$842.98–$894.52
Use 14021 for a scalp, arm, or leg defect in the next size range. This code is for a total area of 10 sq cm or less.
On this page
CMS RVU26D · Effective 2026-10-01
14020 Tissue rearrangement Medicare reimbursement rates in Michigan
Reports local skin and tissue rearrangement to close a defect on the scalp, arm, or leg when the total defect area is 10 sq cm or less. Compare 14020 office and facility rates across CMS payment localities in Michigan.
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 14020 in Michigan?
Michigan 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
$682.71–$724.65
2 of 2 localities have a supported rate.
Facility setting
$488.45–$519.34
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 14020: Small scalp or limb tissue rearrangement
Reports local skin and tissue rearrangement to close a defect on the scalp, arm, or leg when the total defect area is 10 sq cm or less.
This code covers rearrangement of skin and nearby tissue to close a defect on the scalp, an arm, or a leg when the applicable area is no more than 10 sq cm. The surgeon advances, rotates, or transposes tissue next to the wound rather than bringing in a distant graft. It may be performed after lesion or tumor removal, or for a traumatic or other cutaneous defect when local tissue is rearranged. Dermatologic, plastic, general, and other surgeons may perform the procedure in an office procedure room, ambulatory surgery center, or hospital.
Select the size level using the total defect area, including the primary defect and the secondary defect created by the tissue transfer, rather than the lesion’s dimensions alone. The operative report should identify the site, flap or rearrangement performed, and documented defect measurements. The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this descriptor. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 14020
- 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 RVU7.04 · 33%
- Practice expense (office) RVU13.44 · 63%
- Malpractice RVU1.00 · 5%
17.1K
Medicare services in 2024 · #1205 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.
14020 compared with similar codes
Office rates for Michigan, from the same CMS release.
$635.20–$677.50
The area threshold is similar, but 14000 is for trunk sites; this code is for the scalp, arms, or legs.
$732.57–$775.94
14040 covers specified face and other listed sites such as the hand or foot. This code is for scalp, arm, or leg sites.
$738.61–$781.17
14060 covers specified eyelid, nose, ear, or lip sites. Use this code for an eligible scalp, arm, or leg defect.
Compare 14020 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
Detroit →
Office / nonfacility
$724.65
Facility
$519.34
Rest Of Michigan →
Office / nonfacility
$682.71
Facility
$488.45
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14020 billing questions
How is this code distinguished from 14021?
Both cover scalp, arm, or leg tissue rearrangement. Choose this code for a total defect area of 10 sq cm or less; 14021 is for the next size level.
Can the lesion excision be billed separately?
When lesion removal and adjacent tissue rearrangement are performed together to close the same defect, the excision is included in the tissue-transfer service.
What area should the operative report support?
Document the defect measurements after removal and include the secondary defect created by the rearrangement when determining the total area.
Should modifier 50 be reported for two sides?
No. Modifier 50 is inappropriate for this descriptor; the anatomy and service definition do not support a bilateral adjustment.
How does the global period affect postoperative visits?
The code has a 90-day global period that 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, and 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.
1,44614000,,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
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