2025 CPT code 14060
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Adjacent tissue transfer or rearrangement for eyelid, nose, ear, and/or lip lesions; defect 10 sq cm or less.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 59 may be used to indicate a distinct procedural service if additional procedures are performed.
The medical necessity for this procedure is established by the presence of a significant lesion or defect in the eyelid, nose, ear, or lip that compromises function or aesthetics, and requires reconstructive surgery using adjacent tissue transfer.
The clinical responsibility includes pre-operative assessment, marking the defect area, performing the excision, designing and creating the tissue flap, transferring the flap to the defect site, meticulous hemostasis, wound closure, dressing application, and post-operative care instructions.
In simple words: The doctor replaces damaged skin on the eyelids, nose, ears, or lips with healthy skin from a nearby area. This is for small areas of damage (10 square centimeters or less).
This CPT code 14060 represents the surgical procedure of adjacent tissue transfer or rearrangement to repair lesions of the eyelids, nose, ears, and/or lips.The procedure is indicated for defects measuring 10 square centimeters or less.It involves the excision of the lesion and the transfer of healthy adjacent tissue to reconstruct the defect using techniques such as Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap.The size of the defect includes both the primary defect (excision site) and the secondary defect (donor site).Skin grafts to close the secondary defect are billed separately.
Example 1: A patient presents with a 5cm x 2cm laceration on the lower eyelid resulting from a dog bite.The surgeon performs a Z-plasty to close the wound., A patient has a 7 sq cm basal cell carcinoma on the tip of the nose.The surgeon excises the lesion and performs a rotation flap from adjacent tissue to close the defect., A patient has a 9 sq cm burn on the earlobe from a cooking accident. The surgeon performs an advancement flap to repair the defect.
Operative report detailing the procedure performed, including type of flap used, size of defect (both primary and secondary), and type of closure.Pre-operative and post-operative photographs, pathology report (if applicable).
** Always refer to the most current CPT coding guidelines and payer-specific rules for accurate billing and reimbursement. The size of the defect is crucial for proper code selection.If the lesion requires significant debridement, additional codes may be necessary.
- Revenue Code: P5A (Ambulatory Procedures - Skin)
- RVU: This information requires access to a current relative value unit (RVU) database.RVUs vary by location and payer.
- Global Days: Global period information is not provided for this code and would require consulting specific payer guidelines or fee schedules.
- Payment Status: Active
- Modifier TC rule: Information on the applicability of TC modifiers is not specified in the provided data.
- Fee Schedule: Historical fee schedule information is not provided and would need to be obtained from historical fee schedules or databases.
- Specialties:Plastic Surgery, Otolaryngology, Dermatology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)