$878.68–$963.84
Both codes cover trunk tissue transfer. Choose 14000 for a combined defect area of 10 sq cm or less and 14001 for 10.1 to 30 sq cm.
On this page
CMS RVU26D · Effective 2026-10-01
14000 Tissue transfer Medicare reimbursement rates in Massachusetts
Reports local-flap rearrangement of trunk skin to close a defect whose combined area, including the flap-created secondary defect, is 10 sq cm or less. Compare 14000 office and facility rates across CMS payment localities in Massachusetts.
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 14000 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$685.72–$754.01
2 of 2 localities have a supported rate.
Facility setting
$472.94–$512.73
2 of 2 localities have a supported rate.
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 14000: Small trunk adjacent tissue transfer
Reports local-flap rearrangement of trunk skin to close a defect whose combined area, including the flap-created secondary defect, is 10 sq cm or less.
An adjacent tissue transfer moves nearby skin and subcutaneous tissue—using an advancement, rotation, or transposition flap, for example—to close a trunk defect. Dermatologic, plastic, and general surgeons commonly perform it after removing a skin lesion or treating a wound when direct closure is unsuitable. The service includes moving the flap and closing the donor area created by that movement.
Select this code by the combined area of the primary defect and the secondary defect created by the flap, not by lesion diameter or flap dimensions; the total must be 10 sq cm or less. Document the trunk location, defect measurements, flap technique, and reason for tissue rearrangement. Excision of the lesion that creates the reconstructed defect and its closure are included. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 14000
- 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 RVU6.21 · 31%
- Practice expense (office) RVU12.68 · 63%
- Malpractice RVU1.09 · 5%
6.1K
Medicare services in 2024 · #1748 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.
14000 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$738.23–$810.51
This is the corresponding small-defect transfer code for the scalp, arms, or legs; 14000 is for the trunk.
$205.16–$226.63
11600 describes excision of a small malignant lesion on the trunk or extremities, not reconstruction with an adjacent tissue flap. Use 14000 when the trunk defect is repaired by tissue transfer.
Compare 14000 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$754.01
Facility
$512.73
Rest Of Massachusetts →
Office / nonfacility
$685.72
Facility
$472.94
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14000 billing questions
How is the 10 sq cm threshold measured?
Use the combined area of the primary defect and the secondary defect created by the flap. Do not select the code using the lesion diameter or flap dimensions.
Can the lesion excision be reported separately?
The excision that creates the defect being reconstructed is included in the adjacent tissue transfer. Do not separately report that excision or a closure of the same defect.
When is 14001 a better choice?
Use 14001 when the combined defect area on the trunk is 10.1 to 30 sq cm. Code 14000 is for a combined area of 10 sq cm or less.
Should modifier 50 be appended for bilateral trunk defects?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
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 paid for this procedure?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
1,44313152,,Cmplx rpr e/n/e/l 2.6-7.5 cm,A,,5.21,8.87,,2.52,,0.61,14.69,8.34,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44413153,,Cmplx rpr e/n/e/l addl 5cm/<,A,,2.32,2.98,,0.72,,0.36,5.66,3.40,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44513160,,Sec clsr surg wnd/dehsn xtn,A,,11.74,8.34,NA,8.34,,2.10,22.18,22.18,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44614000,,Tis trnfr trunk 10 sq cm/<,A,,6.21,12.68,,6.63,,1.09,19.98,13.93,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,44714001,,Tis trnfr trunk 10.1-30sqcm,A,,8.56,15.49,,7.83,,1.63,25.68,18.02,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,4481400F,,Prkns diag rviewed,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
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