2025 CPT code 14301
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Surgery Feed
Adjacent tissue transfer or rearrangement for a defect measuring 30.1 to 60.0 square centimeters.
Modifiers may be applicable depending on the circumstances of the procedure, such as modifier 59 (distinct procedural service) if multiple procedures are performed. Consult the current year's CPT and payer guidelines for appropriate modifier usage.
Medical necessity is established by the presence of a significant integumentary defect requiring surgical closure to restore skin integrity, protect underlying tissues, and prevent infection.The size and location of the defect, as well as the patient's overall medical condition, influence the medical necessity determination. Documentation must support the chosen method of repair.
The surgeon's responsibilities include: pre-operative assessment, marking the defect area, performing the excision, raising the adjacent tissue flap, meticulous flap repositioning and fixation, hemostasis, wound closure, and post-operative care.
In simple words: The doctor replaces damaged skin with healthy skin from a nearby area. This is for wounds between 30.1 and 60 square centimeters.
This CPT code encompasses adjacent tissue transfer or rearrangement procedures to repair integumentary defects ranging from 30.1 to 60.0 square centimeters.The procedure involves excision of the defect, elevation of a flap of adjacent healthy tissue, and its repositioning to cover the defect.Techniques may include Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap.The size of the defect is determined by combining the primary and secondary defect measurements.Excision of benign or malignant lesions is not separately reported with this code; skin grafts required to close secondary defects are considered additional procedures.
Example 1: A patient presents with a 40 cm² full-thickness laceration on the thigh following a motorcycle accident.The surgeon performs a rotation flap adjacent tissue transfer to close the wound., A patient has a 55 cm² area of skin loss on the arm due to a burn.The surgeon utilizes a Z-plasty technique for adjacent tissue transfer to achieve wound closure. A skin graft is also performed for the donor site., A patient requires repair of a 35 cm² defect on the scalp resulting from a traumatic injury.The surgeon performs an advancement flap technique to close the defect.
Detailed operative notes including size of defect(s), technique used (Z-plasty, rotation flap, etc.), description of flap elevation and repositioning, hemostasis methods, and closure details.Pre-operative and post-operative photographs, and any necessary pathology reports (if lesion excision was performed).
** Always ensure precise measurement of the defect to appropriately select the correct CPT code. Pay close attention to any payer-specific guidelines or local coverage determinations.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires accessing the current year's CMS relative value units database.RVUs vary based on geographic location and facility type (non-facility vs. facility).
- Global Days: The global period for this surgical procedure is not explicitly defined within the provided CPT guidelines.Further clarification would require referring to payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: The TC modifier does not apply to this CPT code because it represents a complete service.
- Fee Schedule: Historical fee schedule data is not provided and varies by payer and location.Refer to publicly available fee schedule data from your area.
- Specialties:Plastic Surgery, General Surgery
- Place of Service:Ambulatory Surgical Center, Hospital (Inpatient and Outpatient), Office