2025 CPT code 14061
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgical Procedures on the Integumentary System - Adjacent Tissue Transfer or Rearrangement Surgery Feed
Adjacent tissue transfer or rearrangement of eyelids, nose, ears, and/or lips; defect 10.1 to 30.0 sq cm.
Modifiers 51 (multiple procedures), 59 (distinct procedural service), and others may be applicable depending on the circumstances of the procedure. Refer to the CPT manual for details.
Medical necessity is established when the defect significantly impairs the patient's function or aesthetics, and the adjacent tissue transfer is the most appropriate method for reconstruction.The size of the defect and its location are crucial factors determining medical necessity.
The surgeon performs the excision of the defective area, designs and creates the adjacent tissue flap, and meticulously sutures the flap into place, achieving complete closure of the defect.Hemostasis is ensured, and the wound is dressed appropriately. The surgeon is responsible for determining the necessity and appropriateness of the procedure based on the patient's condition and the size and nature of the defect.
- Surgery
- Surgery > Surgical Procedures on the Integumentary System > Adjacent Tissue Transfer or Rearrangement
In simple words: The doctor uses healthy tissue nearby to repair a damaged area on the eyelids, nose, ears, or lips. This is for larger damaged areas, between 10.1 and 30 square centimeters.
This CPT code encompasses the surgical procedure of adjacent tissue transfer or rearrangement for repairing defects in the eyelids, nose, ears, and/or lips.The procedure involves relocating a flap of adjacent healthy tissue to cover a defect ranging from 10.1 to 30.0 square centimeters. Techniques may include Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap.The size of the defect includes both the primary and secondary defects resulting from excision and flap design.Excision of benign or malignant lesions is not separately reported with this code; skin grafts for secondary defects are considered additional procedures.
Example 1: A patient presents with a 15 sq cm laceration on their lower eyelid from a dog bite. The surgeon performs a rotation flap adjacent tissue transfer to close the wound., A patient has a 25 sq cm defect on their earlobe due to a prior burn.The surgeon performs an advancement flap adjacent tissue transfer to reconstruct the earlobe., A patient requires repair of a 12 sq cm defect on their upper lip due to a surgical excision of a basal cell carcinoma. An adjacent tissue transfer using a Z-plasty technique is performed.
Preoperative photographs clearly delineating the defect's size and location. Intraoperative photographs documenting the surgical technique used.Postoperative photographs to show the wound closure. Detailed operative report specifying the size of the defect, surgical technique employed, and the amount of tissue transferred.Complete medical history relevant to the defect and any co-morbidities.
** The size of the defect is crucial for accurate code selection. Accurate measurement of the defect is essential for proper reimbursement.Consult the CPT manual for detailed guidelines and definitions.
- Revenue Code: P5A (Ambulatory Procedures - Skin)
- RVU: Information not available in provided sources. Refer to the iFrameAI product for accurate RVU data.
- Global Days: Information not available in provided sources. Refer to the iFrameAI product for global days information.
- Payment Status: Active
- Modifier TC rule: Information not available in provided sources. Refer to the iFrameAI product for TC modifier rules.
- Fee Schedule: Information not available in provided sources. Refer to the iFrameAI product for historical fee schedule data.
- Specialties:Plastic Surgery, Otolaryngology, Dermatology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient and Outpatient)