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.
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Service type: Surgical repair using local flap or adjacent tissue transfer for cutaneous defects
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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. |