Tis trnfr trunk 10.1-30sqcm
CPT 14001 covers a tissue transfer (skin flap) procedure on the trunk of the body, where healthy skin and underlying tissue are moved to cover a wound measuring 10.1 to 30 square centimeters. This is more complex than a simple skin graft because it includes the blood supply.
This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.
RVU breakdown
Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High
NCCI bundling edits
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Billing tips
Measure and document the defect size precisely in square centimeters (10.1-30 sq cm range) before tissue rearrangement, not after closure
Impact: Incorrect measurement can result in downcoding to 14000 ($480 difference) or upcoding denial for 14001
Document anatomic location as trunk specifically (chest, back, abdomen, buttocks) since different body areas have different codes
Impact: Mislocation documentation can trigger denial; trunk codes reimburse differently than extremity codes
Bill only once per session regardless of number of flaps used to close the single defect; multiple defects require separate codes with modifier 59
Impact: Prevents bundling denials and ensures proper payment when multiple distinct defects are repaired
Do not separately bill intermediate or complex closure codes (12031-13160) as they are included in tissue transfer codes
Impact: Unbundling will result in denial and potential audit flags; avoid $100-300 in denied charges
Verify facility vs non-facility status before billing; ASC and hospital settings use facility rate ($641.11) while office uses non-facility ($794.75)
Impact: Incorrect place of service results in $153.64 payment differential and potential recoupment
When performed with excision codes, append modifier 59 to 14001 if medical necessity and distinct site are clearly documented
Impact: Proper modifier use prevents automatic bundling and preserves full reimbursement for both services
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