$695.30
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 Tissue rearrangement Medicare reimbursement rates in Alabama
Reports local tissue rearrangement to close a 10.1–30 sq cm defect on specified face, neck, axillary, genital, hand, or foot sites. Compare 14041 office and facility rates across CMS payment localities in Alabama.
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 14041 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$841.31
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$601.95
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
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 Alabama, from the same CMS release.
$798.50
This code covers the 10.1–30 sq cm range at scalp, arm, or leg sites; 14041 covers its own specified sites.
$906.26
This code covers the 10.1–30 sq cm range at eyelid, nose, ear, or lip sites, rather than the sites assigned to 14041.
$1,010.66
Consider 14301 for an adjacent tissue transfer defect larger than 30 sq cm; 14041 is for 10.1–30 sq cm.
Compare 14041 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
$841.31
Facility
$601.95
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
1,452
- Code
- 14041
- Physician work
- 10.56
- Practice expense
- 15.89
- Malpractice
- 1.28
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.56 | × 1.000 | 10.5600 |
| Practice expense | 15.89 | × 0.875 | 13.9038 |
| Malpractice | 1.28 | × 0.566 | 0.7245 |
| Total RVUs | 25.1882 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$841.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.56 | 1 |
| Practice expense | 15.89 | 0.875 |
| Malpractice | 1.28 | 0.566 |
(10.56 × 1 + 15.89 × 0.875 + 1.28 × 0.566) × $33.4009 = $841.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.56 | 1 |
| Practice expense | 7.7 | 0.875 |
| Malpractice | 1.28 | 0.566 |
(10.56 × 1 + 7.7 × 0.875 + 1.28 × 0.566) × $33.4009 = $601.95
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.
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.
1,44914020,,Tis trnfr s/a/l 10 sq cm/<,A,,7.04,13.44,,7.07,,1.00,21.48,15.11,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45014021,,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
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515