CPT Code 14000: Adjacent Tissue Transfer or Rearrangement, Trunk, <10.1 cm²

Learn about CPT code 14000 for adjacent tissue transfer of trunk defects ≤10.0 sq cm, including documentation, billing, modifiers, and surgical guidelines.

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Frequently asked questions

The 14000 CPT code specifically applies to adjacent tissue transfer procedures involving defects measuring 10.0 square centimeters or less on the trunk. If the defect exceeds this size, additional units such as 14001 should be reported for every additional 10 cm² or part thereof. Accurate measurement in square centimeters is essential to ensure proper code selection and avoid billing discrepancies.

CPT code 14000 is used when the surgeon performs a flap procedure—such as advancement, rotation, or transposition flaps—to close a wound. These techniques are necessary under circumstances where linear closure is not sufficient due to factors like tissue tension, location, size, or the patient’s condition. Unlike a simple excision with closure, this service involves tissue rearrangement, which is more technically demanding and must be clearly documented.

Yes, if complications from lesion removal require adjacent tissue rearrangement for wound closure, CPT code 14000 can be reported. However, the surgeon must document how the patient’s wound required flap coverage due to complexity or delayed healing.