2025 CPT code 14350
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Filleted finger or toe flap, including recipient site preparation.
Modifiers may be applicable depending on the circumstances of the service performed. Review the CPT guidelines and payer specific rules for accurate modifier application.
Medical necessity is established when other less invasive methods have failed to achieve adequate wound healing, or when functional or cosmetic restoration of the affected area is deemed critical.Specific documentation supporting the need for reconstructive surgery with a fillet flap should be provided.
The surgeon is responsible for excising the flap from the donor site (finger or toe), preparing the recipient site, and meticulously suturing the flap into place.The procedure may involve significant microsurgical skills to ensure proper blood supply to the transferred flap. Post-operative care and monitoring of the flap are also the responsibility of the surgeon.
In simple words: The doctor takes a flap of skin and tissue from a finger or toe (fillet flap) and uses it to repair a damaged area on the body.This involves carefully moving the flap to the new location and stitching it in place. Any necessary cleaning or removal of damaged tissue (debridement) and amputation of the finger or toe from which the flap is taken, is included in this procedure.
This CPT code encompasses the surgical procedure involving the creation and application of a filleted finger or toe flap for reconstructive purposes.It includes the preparation of the recipient site and the transfer of the flap to cover a defect.The procedure involves excising a flap of skin and underlying structures from a finger or toe, carefully preserving the blood supply, and then meticulously transferring this flap to the recipient site to repair damaged tissue. This code also implicitly includes any necessary debridement and completion amputation if performed as part of the flap creation.
Example 1: A patient presents with a severe laceration on the hand, resulting in significant tissue loss.A filleted fingertip flap is harvested and used to reconstruct the damaged area, restoring both function and appearance., A patient has undergone a traumatic injury to the foot, requiring the creation of a fillet toe flap to cover a large wound. The surgeon performs the procedure and includes the debridement of any devitalized tissue., A patient with a chronic non-healing ulcer on the hand has undergone unsuccessful attempts at wound healing through other methods.A fillet flap from a finger is selected and used to promote complete wound closure and restore function.
Detailed operative report including:* Size and location of the defect.* Donor site (finger or toe) and preparation.* Description of the flap (size, thickness, vascularity).* Technique used for flap transfer and anastomosis (if microsurgical techniques are used).* Number and type of sutures used.* Postoperative management.* Photography of both the defect and the completed procedure.
** The code 14350 is specifically for filleted finger or toe flaps, and is not applicable to foot amputations.If a foot amputation is performed, different procedural codes should be used.
- Revenue Code: P5A (Ambulatory Procedures - Skin)
- RVU: The Relative Value Units (RVUs) for this code vary by geographic location and payer.Consult your local fee schedule for precise values.
- Global Days: The global period for this procedure is not explicitly defined in the provided text.It is dependent on the specific payer and may vary.Consult the payer's guidelines.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically applicable to 14350 as it represents a comprehensive surgical procedure.Refer to your local payer guidelines for any exceptional cases.
- Fee Schedule: Historical fee schedule data is unavailable in the provided sources.Refer to historical CPT fee schedules for this information.
- Specialties:Plastic Surgery, Hand Surgery, Reconstructive Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office