RI | $788.12 | 1 |
| SC | $733.43 | 1 |
| SD | $748.16 | 1 |
| TN | $715.71 | 1 |
| TX | $730.16–$793.68 | 8 |
| UT | $742.12 | 1 |
| VA | $753.98–$869.69 | 2 |
| VI | $776.15 | 1 |
| VT | $749.88 | 1 |
| WA | $790.35–$879.25 | 2 |
| WI | $728.87 | 1 |
| WV | $730.24 | 1 |
| WY | $762.60 | 1 |
Compare 14060 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $701.94 | Facility $528.34 |
| Alaska* | Office $934.46 | Facility $723.17 |
| Arizona | Office $753.25 | Facility $561.00 |
| Arkansas | Office $693.15 | Facility $522.72 |
| Atlanta | Office $786.95 | Facility $585.37 |
| Austin | Office $793.68 | Facility $583.77 |
| Bakersfield | Office $805.45 | Facility $588.00 |
| Baltimore/Surr. Cntys | Office $816.97 | Facility $604.09 |
| Beaumont | Office $730.16 | Facility $549.61 |
| Brazoria | Office $762.52 | Facility $565.90 |
| Chicago | Office $822.46 | Facility $623.07 |
| Chico | Office $802.23 | Facility $584.79 |
| Colorado | Office $795.55 | Facility $584.45 |
| Connecticut | Office $818.95 | Facility $605.27 |
| Dallas | Office $767.78 | Facility $570.18 |
| Dc + Md/Va Suburbs | Office $869.69 | Facility $635.98 |
| Delaware | Office $764.56 | Facility $568.54 |
| Detroit | Office $781.17 | Facility $589.71 |
| East St. Louis | Office $773.29 | Facility $590.76 |
| El Centro | Office $802.41 | Facility $584.97 |
| Fort Lauderdale | Office $806.43 | Facility $605.45 |
| Fort Worth | Office $763.89 | Facility $568.27 |
| Fresno | Office $802.23 | Facility $584.79 |
| Galveston | Office $765.10 | Facility $568.09 |
| Hanford-Corcoran | Office $802.23 | Facility $584.79 |
| Hawaii, Guam | Office $816.52 | Facility $590.94 |
| Houston | Office $784.69 | Facility $587.68 |
| Idaho | Office $718.22 | Facility $535.69 |
| Indiana | Office $721.73 | Facility $537.81 |
| Iowa | Office $713.32 | Facility $531.79 |
| Kansas | Office $712.36 | Facility $533.00 |
| Kentucky | Office $720.51 | Facility $544.13 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $851.92 | Facility $617.21 |
| Madera | Office $802.23 | Facility $584.79 |
| Manhattan | Office $882.64 | Facility $652.09 |
| Merced | Office $802.23 | Facility $584.79 |
| Metropolitan Boston | Office $864.78 | Facility $627.89 |
| Metropolitan Kansas City | Office $744.50 | Facility $558.21 |
| Metropolitan Philadelphia | Office $802.06 | Facility $595.53 |
| Metropolitan St. Louis | Office $751.06 | Facility $562.18 |
| Miami | Office $844.40 | Facility $637.86 |
| Minnesota | Office $759.37 | Facility $555.21 |
| Mississippi | Office $702.03 | Facility $531.20 |
| Modesto | Office $802.23 | Facility $584.79 |
| Montana** | Office $771.82 | Facility $573.42 |
| Napa | Office $911.75 | Facility $650.26 |
| Nebraska | Office $716.13 | Facility $533.00 |
| Nevada** | Office $766.36 | Facility $567.76 |
| New Hampshire | Office $785.28 | Facility $578.75 |
| New Mexico | Office $742.93 | Facility $560.99 |
| New Orleans | Office $751.06 | Facility $564.36 |
| North Carolina | Office $729.81 | Facility $544.70 |
| North Dakota** | Office $750.67 | Facility $552.26 |
| Northern Nj | Office $862.95 | Facility $632.81 |
| Nyc Suburbs/Long Island | Office $904.08 | Facility $668.18 |
| Ohio | Office $734.29 | Facility $553.15 |
| Oklahoma | Office $717.32 | Facility $540.15 |
| Oxnard-Thousand Oaks-Ventura | Office $846.11 | Facility $611.60 |
| Portland | Office $815.90 | Facility $595.48 |
| Poughkpsie/N Nyc Suburbs | Office $834.30 | Facility $617.05 |
| Puerto Rico | Office $776.15 | Facility $575.57 |
| Queens | Office $886.20 | Facility $651.69 |
| Redding | Office $802.23 | Facility $584.79 |
| Rest Of California | Office $802.23 | Facility $584.79 |
| Rest Of Florida | Office $770.71 | Facility $581.04 |
| Rest Of Georgia | Office $731.72 | Facility $554.74 |
| Rest Of Illinois | Office $754.12 | Facility $572.98 |
| Rest Of Louisiana | Office $720.31 | Facility $544.72 |
| Rest Of Maine | Office $723.54 | Facility $541.01 |
| Rest Of Maryland | Office $777.20 | Facility $576.41 |
| Rest Of Massachusetts | Office $792.53 | Facility $583.62 |
| Rest Of Michigan | Office $738.61 | Facility $557.47 |
| Rest Of Missouri | Office $710.86 | Facility $539.84 |
| Rest Of New Jersey | Office $827.46 | Facility $610.80 |
| Rest Of New York | Office $739.50 | Facility $551.02 |
| Rest Of Oregon | Office $759.54 | Facility $561.93 |
| Rest Of Pennsylvania | Office $734.21 | Facility $552.08 |
| Rest Of Texas | Office $746.22 | Facility $557.93 |
| Rest Of Washington | Office $790.35 | Facility $581.43 |
| Rhode Island | Office $788.12 | Facility $583.17 |
| Riverside-San Bernardino-Ontario | Office $813.86 | Facility $596.42 |
| Sacramento-Roseville-Folsom | Office $837.13 | Facility $606.39 |
| Salinas | Office $833.88 | Facility $603.94 |
| San Diego-Chula Vista-Carlsbad | Office $849.91 | Facility $612.62 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $959.69 | Facility $679.95 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $958.48 | Facility $678.73 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $980.89 | Facility $694.80 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $975.92 | Facility $689.83 |
| San Luis Obispo-Paso Robles | Office $820.96 | Facility $594.98 |
| Santa Cruz-Watsonville | Office $855.27 | Facility $614.21 |
| Santa Maria-Santa Barbara | Office $836.03 | Facility $604.69 |
| Santa Rosa-Petaluma | Office $863.64 | Facility $620.00 |
| Seattle (King Cnty) | Office $879.25 | Facility $635.82 |
| South Carolina | Office $733.43 | Facility $550.11 |
| South Dakota** | Office $748.16 | Facility $549.76 |
| Southern Maine | Office $754.79 | Facility $558.17 |
| Stockton | Office $802.23 | Facility $584.79 |
| Suburban Chicago | Office $813.35 | Facility $609.59 |
| Tennessee | Office $715.71 | Facility $535.37 |
| Utah | Office $742.12 | Facility $555.62 |
| Vallejo | Office $910.00 | Facility $648.51 |
| Vermont | Office $749.88 | Facility $553.47 |
| Virgin Islands | Office $776.15 | Facility $575.57 |
| Virginia | Office $753.98 | Facility $558.95 |
| Visalia | Office $802.23 | Facility $584.79 |
| West Virginia | Office $730.24 | Facility $557.83 |
| Wisconsin | Office $728.87 | Facility $538.80 |
| Wyoming** | Office $762.60 | Facility $564.20 |
| Yuba City | Office $802.23 | Facility $584.79 |
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14060 billing questions
How does 14060 differ from 14061?
Both cover adjacent tissue transfer on an eyelid, nose, ear, or lip. Choose 14060 for a defect up to 10 cm² and 14061 for a defect measuring 10.1–30 cm².
Can the lesion excision be billed separately?
Do not separately report excision for the same defect when the same surgeon performs the adjacent tissue transfer. The transfer service includes the work needed to prepare and close that defect.
What documentation supports 14060?
Document the repaired site, the reason a local flap was used, and the dimensions of the primary and secondary defects. The documented combined area must be 10 cm² or less.
Is modifier 50 appropriate for defects on both sides?
No. The CMS bilateral adjustment does not apply to this code; 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.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,45014021,,Tis trnfr s/a/l 10.1-30 sqcm,A,,9.48,15.64,,7.78,,1.31,26.43,18.57,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45114040,,Tis trnfr f/c/c/m/n/a/g/h/f,A,,8.39,13.51,,6.89,,1.07,22.97,16.35,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45214041,,Tis trnfr f/c/c/m/n/a/g/h/f,A,,10.56,15.89,,7.70,,1.28,27.73,19.54,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45314060,,Tis trnfr e/n/e/l 10 sq cm/<,A,,9.00,13.04,,7.10,,1.07,23.11,17.17,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45414061,,Tis trnfr e/n/e/l10.1-30sqcm,A,,11.19,17.36,,8.40,,1.33,29.88,20.92,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45514301,,Tis trnfr any 30.1-60 sq cm,A,,12.33,19.17,,8.63,,2.04,33.54,23.00,0,090,0.10,0.71,0.19,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45614302,,Tis trnfr addl 30 sq cm,A,,3.64,2.35,,1.17,,0.66,6.65,5.47,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00