CPT code 14350: Digit flap2026 Medicare rate & RVUs

Medicare pays $614.91 for 14350 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 14350 covers

The surgeon uses tissue from a finger or toe to form a flap that covers a nearby defect. This approach can be useful after traumatic digit loss when tissue from a non-salvageable digit can help cover exposed structures or restore soft-tissue coverage. Hand surgeons, plastic surgeons, and foot and ankle surgeons may perform the service in an operating room, commonly during reconstruction after injury. The code includes preparation of the recipient site.

Documentation should identify the digit providing the flap, the defect being covered, and the flap work performed. This major surgery code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery is paid only when medical necessity is documented; co-surgeon and team-surgery billing are not supported.

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 14350 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

14350 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 14350 rate is calculated

Each of 14350’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.

Payment rules and modifiers for 14350

14350 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

14350 compared with similar codes

How to choose

14040Tissue rearrangement

Use 14040 for area-based adjacent tissue transfer at specified sites, including hands and feet, for defects 10 sq cm or less. Use 14350 when the flap is made from finger or toe tissue.

14041Tissue rearrangement

14041 applies to area-based adjacent tissue transfer at specified sites for defects over 10 through 30 sq cm. It is not the digit-derived flap service described by 14350.

14301Tissue transfer

14301 is selected for adjacent tissue transfer based on a 30.1-to-60-sq-cm defect area. 14350 identifies the flap by its finger or toe tissue source.

15740Island flap

15740 describes an island pedicle flap requiring dissection of an anatomically named axial vessel. 14350 is specific to a flap made from finger or toe tissue.

Codes related to 14350

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

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

Open CMS sourceHow we calculate rates