CPT 14041Surgery

Tis trnfr f/c/c/m/n/a/g/h/f

CPT 14041 covers a tissue transfer flap procedure on the face, mouth, cheek, chin, neck, axilla (armpit), genitalia, hands, or feet where tissue is moved from one area to reconstruct a defect in these sensitive locations.

Showing rates for

National Average

Base Medicare rate

$905.06

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

Work RVU

10.83

PE RVU (NF)

15.8

MP RVU

1.35

Total RVU

27.98

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Verify defect size measurement is documented in square centimeters (not linear dimensions) in operative report, as 14041 covers defects up to 10.0 sq cm; defects over 10.0 sq cm require add-on code 14042
Impact: Incorrect code selection can result in $200-400 underpayment if 14042 should be added, or denial if defect exceeds size limits
Bill on same date as lesion excision or Mohs surgery but ensure operative report documents tissue transfer as separate, additional procedure beyond simple closure; use modifier 59 or XS when unbundling from excision
Impact: Proper modifier usage prevents $905.06 bundling denial and supports medical necessity for complex closure technique
Code anatomic site precisely as 14041 is specific to face/neck/hands/feet/genitalia; transfers on trunk or arms/legs use different code series (14000-14001) with significantly lower RVUs
Impact: Miscoding to wrong anatomic series can result in $300-500 payment differential due to RVU variance
Document undermining extent, flap type (rotation, advancement, interpolation), and layered closure technique to support complexity level distinguishing this from simple intermediate repair codes (12000 series)
Impact: Inadequate documentation may result in downcoding to intermediate repair with payment reduction of $600-700
For non-facility settings, ensure all supplies including surgical tray, sutures, and anesthesia are documented as office overhead to support the $159.15 differential between facility and non-facility rates
Impact: Billing in non-facility setting yields additional $159.15 payment (PE RVU differential of 4.92 RVUs × $32.3465 CF)

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Frequently asked questions

What is the Medicare reimbursement rate for CPT 14041 in 2025?

The 2025 Medicare national average reimbursement for CPT 14041 is $905.06 in non-facility settings and $745.91 in facility settings. The code has a total RVU of 27.98 with work RVU of 10.83, making it one of the higher-valued tissue transfer procedures.

Can I bill CPT 14041 with a skin lesion excision on the same day?

Yes, CPT 14041 can be billed with same-day excision codes, but you must append modifier 59 or XS to indicate a distinct procedural service. Documentation must clearly show the tissue transfer was necessary beyond simple closure and represents additional work. The operative report should separately document the excision and the flap reconstruction as distinct procedures.

What is the difference between CPT 14040 and 14041?

CPT 14040 covers adjacent tissue transfer on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and feet for defects 10.0 sq cm or less. CPT 14041 uses identical anatomic descriptors but represents a more complex or extensive tissue transfer. However, in current CPT coding, 14040 is the primary code for these sites up to 10.0 sq cm, and 14041 represents the same areas with the same size limits, so verification of current CPT definitions is essential as these codes have been restructured over time.

How do I measure the defect size for billing CPT 14041?

Measure the defect in square centimeters by multiplying the longest dimension by the widest perpendicular dimension (length × width = sq cm). CPT 14041 covers defects up to 10.0 sq cm. Document these measurements in the operative report. If the defect exceeds 10.0 sq cm, you must add CPT 14042 for each additional 10.0 sq cm or portion thereof.

What anatomic sites are covered by CPT code 14041?

CPT 14041 specifically covers tissue transfer procedures on the forehead, cheeks, chin, mouth, neck, axillae (armpits), genitalia, hands, and feet. These are considered high-complexity sites requiring precise reconstruction. Tissue transfers on the scalp, trunk, arms, or legs require different CPT codes from the 14000-14001 or 14300-14302 series.

Does CPT 14041 include undermining and layered closure?

Yes, CPT 14041 inherently includes undermining of tissue, creation of the flap, advancement or rotation of tissue, and layered closure. These components should not be separately billed. The code encompasses all work related to the tissue transfer including design, mobilization, inset, and closure. Simple debridement or lysis of adhesions directly related to the flap are also included.

What modifiers are most commonly used with CPT 14041?

The most common modifiers for CPT 14041 are: modifier 59/XS for distinct procedural service when billed with excision codes, modifier 51 for multiple procedures at different sites, modifier 50 for bilateral procedures, modifier 58 for staged procedures during the global period, and modifier LT/RT for laterality when performed on hands or feet. Modifier 78 is used for complications requiring return to OR during the global period.