Billing code 14301: Tissue transferMedicare rate & RVUs
Reports local tissue rearrangement to close a defect measuring 30.1 to 60 square centimeters, such as a sizable defect after skin cancer removal.
Medicare pays $1,120.27 for 14301 nationally in the office and $768.22 in a hospital or facility. Local office rates run $996.94–$1,416.96.
Medicare rate · 14301
Tissue transfer
Swap in your local Medicare rate.
- Work RVUs
- 12.33
- Total RVUs
- 33.54
- Global days
- 090
National rate · 2026
$1,120.27
Office setting, before claim adjustments.
See every locality for 14301 → · 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 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.
Where 14301 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
$996.94 to $1416.96
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,010.66 | $702.62 |
| Alaska* | $1,337.21 | $962.28 |
| Arizona | $1,090.61 | $749.47 |
| Arkansas | $996.94 | $694.53 |
| Atlanta | $1,145.44 | $787.76 |
| Austin | $1,150.46 | $778.00 |
| Bakersfield | $1,162.92 | $777.08 |
| Baltimore/Surr. Cntys | $1,189.75 | $812.00 |
| Beaumont | $1,057.80 | $737.44 |
| Brazoria | $1,102.81 | $753.93 |
| Chicago | $1,214.59 | $860.78 |
| Chico | $1,157.12 | $771.28 |
| Colorado | $1,151.26 | $776.69 |
| Connecticut | $1,192.11 | $812.96 |
| Dallas | $1,111.74 | $761.10 |
| Dc + Md/Va Suburbs | $1,264.18 | $849.47 |
| Delaware | $1,107.76 | $759.94 |
| Detroit | $1,144.60 | $804.87 |
| East St. Louis | $1,138.13 | $814.25 |
| El Centro | $1,157.46 | $771.62 |
| Fort Lauderdale | $1,183.65 | $827.02 |
| Fort Worth | $1,106.22 | $759.10 |
| Fresno | $1,157.12 | $771.28 |
| Galveston | $1,107.36 | $757.78 |
| Hanford-Corcoran | $1,157.12 | $771.28 |
| Hawaii, Guam | $1,179.30 | $779.02 |
| Houston | $1,144.70 | $795.12 |
| Idaho | $1,033.13 | $709.25 |
| Indiana | $1,038.50 | $712.16 |
| Iowa | $1,024.75 | $702.63 |
| Kansas | $1,025.00 | $706.75 |
| Kentucky | $1,043.40 | $730.43 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $1,231.43 | $814.96 |
| Madera | $1,157.12 | $771.28 |
| Manhattan | $1,290.28 | $881.20 |
| Merced | $1,157.12 | $771.28 |
| Metropolitan Boston | $1,253.87 | $833.53 |
| Metropolitan Kansas City | $1,079.64 | $749.07 |
| Metropolitan Philadelphia | $1,167.08 | $800.60 |
| Metropolitan St. Louis | $1,089.67 | $754.52 |
| Miami | $1,250.70 | $884.22 |
| Minnesota | $1,090.87 | $728.61 |
| Mississippi | $1,013.48 | $710.37 |
| Modesto | $1,157.12 | $771.28 |
| Montana** | $1,120.13 | $768.08 |
| Napa | $1,316.30 | $852.31 |
| Nebraska | $1,028.58 | $703.64 |
| Nevada** | $1,109.53 | $757.13 |
| New Hampshire | $1,138.00 | $771.52 |
| New Mexico | $1,080.82 | $757.99 |
| New Orleans | $1,091.76 | $760.48 |
| North Carolina | $1,052.77 | $724.31 |
| North Dakota** | $1,079.79 | $727.75 |
| Northern Nj | $1,253.29 | $844.92 |
| Nyc Suburbs/Long Island | $1,326.03 | $907.45 |
| Ohio | $1,065.11 | $743.69 |
| Oklahoma | $1,036.56 | $722.18 |
| Oxnard-Thousand Oaks-Ventura | $1,222.64 | $806.53 |
| Portland | $1,180.49 | $789.36 |
| Poughkpsie/N Nyc Suburbs | $1,213.94 | $828.45 |
| Puerto Rico | $1,126.29 | $770.37 |
| Queens | $1,293.27 | $877.16 |
| Redding | $1,157.12 | $771.28 |
| Rest Of California | $1,157.12 | $771.28 |
| Rest Of Florida | $1,126.37 | $789.81 |
| Rest Of Georgia | $1,064.20 | $750.17 |
| Rest Of Illinois | $1,102.92 | $781.50 |
| Rest Of Louisiana | $1,043.77 | $732.21 |
| Rest Of Maine | $1,043.29 | $719.40 |
| Rest Of Maryland | $1,126.48 | $770.21 |
| Rest Of Massachusetts | $1,146.96 | $776.26 |
| Rest Of Michigan | $1,073.35 | $751.93 |
| Rest Of Missouri | $1,030.13 | $726.67 |
| Rest Of New Jersey | $1,202.26 | $817.82 |
| Rest Of New York | $1,068.01 | $733.57 |
| Rest Of Oregon | $1,097.47 | $746.83 |
| Rest Of Pennsylvania | $1,064.01 | $740.84 |
| Rest Of Texas | $1,081.00 | $746.91 |
| Rest Of Washington | $1,143.27 | $772.57 |
| Rhode Island | $1,141.86 | $778.20 |
| Riverside-San Bernardino-Ontario | $1,179.13 | $793.29 |
| Sacramento-Roseville-Folsom | $1,207.84 | $798.42 |
| Salinas | $1,203.22 | $795.20 |
| San Diego-Chula Vista-Carlsbad | $1,226.91 | $805.87 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,385.05 | $888.66 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,382.73 | $886.35 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,416.96 | $909.31 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,407.49 | $899.84 |
| San Luis Obispo-Paso Robles | $1,184.65 | $783.67 |
| Santa Cruz-Watsonville | $1,234.96 | $807.23 |
| Santa Maria-Santa Barbara | $1,206.47 | $795.99 |
| Santa Rosa-Petaluma | $1,246.99 | $814.68 |
| Seattle (King Cnty) | $1,273.74 | $841.78 |
| South Carolina | $1,061.38 | $736.09 |
| South Dakota** | $1,075.02 | $722.98 |
| Southern Maine | $1,089.36 | $740.48 |
| Stockton | $1,157.12 | $771.28 |
| Suburban Chicago | $1,193.04 | $831.49 |
| Tennessee | $1,030.45 | $710.44 |
| Utah | $1,074.90 | $743.98 |
| Vallejo | $1,312.96 | $848.97 |
| Vermont | $1,080.20 | $731.68 |
| Virgin Islands | $1,126.29 | $770.37 |
| Virginia | $1,089.35 | $743.29 |
| Visalia | $1,157.12 | $771.28 |
| West Virginia | $1,065.75 | $759.83 |
| Wisconsin | $1,046.22 | $708.96 |
| Wyoming** | $1,102.55 | $750.50 |
| Yuba City | $1,157.12 | $771.28 |
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
Swap in your local Medicare rate.
Work 12.33Practice expense 19.17Malpractice 2.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| 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
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
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%).
14301 compared with similar codes
Compare codes
14301 vs 14302 vs 14001 vs 14021 vs 14061: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 14302Tissue rearrangement
- 14301 covers the initial 30.1 to 60 square centimeters. Use 14302 for each additional 30 square centimeters or part thereof.
- 14001Tissue transfer
- 14001 is for a trunk defect measuring 10.1 to 30 square centimeters; 14301 is selected when the defect measures 30.1 to 60 square centimeters.
- 14021Tissue transfer
- 14021 is for a scalp, arm, or leg defect measuring 10.1 to 30 square centimeters. Use 14301 for the larger 30.1 to 60 square centimeter level.
- 14061Tissue transfer
- 14061 is for an eyelid, nose, ear, or lip defect measuring 10.1 to 30 square centimeters; 14301 covers 30.1 to 60 square centimeters.
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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