Billing code 14302: Tissue rearrangementMedicare rate & RVUs in Oregon
Reports additional local tissue rearrangement beyond the initial 60 sq cm when a surgeon expands an adjacent tissue transfer for a large skin defect.
Medicare pays $215.25–$227.13 for 14302 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 14302 covers
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.
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.
Where 14302 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $227.13 | $183.34 |
| Rest Of Oregon | $215.25 | $176.00 |
How the 14302 rate is calculated
Each of 14302’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 · 14302
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.64Practice expense 2.35Malpractice 0.66
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 14302
The CMS indicators that decide how 14302 is paid alongside other services.
CMS payment indicators · 14302
Tissue rearrangement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
14302 without 80 · national office
$222.12
Tissue rearrangement
14302-80 · Assistant: 16%
$35.54
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
14302 compared with similar codes
Compare codes
14302 vs 14301 vs 14000 vs 14040: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 14301Tissue transfer
- 14301 covers the primary adjacent tissue transfer area through 60 square centimeters. Add 14302 for each additional 30 square centimeters or part thereof.
- 14000Tissue transfer
- 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.
- 14040Tissue rearrangement
- 14040 applies to smaller site-specific transfers involving the face, scalp, or neck. 14302 reports additional area with the primary code 14301.
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 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
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