$649.45–$758.05
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.
On this page
CMS RVU26D · Effective 2026-10-01
14001 Tissue transfer Medicare reimbursement rates in Virginia
Reports rearrangement of nearby trunk tissue to close a defect measuring 10.1–30 cm², such as one remaining after skin-lesion removal. Compare 14001 office and facility rates across CMS payment localities in Virginia.
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 14001 in Virginia?
Virginia 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
$832.93–$971.42
2 of 2 localities have a supported rate.
Facility setting
$581.43–$670.03
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 14001: Trunk adjacent tissue transfer, 10.1–30 cm²
Reports rearrangement of nearby trunk tissue to close a defect measuring 10.1–30 cm², such as one remaining after skin-lesion removal.
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.
CMS billing rules for 14001
- 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 RVU8.56 · 33%
- Practice expense (office) RVU15.49 · 60%
- Malpractice RVU1.63 · 6%
9.2K
Medicare services in 2024 · #1519 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.
14001 compared with similar codes
Office rates for Virginia, from the same CMS release.
$861.04–$997.81
The size range matches 14001, but 14021 is for specified scalp, arm, or leg sites rather than the trunk.
$904.61–$1,044.56
This covers adjacent tissue transfer in the same size range as 14001, but for specified face and neck sites.
$1,089.35–$1,264.18
Use 14301 for a 30.1–60 cm² adjacent tissue transfer defect; 14001 is for a trunk defect measuring 10.1–30 cm².
Compare 14001 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
Dc + Md/Va Suburbs →
Office / nonfacility
$971.42
Facility
$670.03
Virginia →
Office / nonfacility
$832.93
Facility
$581.43
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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 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.
1,44413153,,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
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