Billing code 14350: Digit flapMedicare rate & RVUs in Delaware
Reports reconstruction using tissue from a finger or toe as a flap to cover a nearby defect, including preparation of the recipient site.
CMS doesn’t publish an office rate for 14350 in Delaware.
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 9 sections
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.
14350 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | Unavailable | $610.35 |
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.
How the rate is built · 14350
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 10.77Practice expense 6.53Malpractice 1.11
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 14350
14350 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 14350
Digit flap
| 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) | 0 | Not paid without supporting documentation. |
| 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 · 14350
Digit flap
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
14350 without 51 · national facility
$614.91
Digit flap
14350-51 · Second procedure: 50%
$307.46
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%).
14350 compared with similar codes
Compare codes
14350 vs 14040 vs 14041 vs 14301 vs 15740: national Medicare rates
Swap in your local Medicare rate.
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.
14350 billing questions
How does this differ from an area-based adjacent tissue transfer code?
14350 describes a flap made from finger or toe tissue. Codes such as 14040, 14041, and 14301 describe adjacent tissue transfer selected by anatomic site and defect area.
Is recipient-site preparation separately reported?
No. Preparation of the recipient site is included in 14350.
What documentation supports the service?
Document the digit used as the flap, the defect receiving coverage, and the operative steps that create and transfer the flap.
Should modifier 50 be used for procedures on both sides?
No. Modifier 50 is inappropriate for 14350 because of the code's descriptor and anatomy.
When can an assistant at surgery be paid?
CMS pays an assistant at surgery for 14350 only when the medical necessity of the assistant is documented.
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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