Use 14040 for the same listed sites when the total defect area is 10 sq cm or less; 14041 begins at 10.1 sq cm.
On this page
CMS RVU26D · Effective 2026-10-01
14041 in Redding
Office / nonfacility
$963.32
Base rate per service
Facility setting
$663.50
Base rate per service
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.
Plastic surgery
About 14041: Adjacent tissue transfer, specified sites
Reports local tissue rearrangement to close a 10.1–30 sq cm defect on specified face, neck, axillary, genital, hand, or foot sites.
A surgeon moves neighboring skin and tissue—using an advancement, rotation, or transposition flap, for example—to close a defect on the forehead, cheek, chin, mouth, neck, axilla, genitalia, hand, or foot. This is commonly performed after removing a skin lesion or to reconstruct a traumatic or surgical defect. Plastic, dermatologic, otolaryngology, and hand surgeons may perform the service in an office procedure room or operating room.
Select 14041 when the combined primary and secondary defect area is 10.1–30 sq cm; use the applicable site and size code when the anatomy or area differs. Document the treated site, flap technique, and measurements supporting the total defect area. Lesion excision performed as part of the tissue transfer is included in the service. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 14041
- 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 RVU10.56 · 38%
- Practice expense (office) RVU15.89 · 57%
- Malpractice RVU1.28 · 5%
48.1K
Medicare services in 2024 · #796 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.
14041 compared with similar codes
Office rates for Redding, from the same CMS release.
This code covers the 10.1–30 sq cm range at scalp, arm, or leg sites; 14041 covers its own specified sites.
This code covers the 10.1–30 sq cm range at eyelid, nose, ear, or lip sites, rather than the sites assigned to 14041.
Consider 14301 for an adjacent tissue transfer defect larger than 30 sq cm; 14041 is for 10.1–30 sq cm.
The same code, a different location
How does Redding compare?
In Bakersfield, the office rate for 14041 is $967.14—$3.82 higher than the $963.32 rate in Redding. Both use the same code, release and participation basis.
14041 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
$963.32
$967.14
$3.82 higher than Redding
$963.32
The same base rate than Redding
$963.53
$0.21 higher than Redding
$963.32
The same base rate than Redding
$963.32
The same base rate than Redding
$60.11 higher than Redding
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 14041 ranges from $830.64 in Arkansas to $1179.76 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Merced
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Modesto
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Napa
California · 14041
Office
$1096.17
Facility
$735.63
$132.85 higher than Redding for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 14041
Office
$1016.56
Facility
$693.22
$53.24 higher than Redding for the office setting.
Rest Of California
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Riverside-San Bernardino-Ontario
California · 14041
Office
$977.22
Facility
$677.41
$13.90 higher than Redding for the office setting.
Sacramento-Roseville-Folsom
California · 14041
Office
$1005.58
Facility
$687.44
$42.26 higher than Redding for the office setting.
Salinas
California · 14041
Office
$1001.69
Facility
$684.64
$38.37 higher than Redding for the office setting.
San Diego-Chula Vista-Carlsbad
California · 14041
Office
$1021.23
Facility
$694.06
$57.91 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 14041
Office
$1154.19
Facility
$768.48
$190.87 higher than Redding for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 14041
Office
$1152.74
Facility
$767.02
$189.42 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 14041
Office
$1179.76
Facility
$785.29
$216.44 higher than Redding for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 14041
Office
$1173.81
Facility
$779.35
$210.49 higher than Redding for the office setting.
San Luis Obispo-Paso Robles
California · 14041
Office
$986.14
Facility
$674.56
$22.82 higher than Redding for the office setting.
Santa Cruz-Watsonville
California · 14041
Office
$1027.89
Facility
$695.52
$64.57 higher than Redding for the office setting.
Santa Maria-Santa Barbara
California · 14041
Office
$1004.35
Facility
$685.39
$41.03 higher than Redding for the office setting.
Santa Rosa-Petaluma
California · 14041
Office
$1037.96
Facility
$702.04
$74.64 higher than Redding for the office setting.
Stockton
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Vallejo
California · 14041
Office
$1094.07
Facility
$733.53
$130.75 higher than Redding for the office setting.
Visalia
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Yuba City
California · 14041
Office
$963.32
Facility
$663.50
The same base rate than Redding for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 14041
Office
$1044.56
Facility
$722.31
$81.24 higher than Redding for the office setting.
Miami
Florida · 14041
Office
$1013.34
Facility
$728.57
$50.02 higher than Redding for the office setting.
Chicago
Illinois · 14041
Office
$986.69
Facility
$711.77
$23.37 higher than Redding for the office setting.
Manhattan
New York · 14041
Office
$1059.81
Facility
$741.94
$96.49 higher than Redding for the office setting.
Alaska*
Alaska · 14041
Office
$1117.87
Facility
$826.53
$154.55 higher than Redding for the office setting.
Alabama
Alabama · 14041
Office
$841.31
Facility
$601.95
$122.01 lower than Redding for the office setting.
Arkansas
Arkansas · 14041
Office
$830.64
Facility
$595.65
$132.68 lower than Redding for the office setting.
Arizona
Arizona · 14041
Office
$903.60
Facility
$638.52
$59.72 lower than Redding for the office setting.
Colorado
Colorado · 14041
Office
$955.04
Facility
$663.98
$8.28 lower than Redding for the office setting.
Connecticut
Connecticut · 14041
Office
$983.11
Facility
$688.49
$19.79 higher than Redding for the office setting.
Delaware
Delaware · 14041
Office
$917.28
Facility
$647.01
$46.04 lower than Redding for the office setting.
Fort Lauderdale
Florida · 14041
Office
$967.65
Facility
$690.54
$4.33 higher than Redding for the office setting.
Rest Of Florida
Florida · 14041
Office
$924.36
Facility
$662.84
$38.96 lower than Redding for the office setting.
Atlanta
Georgia · 14041
Office
$944.35
Facility
$666.42
$18.97 lower than Redding for the office setting.
Rest Of Georgia
Georgia · 14041
Office
$877.10
Facility
$633.09
$86.22 lower than Redding for the office setting.
Hawaii, Guam
Hawaii · 14041
Office
$980.92
Facility
$669.89
$17.60 higher than Redding for the office setting.
Iowa
Iowa · 14041
Office
$855.31
Facility
$605.01
$108.01 lower than Redding for the office setting.
Idaho
Idaho · 14041
Office
$861.22
Facility
$609.55
$102.10 lower than Redding for the office setting.
East St. Louis
Illinois · 14041
Office
$927.10
Facility
$675.43
$36.22 lower than Redding for the office setting.
Rest Of Illinois
Illinois · 14041
Office
$904.10
Facility
$654.35
$59.22 lower than Redding for the office setting.
Suburban Chicago
Illinois · 14041
Office
$976.01
Facility
$695.07
$12.69 higher than Redding for the office setting.
Indiana
Indiana · 14041
Office
$865.49
Facility
$611.90
$97.83 lower than Redding for the office setting.
Kansas
Kansas · 14041
Office
$854.05
Facility
$606.76
$109.27 lower than Redding for the office setting.
Kentucky
Kentucky · 14041
Office
$863.66
Facility
$620.47
$99.66 lower than Redding for the office setting.
New Orleans
Louisiana · 14041
Office
$900.71
Facility
$643.29
$62.61 lower than Redding for the office setting.
Rest Of Louisiana
Louisiana · 14041
Office
$863.38
Facility
$621.28
$99.94 lower than Redding for the office setting.
Metropolitan Boston
Massachusetts · 14041
Office
$1038.93
Facility
$712.31
$75.61 higher than Redding for the office setting.
Rest Of Massachusetts
Massachusetts · 14041
Office
$951.30
Facility
$663.25
$12.02 lower than Redding for the office setting.
Baltimore/Surr. Cntys
Maryland · 14041
Office
$980.73
Facility
$687.20
$17.41 higher than Redding for the office setting.
Rest Of Maryland
Maryland · 14041
Office
$932.60
Facility
$655.76
$30.72 lower than Redding for the office setting.
Rest Of Maine
Maine · 14041
Office
$867.59
Facility
$615.92
$95.73 lower than Redding for the office setting.
Southern Maine
Maine · 14041
Office
$905.65
Facility
$634.56
$57.67 lower than Redding for the office setting.
Detroit
Michigan · 14041
Office
$936.96
Facility
$672.98
$26.36 lower than Redding for the office setting.
Rest Of Michigan
Michigan · 14041
Office
$885.55
Facility
$635.79
$77.77 lower than Redding for the office setting.
Minnesota
Minnesota · 14041
Office
$911.50
Facility
$630.01
$51.82 lower than Redding for the office setting.
Metropolitan Kansas City
Missouri · 14041
Office
$892.85
Facility
$635.98
$70.47 lower than Redding for the office setting.
Metropolitan St. Louis
Missouri · 14041
Office
$900.82
Facility
$640.39
$62.50 lower than Redding for the office setting.
Rest Of Missouri
Missouri · 14041
Office
$851.85
Facility
$616.05
$111.47 lower than Redding for the office setting.
Mississippi
Mississippi · 14041
Office
$841.28
Facility
$605.75
$122.04 lower than Redding for the office setting.
Montana**
Montana · 14041
Office
$926.12
Facility
$652.57
$37.20 lower than Redding for the office setting.
North Carolina
North Carolina · 14041
Office
$875.21
Facility
$619.99
$88.11 lower than Redding for the office setting.
North Dakota**
North Dakota · 14041
Office
$900.81
Facility
$627.26
$62.51 lower than Redding for the office setting.
Nebraska
Nebraska · 14041
Office
$858.75
Facility
$606.26
$104.57 lower than Redding for the office setting.
New Hampshire
New Hampshire · 14041
Office
$942.62
Facility
$657.85
$20.70 lower than Redding for the office setting.
Northern Nj
New Jersey · 14041
Office
$1036.25
Facility
$718.93
$72.93 higher than Redding for the office setting.
Rest Of New Jersey
New Jersey · 14041
Office
$993.29
Facility
$694.57
$29.97 higher than Redding for the office setting.
New Mexico
New Mexico · 14041
Office
$890.75
Facility
$639.90
$72.57 lower than Redding for the office setting.
Nevada**
Nevada · 14041
Office
$919.60
Facility
$645.77
$43.72 lower than Redding for the office setting.
Nyc Suburbs/Long Island
New York · 14041
Office
$1085.73
Facility
$760.48
$122.41 higher than Redding for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 14041
Office
$1001.48
Facility
$701.94
$38.16 higher than Redding for the office setting.
Queens
New York · 14041
Office
$1064.27
Facility
$740.93
$100.95 higher than Redding for the office setting.
Rest Of New York
New York · 14041
Office
$886.97
Facility
$627.10
$76.35 lower than Redding for the office setting.
Ohio
Ohio · 14041
Office
$880.37
Facility
$630.62
$82.95 lower than Redding for the office setting.
Oklahoma
Oklahoma · 14041
Office
$859.88
Facility
$615.60
$103.44 lower than Redding for the office setting.
Portland
Oregon · 14041
Office
$979.82
Facility
$675.90
$16.50 higher than Redding for the office setting.
Rest Of Oregon
Oregon · 14041
Office
$911.39
Facility
$638.93
$51.93 lower than Redding for the office setting.
Metropolitan Philadelphia
Pennsylvania · 14041
Office
$962.57
Facility
$677.80
$0.75 lower than Redding for the office setting.
Rest Of Pennsylvania
Pennsylvania · 14041
Office
$880.33
Facility
$629.21
$82.99 lower than Redding for the office setting.
Puerto Rico
Puerto Rico · 14041
Office
$931.40
Facility
$654.84
$31.92 lower than Redding for the office setting.
Rhode Island
Rhode Island · 14041
Office
$945.81
Facility
$663.22
$17.51 lower than Redding for the office setting.
South Carolina
South Carolina · 14041
Office
$879.46
Facility
$626.69
$83.86 lower than Redding for the office setting.
South Dakota**
South Dakota · 14041
Office
$897.82
Facility
$624.27
$65.50 lower than Redding for the office setting.
Tennessee
Tennessee · 14041
Office
$858.11
Facility
$609.45
$105.21 lower than Redding for the office setting.
Austin
Texas · 14041
Office
$952.82
Facility
$663.40
$10.50 lower than Redding for the office setting.
Beaumont
Texas · 14041
Office
$875.40
Facility
$626.47
$87.92 lower than Redding for the office setting.
Brazoria
Texas · 14041
Office
$914.85
Facility
$643.75
$48.47 lower than Redding for the office setting.
Dallas
Texas · 14041
Office
$921.19
Facility
$648.73
$42.13 lower than Redding for the office setting.
Fort Worth
Texas · 14041
Office
$916.44
Facility
$646.71
$46.88 lower than Redding for the office setting.
Galveston
Texas · 14041
Office
$917.96
Facility
$646.32
$45.36 lower than Redding for the office setting.
Houston
Texas · 14041
Office
$941.39
Facility
$669.75
$21.93 lower than Redding for the office setting.
Rest Of Texas
Texas · 14041
Office
$894.99
Facility
$635.39
$68.33 lower than Redding for the office setting.
Utah
Utah · 14041
Office
$890.00
Facility
$632.86
$73.32 lower than Redding for the office setting.
Virginia
Virginia · 14041
Office
$904.61
Facility
$635.71
$58.71 lower than Redding for the office setting.
Virgin Islands
United States Virgin Islands · 14041
Office
$931.40
Facility
$654.84
$31.92 lower than Redding for the office setting.
Vermont
Vermont · 14041
Office
$899.78
Facility
$628.96
$63.54 lower than Redding for the office setting.
Rest Of Washington
Washington · 14041
Office
$948.70
Facility
$660.65
$14.62 lower than Redding for the office setting.
Seattle (King Cnty)
Washington · 14041
Office
$1056.50
Facility
$720.85
$93.18 higher than Redding for the office setting.
Wisconsin
Wisconsin · 14041
Office
$874.33
Facility
$612.27
$88.99 lower than Redding for the office setting.
West Virginia
West Virginia · 14041
Office
$875.11
Facility
$637.39
$88.21 lower than Redding for the office setting.
Wyoming**
Wyoming · 14041
Office
$915.09
Facility
$641.54
$48.23 lower than Redding for the office setting.
See how rates vary across the country
14041 · 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.
$830.64
$1,117.87
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 | $1,117.87 | 1 |
| AL | $841.31 | 1 |
| AR | $830.64 | 1 |
| AZ | $903.60 | 1 |
| CA | $963.32–$1,179.76 | 29 |
| CO | $955.04 | 1 |
| CT | $983.11 | 1 |
| DC | $1,044.56 | 1 |
| DE | $917.28 | 1 |
| FL | $924.36–$1,013.34 | 3 |
| GA | $877.10–$944.35 | 2 |
| GU | $980.92 | 1 |
| HI | $980.92 | 1 |
| IA | $855.31 | 1 |
| ID | $861.22 | 1 |
| IL | $904.10–$986.69 | 4 |
| IN | $865.49 | 1 |
| KS | $854.05 | 1 |
| KY | $863.66 | 1 |
| LA | $863.38–$900.71 | 2 |
| MA | $951.30–$1,038.93 | 2 |
| MD | $932.60–$1,044.56 | 3 |
| ME | $867.59–$905.65 | 2 |
| MI | $885.55–$936.96 | 2 |
| MN | $911.50 | 1 |
| MO | $851.85–$900.82 | 3 |
| MS | $841.28 | 1 |
| MT | $926.12 | 1 |
| NC | $875.21 | 1 |
| ND | $900.81 | 1 |
| NE | $858.75 | 1 |
| NH | $942.62 | 1 |
| NJ | $993.29–$1,036.25 | 2 |
| NM | $890.75 | 1 |
| NV | $919.60 | 1 |
| NY | $886.97–$1,085.73 | 5 |
| OH | $880.37 | 1 |
| OK | $859.88 | 1 |
| OR | $911.39–$979.82 | 2 |
| PA | $880.33–$962.57 | 2 |
| PR | $931.40 | 1 |
| RI | $945.81 | 1 |
| SC | $879.46 | 1 |
| SD | $897.82 | 1 |
| TN | $858.11 | 1 |
| TX | $875.40–$952.82 | 8 |
| UT | $890.00 | 1 |
| VA | $904.61–$1,044.56 | 2 |
| VI | $931.40 | 1 |
| VT | $899.78 | 1 |
| WA | $948.70–$1,056.50 | 2 |
| WI | $874.33 | 1 |
| WV | $875.11 | 1 |
| WY | $915.09 | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 14041 in Redding, the physician’s office rate is $963.32 and the facility-setting rate is $663.50: a difference of $299.82.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 14041 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1059.65
$963.32 × 110% = $1059.65
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 14041 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,452
- Code
- 14041
- Physician work
- 10.56
- Practice expense
- 15.89
- Malpractice
- 1.28
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.56 | × 1.017 | 10.7395 |
| Practice expense | 15.89 | × 1.096 | 17.4154 |
| Malpractice | 1.28 | × 0.536 | 0.6861 |
| Total RVUs | 28.8410 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Redding$963.32
Open 14041 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.56 | 1.017 |
| Practice expense | 15.89 | 1.096 |
| Malpractice | 1.28 | 0.536 |
(10.56 × 1.017 + 15.89 × 1.096 + 1.28 × 0.536) × $33.4009 = $963.32
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.56 | 1.017 |
| Practice expense | 7.7 | 1.096 |
| Malpractice | 1.28 | 0.536 |
(10.56 × 1.017 + 7.7 × 1.096 + 1.28 × 0.536) × $33.4009 = $663.50
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
14041 · Office / nonfacility
$963.32
Effective 2026-10-01
The base rate is $25.04 higher than on 2025-10-01, moving from $938.28 to $963.32 (2.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$938.28changed to$963.32
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 10.83 changed to 10.56
- Practice expense RVU 15.80 changed to 15.89
- Malpractice RVU 1.35 changed to 1.28
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $938.28
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
14041 billing questions
How is 14041 distinguished from 14040?
Both cover the same listed anatomical sites. Use 14041 for a total defect area of 10.1–30 sq cm; 14040 is for 10 sq cm or less.
Which area should the surgeon document?
Document the defect measurements supporting the code, including the primary defect and the secondary defect created by moving the flap.
Can lesion excision be billed separately?
Excision performed to create the defect for the tissue transfer is included. Do not separately report the lesion excision for that same defect.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
