2025 CPT code 14041

Adjacent tissue transfer or rearrangement for defects on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect size 10.1 to 30.0 sq cm.

Adhere to CPT guidelines, including accurate measurement of both primary and secondary defects, and appropriate selection based on the combined area.If multiple wounds are repaired, ensure proper grouping and application of modifier 59 if necessary.

Modifiers may be applicable depending on the circumstances, such as modifier 59 (distinct procedural service) if multiple procedures are performed on the same day, or other modifiers as indicated by payer-specific guidelines or local coverage determinations.

Medical necessity is established when the defect is significant enough to compromise function or aesthetics and requires surgical closure exceeding the capabilities of primary closure or simple skin grafting. Documentation must support the extent and complexity of the defect, and the chosen surgical technique must be the most appropriate and least invasive approach.

The surgeon's responsibilities include pre-operative assessment, planning the flap design, precise surgical technique to minimize complications such as flap necrosis or insufficient coverage, and post-operative care to ensure wound healing and prevent infection.The surgeon should have proficiency in microsurgical techniques if necessary for complex cases.

IMPORTANT CPT 14040 (defect 10 sq cm or less), CPT 14301-14302 (defects >30 sq cm).Other codes may apply depending on the specific technique used (e.g., Z-plasty, W-plasty).

In simple words: The doctor moves healthy skin and tissue from a nearby area to cover a wound or damaged spot on the face, neck, armpits, genitals, hands, or feet. This is done for wounds that are medium-sized (between 10.1 and 30 square centimeters) and can't be easily stitched closed.

This CPT code encompasses the surgical relocation of a skin flap and underlying tissues from a nearby healthy donor site to repair a defect (10.1 to 30.0 square centimeters) in the forehead, cheeks, chin, mouth, neck, axillae (armpits), genitalia, hands, or feet.The procedure involves precise excision of the defective area, careful elevation of the adjacent tissue flap to maintain its blood supply, and meticulous suture closure of both the primary and secondary defects.Hemostasis (control of bleeding) and appropriate wound dressing are included.

Example 1: A patient presents with a 15 sq cm laceration on the cheek following a motor vehicle accident.The surgeon uses a rotation flap to close the wound., A patient undergoes excision of a 12 sq cm basal cell carcinoma on the nose. The surgeon utilizes an advancement flap for reconstruction., A patient with a congenital cleft lip undergoes a surgical repair that incorporates adjacent tissue transfer to close the defect.

Pre-operative photographs clearly documenting the wound or defect, surgical notes detailing the technique (including type of flap used, dimensions of primary and secondary defects), intraoperative photographs, post-operative photographs, and pathology report (if applicable for lesion excision).

** Accurate measurement of both primary and secondary defects is crucial for proper code selection. Consult current CPT guidelines and payer-specific policies for additional billing requirements and potential limitations.

  • Revenue Code: P5A (Ambulatory Procedures - Skin)
  • RVU: This information is not readily available from the provided text and requires consultation with a fee schedule or pricing database specific to your payer.
  • Global Days : The global period is not explicitly defined in the provided data but would likely be determined by payer-specific guidelines or local coverage determinations. Consult your payer’s policies for the specific global period applicable to this procedure.
  • Payment Status: Active
  • Modifier TC rule: Not applicable.This is not a procedure that typically requires a technical component modifier.
  • Fee Schedule : Historical fee schedules vary widely based on location, payer, and year.Information on historical fee schedules is usually available through specific payer databases or fee schedule publications.
  • Specialties:Plastic Surgery, Dermatology, Otolaryngology (for facial wounds)
  • Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)
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