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CPT 14000: Adjacent Tissue Transfer, Trunk (≤10 cm²)
CPT code 14000 denotes an adjacent tissue transfer or rearrangement (ATT) of the trunk for defects measuring 10 cm² or less. This reconstructive procedure is used to mobilize and transpose local skin flaps to close or repair small defects on the trunk following trauma, wound dehiscence, scar revision, or lesion excision. Nationally, accurate use of this code matters for consistent surgical reporting, appropriate claims adjudication, and workforce planning for reconstructive services.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find an overview of clinical indications and coding context, comparisons to adjacent CPT codes for larger defects, common diagnostic pairings, and typical sites of service. The publication outlines inclusion criteria for the 10 cm² size threshold, highlights related procedure codes for larger defects or recipient-site preparation, and summarizes common billing modifiers used with reconstructive flap procedures.
This summary equips coding leads, surgical groups, and billing teams with a concise reference to the code’s clinical application, common co-diagnoses, and where it sits relative to related reconstructive CPT codes. Data not available in the input: detailed payer-specific reimbursement rates and utilization benchmarks.
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Billing Code Overview
CPT code 14000 describes an adjacent tissue transfer or rearrangement (ATT) of the trunk. This procedure involves transferring a portion of skin from an area adjacent to a defect on the trunk to reconstruct or close that defect. The code specifically applies when the ATT is 10 cm² or less in size.
Service type: Reconstructive soft-tissue surgery (adjacent tissue transfer)
Typical site of service: Operating room or procedure suite for trunk reconstructive procedures
National Reimbursement Benchmarks
Commercial averages sit well above Medicare: BUCA’s mean commercial rate is $1,439.60 compared with Medicare’s mean of $688.20, a gap of $751.40 that highlights substantially higher commercial reimbursements on a national basis. Blue Cross Blue Shield and Cigna also show elevated means ($1,953.20 and $897.00 respectively) while Aetna and UnitedHealth Group present lower commercial means nearer to Medicare’s level.
Dispersion varies meaningfully by payer. Blue Cross Blue Shield has the widest interquartile spread (P75–P25 = $2,026.70), followed by BUCA (P75–P25 = $1,421.90) and UnitedHealth Group (P75–P25 = $619.60). Aetna and Cigna exhibit the tightest IQRs at $448.30 and $550.90 respectively, indicating more concentrated commercial rate distributions for those payers.