Billing code 14001: Tissue transferMedicare rate & RVUs in Ohio

Reports rearrangement of nearby trunk tissue to close a defect measuring 10.1–30 cm², such as one remaining after skin-lesion removal.

CMS RVU26DEffective Oct 1, 20261 payment locality9.2K Medicare services in 2024

Medicare pays $813.16 for 14001 in the office in Ohio (Ohio). Which amount applies depends on the service address.

$813.16Office (non-facility)
$579.57Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 14001 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 14001 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 14001 covers

A surgeon moves skin and underlying tissue next to a defect to close it, using techniques such as rotation or advancement. This service is commonly performed by plastic surgeons and dermatologic surgeons after removal of a skin cancer or other lesion on the chest, abdomen, or back. The code represents a more extensive repair than a simple closure, because adjacent tissue is incised and repositioned to cover the defect.

Choose the trunk code when the combined area of the primary defect and any secondary defect created by the transfer measures 10.1–30 cm². Document the site, dimensions, tissue movement, and defect areas; lesion removal at the same site is included when performed. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this trunk service. Medicare does not pay an assistant at surgery for this code; co-surgeon and team-surgery billing are not permitted.

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.

14001 in Ohio

14001 office and facility rates by payment locality
Payment localityOfficeFacility
Ohio$813.16$579.57

How the 14001 rate is calculated

Each of 14001’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 · 14001

RVUs × geographic indexes × conversion factor

Work8.56

8.56 RVUs× 1.000 GPCI

Practice expense15.49

15.49 RVUs× 1.000 GPCI

Malpractice1.63

1.63 RVUs× 1.000 GPCI

Adjusted RVUs

25.6800

Conversion factor

$33.4009

Medicare rate

$857.74

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 14001

14001 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 14001

Tissue transfer

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 14001

Tissue transfer

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

14001 without 51 · national office

$857.74

Tissue transfer

14001-51 · Second procedure: 50%

$428.87

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%).

When to use modifier 51

14001 compared with similar codes

Compare codes · National

5 codes, side by side

  • 14001

    Tissue transfer8.56 wRVU

    $857.74

  • 14000

    Tissue transfer6.21 wRVU

    $667.35−$190.39

  • 14021

    Tissue transfer9.48 wRVU

    $882.79+$25.05

  • 14041

    Tissue rearrangement10.56 wRVU

    $926.21+$68.47

  • 14301

    Tissue transfer12.33 wRVU

    $1,120.27+$262.53

How to choose

14000Tissue transfer
Both codes are for trunk tissue transfer; 14000 is selected for a combined defect area of 10 cm² or less, while 14001 covers 10.1–30 cm².
14021Tissue transfer
The size range matches 14001, but 14021 is for specified scalp, arm, or leg sites rather than the trunk.
14041Tissue rearrangement
This covers adjacent tissue transfer in the same size range as 14001, but for specified face and neck sites.
14301Tissue transfer
Use 14301 for a 30.1–60 cm² adjacent tissue transfer defect; 14001 is for a trunk defect measuring 10.1–30 cm².

14001 billing questions

How is 14001 distinguished from 14000?

Both describe adjacent tissue transfer on the trunk. Use 14000 for a combined defect area of 10 cm² or less and 14001 for 10.1–30 cm².

Is the lesion excision billed separately?

Excision of a lesion at the same site is included when performed as part of the tissue transfer. Do not separately report the excision for that same lesion.

What area should the record support?

Document the dimensions and area of the primary defect and any secondary defect created by moving the tissue. Their combined area determines the size range.

Can modifier 50 be used for a trunk defect on both sides?

No. Modifier 50 is not appropriate for this trunk service; report the service based on the documented defect and its area.

How does the global period affect postoperative visits?

The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 14001. Co-surgeon and team-surgery billing 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 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
RVUs for 14001PPRRVU2026_Oct_nonQPP.csv, line 1,447 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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