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CMS RVU26D · Effective 2026-10-01

14302 Tissue rearrangement Medicare reimbursement rates in Florida

Reports additional local tissue rearrangement beyond the initial 60 sq cm when a surgeon expands an adjacent tissue transfer for a large skin defect. Compare 14302 office and facility rates across CMS payment localities in Florida.

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 14302 in Florida?

Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.

Office / nonfacility

$229.75–$259.04

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $29.29 per service.

Facility setting

$192.07–$218.01

3 of 3 localities have a supported rate.

Lowest: Rest Of Florida

Highest: Miami

A spread of $25.94 per service.

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.

Find 14302 in your payment locality →

Where 14302 pays more and less in Florida

3 payment localities

$229.75 to $259.04

$229.75$244.40$259.04
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

Adjacent tissue transfer

About 14302: Additional adjacent tissue rearrangement

Reports additional local tissue rearrangement beyond the initial 60 sq cm when a surgeon expands an adjacent tissue transfer for a large skin defect.

This add-on represents further movement of nearby skin to close a defect after the initial area covered by the primary adjacent tissue transfer code. Surgeons use local advancement, rotation, or transposition techniques, including designs such as Z-plasty or V-Y advancement, when direct closure would distort nearby structures or leave excessive tension. The work is commonly performed by plastic, dermatologic, or other surgeons treating defects after tumor removal or other skin excision.

Report 14302 with 14301 when the total area of adjacent tissue transfer exceeds the primary code’s 60-square-centimeter upper threshold. Each unit represents another 30 square centimeters, or part of that increment, beyond the area covered by 14301. The operative note should support the defect and rearrangement area, flap design, and additional tissue movement. This add-on must be billed with its primary procedure, and its payment falls within that procedure’s global period.

CMS billing rules for 14302

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU3.64 · 55%
  • Practice expense (office) RVU2.35 · 35%
  • Malpractice RVU0.66 · 10%

72.5K

Medicare services in 2024 · #657 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.

14302 compared with similar codes

Office rates for Florida, from the same CMS release.

14301

Tissue transfer

30.1–60 square centimeters

$1,126.37–$1,250.70

14301 covers the primary adjacent tissue transfer area through 60 square centimeters. Add 14302 for each additional 30 square centimeters or part thereof.

14000

Tissue transfer

Trunk, defect up to 10 sq cm

$667.03–$740.38

14000 is a site-specific code for smaller adjacent tissue transfers on the trunk. 14302 is an add-on for area beyond the primary 14301 threshold.

14040

Tissue rearrangement

Defined sites, 10 cm² or less

$765.34–$840.36

14040 applies to smaller site-specific transfers involving the face, scalp, or neck. 14302 reports additional area with the primary code 14301.

Compare 14302 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.

3 of 3 payment localities

Office and facility base rates · shared scale starting at $0

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14302 billing questions

When is 14302 reported with 14301?

Use 14302 when the adjacent tissue transfer area exceeds the first 60 square centimeters represented by 14301. Report it with 14301, not by itself.

How many units of 14302 should be reported?

Report one unit for each additional 30 square centimeters, or part of an additional 30, beyond the area covered by 14301.

Can 14302 be used for a defect of 60 square centimeters or less?

No. 14301 covers the primary area through 60 square centimeters; 14302 represents additional area beyond that threshold.

What operative documentation supports 14302?

Document the defect and rearrangement area, the local flap design, and the additional tissue movement that extends beyond the primary area.

Can the lesion excision at the transfer site be reported separately?

Excision of the lesion at the same site is generally included in adjacent tissue transfer coding; 14302 represents additional transfer area, not a separate excision.

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.

RVUs for 14302PPRRVU2026_Oct_nonQPP.csv, line 1,456 (RVU26D)