Summary & Overview
CPT 14060: Local Flap Repair of Eyelids, Nose, Ears, or Lips (≤10 cm2)
CPT code 14060 represents surgical repair of cutaneous defects of the eyelids, nose, ears, or lips using adjacent healthy tissue (local flap) for defects measuring 10 cm2 or less. This procedure is a common reconstructive technique following lesion excision, trauma, or oncologic resection and is relevant across outpatient surgical settings nationally because it addresses both functional and cosmetic restoration in sensitive facial subunits.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for local flap repairs, typical sites of service, and the procedural scope defined by defect size. The publication also summarizes how the code is used in billing workflows and highlights benchmarking and policy-relevant considerations, including payer coverage patterns, billing modifiers commonly applied to related services, and areas where documentation supports correct code assignment.
This summary is intended to orient clinicians, coding professionals, and policy analysts to the primary clinical definition and national relevance of CPT code 14060, and to indicate what detailed sections will cover: clinical indications and coding guidance, payer coverage notes, and common billing and documentation issues. Data not available in the input will be noted in the detailed sections.
Billing Code Overview
CPT code 14060 describes a surgical repair in which the provider replaces lesions of the eyelids, nose, ears, or lips using local tissue rearrangement from an adjacent site. This code applies when the defect is 10 cm2 or less.
-
Service type: Surgical repair using local flap or adjacent tissue transfer for cutaneous defects
-
Typical site of service: Ambulatory surgical center or hospital outpatient department; may also be performed in an office-based surgical setting when appropriate
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient presents to an outpatient dermatologic surgery clinic with a full-thickness skin defect of the lower eyelid measuring 8 cm² following excision of a biopsy-proven basal cell carcinoma. After oncologic resection with clear margins, the oculoplastic surgeon performs a local tissue rearrangement (advancement flap) using adjacent eyelid skin and subcutaneous tissue to reconstruct the defect. The procedure is performed under monitored anesthesia care in an ambulatory surgical center. Hemostasis is achieved, the flap is inset with layered closure, and the patient is discharged with wound care instructions and a short course of oral antibiotics and analgesics. Follow-up is scheduled in 5–7 days for suture removal and assessment of flap viability and cosmetic outcome.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work, time, or complexity significantly exceeds typical for the procedure (document increased effort). |
23 | Unusual anesthesia | Use when procedure is performed under general anesthesia due to unusual circumstances that would otherwise be done with local/regional. |
26 | Professional component | Use if only the professional component of a diagnostic or surgical service is reported separately (rare for this code). |
50 | Bilateral procedure | Use when identical procedures are performed on both sides during the same operative session. |
51 | Multiple procedures | Use when this procedure is reported in conjunction with other unrelated surgical procedures during the same operative session. |
52 | Reduced services | Use when the service provided is substantially reduced or partially performed. |
53 | Discontinued procedure | Use when the procedure is terminated due to extenuating circumstances prior to completion. |
58 | Staged or related procedure by same physician during postoperative period | Use when this procedure was planned or staged at time of initial surgery. |
59 | Distinct procedural service | Use to indicate a separate and distinct procedure not normally reported together; ensure documentation supports separate service. |
76 | Repeat procedure by same physician | Use if the same procedure is repeated by the same physician subsequent to the initial service in the global period. |
RT | Right side | Use to identify the procedure performed on the right side when laterality is reportable. |
LT | Left side | Use to identify the procedure performed on the left side when laterality is reportable. |
62 | Two surgeons | Use when two surgeons work together as primary surgeons performing distinct portions of the procedure. |
80 | Assistant surgeon | Use when a surgical assistant is required and documented. |
81 | Minimum assistant surgeon | Use when minimal assistance is required and documented. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 207W00000X | Ophthalmology | Oculoplastic surgeons commonly perform eyelid reconstruction after tumor excision. |
| 207L00000X | Plastic Surgery | Plastic surgeons perform local flap and reconstructive procedures of the face and periocular region. |
| 2080P0202X | Dermatology | Mohs and dermatologic surgeons perform excision and immediate reconstruction of cutaneous defects. |
| 363LF0000X | Oral and Maxillofacial Surgery | May perform facial soft tissue reconstruction when defects involve perioral areas. |
| 207K00000X | General Surgery (Plastic-focused) | General or craniofacial surgeons with reconstructive focus may perform complex local flap repairs. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
C44.111 | Basal cell carcinoma of right eyelid, including canthus | Common malignant lesion requiring excision and subsequent local flap reconstruction of eyelid defects. |
C44.112 | Basal cell carcinoma of left eyelid, including canthus | As above for left-sided lesions; laterality matters for documentation. |
C44.119 | Basal cell carcinoma of eyelid, unspecified | Used when laterality unspecified; supports medical necessity for reconstruction. |
S01.811A | Laceration without foreign body of right eyelid and periocular area, initial encounter | Acute traumatic defects repaired with adjacent tissue transfer when primary closure unsuitable. |
S01.812A | Laceration without foreign body of left eyelid and periocular area, initial encounter | Left-sided traumatic laceration requiring reconstructive flap closure. |
D04.11 | Carcinoma in situ of right eyelid, including canthus | In situ lesions occasionally require excision with reconstructive closure for defects. |
L98.4 | Non-healing surgical wound | May be used for secondary reconstructive procedures for wounds that failed primary healing. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
14060 | Adjacent tissue transfer or rearrangement, eyelids, nose, ears, lips; defect 10 sq cm or less | Primary procedure code for local flap reconstruction of small to moderate defects in facial subunits; used when adjacent tissue is mobilized to close the defect. |
14040 | Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia and/or perineum; defect 10 sq cm or less | Alternative adjacent tissue transfer code for non-eyelid facial or head/neck sites when defect location differs. |
13131 | Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia and/or perineum; 1.1 cm to 2.5 cm | Used for complex layered closure of facial defects when formal flap is not performed; may be reported if closure technique meets complex repair definitions. |
14061 | Adjacent tissue transfer or rearrangement, eyelids, nose, ears, lips; 10.1 sq cm to 30.0 sq cm | Use when the defect size exceeds 10 sq cm and a larger adjacent tissue transfer code is appropriate. |
12034 | Repair, intermediate, eyelids, nose, ears, and/or lips; 2.6 cm to 7.5 cm | May be used for intermediate layered closures of eyelid wounds when no flap/adjacent tissue transfer is performed. |
15740 | Dermabrasion, small area, facial | May be performed later for contour irregularities or scar revision during postoperative care. |