2025 CPT code 14001
(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 the trunk; defect size 10.1 to 30.0 square centimeters.
Modifiers such as 22 (increased procedural services), 51 (multiple procedures), and 59 (distinct procedural service) may be applicable depending on the specifics of the case. Appropriate documentation must support the use of any modifiers.
Medical necessity for adjacent tissue transfer is established when less invasive methods are inadequate to close the wound or when functional or cosmetic impairment would otherwise result. The size and depth of the defect, presence of infection, and impact on the patient's physical functioning are all factors that justify the use of this procedure.
The clinical responsibility includes pre-operative assessment, wound preparation, surgical execution of the adjacent tissue transfer or rearrangement, and post-operative care.This includes assessing the defect's size and location, choosing the appropriate surgical technique, meticulous hemostasis, careful tissue handling, precise wound closure, and appropriate post-operative instructions.
- Surgery
- Surgery > Surgical Procedures on the Integumentary System > Adjacent Tissue Transfer or Rearrangement
In simple words: The doctor moves healthy tissue from a nearby area to repair a large hole (10.1 to 30 square centimeters) on the patient's torso. This may involve different surgical techniques to close the wound and restore the skin.
This CPT code encompasses the surgical procedure involving the transfer or rearrangement of adjacent tissue on the trunk to repair a defect measuring between 10.1 and 30.0 square centimeters.The procedure may involve techniques such as Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap.The total area of both the primary and secondary defects is considered when selecting the appropriate code. Excision of a benign or malignant lesion is not separately reported with this code; skin grafting to close secondary defects is considered an additional procedure.
Example 1: A patient presents with a 15 cm² traumatic laceration on their abdomen resulting from a motor vehicle accident.The surgeon performs an adjacent tissue transfer using a rotation flap to close the defect., A patient with a 20 cm² full-thickness burn on their back undergoes an adjacent tissue transfer with a skin flap to improve the skin's coverage and function., A patient presents with a 25 cm² wound post-excision of a large benign tumor on the flank. The surgeon performs an adjacent tissue transfer using a Z-plasty technique for defect closure.
** This code should only be used when the defect meets the specified size criteria (10.1 to 30.0 sq cm) and the chosen technique is indeed an adjacent tissue transfer or rearrangement.Undermining alone does not qualify for this code.
- Revenue Code: P5A (Ambulatory Procedures - Skin)
- RVU: The relative value units (RVUs) for CPT code 14001 vary based on geographic location, facility type (non-facility vs. facility), and payer. Consult the specific payer's fee schedule for accurate RVU and reimbursement information.
- Global Days: The global period for this procedure is dependent upon the complexity of the case and the specific payer's guidelines. It’s important to consult payer-specific guidelines and the CPT manual for definitive clarification.
- Payment Status: Active
- Modifier TC rule: The Technical Component (TC) modifier is not applicable to this code because it is a comprehensive code that includes all aspects of the procedure.There is no separate professional component.
- Fee Schedule: Fee schedules vary based on location, payer, and contract.Consult relevant fee schedules for historical data.
- Specialties:Plastic Surgery, General Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)