$223.75–$239.90
14301 covers the initial 30.1 to 60 square centimeters. Use 14302 for each additional 30 square centimeters or part thereof.
On this page
CMS RVU26D · Effective 2026-10-01
14301 Tissue transfer Medicare reimbursement rates in Massachusetts
Reports local tissue rearrangement to close a defect measuring 30.1 to 60 square centimeters, such as a sizable defect after skin cancer removal. Compare 14301 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 14301 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
$1146.96–$1253.87
2 of 2 localities have a supported rate.
Facility setting
$776.26–$833.53
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.
Reconstructive surgery
About 14301: Adjacent tissue transfer, 30.1 to 60 square centimeters
Reports local tissue rearrangement to close a defect measuring 30.1 to 60 square centimeters, such as a sizable defect after skin cancer removal.
This code covers reconstruction using nearby tissue that is cut and moved or rearranged to close a defect, such as with an advancement, rotation, or transposition flap. Plastic, dermatologic, and other surgeons commonly perform the service after skin cancer removal or treatment of another lesion leaves a defect too large or poorly suited to simple closure. The code applies to any anatomic area when the measured defect falls within this size level.
Select the code from the documented defect area, rather than the flap’s dimensions; document the relevant defect measurements, including primary and secondary defects when applicable. Code 14302 may be reported for each additional 30 square centimeters or part thereof. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 14301
- 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.33 · 37%
- Practice expense (office) RVU19.17 · 57%
- Malpractice RVU2.04 · 6%
55K
Medicare services in 2024 · #748 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.
14301 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$878.68–$963.84
14001 is for a trunk defect measuring 10.1 to 30 square centimeters; 14301 is selected when the defect measures 30.1 to 60 square centimeters.
$906.66–$992.30
14021 is for a scalp, arm, or leg defect measuring 10.1 to 30 square centimeters. Use 14301 for the larger 30.1 to 60 square centimeter level.
$1,025.71–$1,120.95
14061 is for an eyelid, nose, ear, or lip defect measuring 10.1 to 30 square centimeters; 14301 covers 30.1 to 60 square centimeters.
Compare 14301 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
$1253.87
Facility
$833.53
Rest Of Massachusetts →
Office / nonfacility
$1146.96
Facility
$776.26
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14301 billing questions
How is 14301 different from the smaller adjacent tissue transfer codes?
Choose 14301 when the defect measures 30.1 to 60 square centimeters, regardless of anatomic area. Smaller defects are coded from the site-specific adjacent tissue transfer series.
When can I report 14302 with 14301?
Report 14302 for each additional 30 square centimeters or part thereof beyond the area covered by 14301. The record should support the total defect area used to select the codes.
Can I separately report lesion excision at the reconstructed site?
When lesion excision creates the same defect repaired with adjacent tissue transfer, the transfer code includes that work; do not separately report the lesion excision.
Should modifier 50 be appended for bilateral defects?
No. Modifier 50 is inappropriate for this code; report the service based on the applicable defect area.
What postoperative care is included in the Medicare global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or another surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeons and team surgery are not permitted for this code.
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.
1,45214041,,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
1,45614302,,Tis trnfr addl 30 sq cm,A,,3.64,2.35,,1.17,,0.66,6.65,5.47,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,45714350,,Filleted finger/toe flap,A,,10.77,6.53,NA,6.53,,1.11,18.41,18.41,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,4581450F,,Symptoms improved/consist,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