2025 CPT code 14000
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Integumentary System - Adjacent Tissue Transfer or Rearrangement Procedures on the Integumentary System Surgery Feed
Adjacent tissue transfer or rearrangement on the trunk; defect 10 sq cm or less.
Modifiers such as 51 (multiple procedures), 59 (distinct procedural service), and others may be applicable depending on the specific circumstances of the procedure and the other services rendered on the same date.Use of modifiers should always be in alignment with current guidelines.
Medical necessity for CPT code 14000 is established when the wound or defect necessitates adjacent tissue transfer for proper closure. This is typically indicated by the size and depth of the wound, presence of tissue loss, or inability to close the wound by simple primary closure.Documentation should support the clinical rationale.
The clinical responsibility involves the surgeon's assessment of the wound, determination of the appropriate repair technique, performance of the surgical procedure, and provision of postoperative care.Proper documentation of the procedure and post-operative recovery is critical for appropriate billing.
- Surgery
- Surgical Procedures on the Integumentary System > Adjacent Tissue Transfer or Rearrangement Procedures on the Integumentary System
In simple words: This code covers a surgical procedure where the doctor moves healthy skin from nearby to fix a damaged area on the body's trunk (chest, back, abdomen). The damaged area is 10 square centimeters or smaller. This could involve different types of skin flaps and sutures.
This CPT code encompasses the surgical procedure involving the transfer or rearrangement of adjacent tissue on the trunk area to repair a defect measuring 10 square centimeters or less.The procedure includes the excision of the affected tissue and the subsequent transfer of a flap of healthy tissue to the defect, followed by wound closure.Techniques such as Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap may be utilized. The repair involves meticulous hemostasis, layered closure of subcutaneous tissue and superficial fascia, and skin closure.This code does not include separate billing for lesion excision (benign or malignant) as that is considered part of the overall repair.
Example 1: A patient presents with a 8 cm² laceration on their abdomen from a fall. The surgeon performs an adjacent tissue transfer to close the wound, using a local flap technique. CPT code 14000 is used., A patient sustains a 9 cm² wound on their back during a motor vehicle accident, requiring an adjacent tissue transfer involving a rotational flap.The surgeon uses CPT code 14000 to bill for this procedure. , A patient undergoes a partial thickness excision of a benign lesion on the flank resulting in a 5cm² defect, followed by an adjacent tissue transfer to close the resulting defect. CPT 14000 is used to bill for the tissue transfer, and the lesion excision is not separately reported.
Detailed operative notes including: size of defect, description of repair technique, type of flaps used, amount of undermining, location of the wound, and details of closure. Preoperative and postoperative photographs are also helpful.
** Accurate measurement of the defect is crucial for proper code selection.Consult the CPT manual for detailed guidelines and definitions regarding adjacent tissue transfer and wound repair techniques.
- Revenue Code: P6A (Minor Procedures - Skin)
- RVU: The relative value units (RVUs) for CPT code 14000 vary depending on geographic location, facility type (inpatient/outpatient), and other factors. Consult a local fee schedule or payer-specific information for accurate RVU values and reimbursement rates.
- Global Days: The global surgical period is not explicitly defined for CPT code 14000.The duration of postoperative care and follow-up visits should be determined by clinical judgment and local practice patterns.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to CPT code 14000, as this code represents the complete procedure.Refer to the specific payer policies and guidelines for any exceptions.
- Fee Schedule: Fee schedules for CPT code 14000 have varied over time and differ based on location and payer.Refer to historical fee schedules from relevant payers or organizations for historical data.
- Specialties:Plastic Surgery, General Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)