CPT code 14350 describes reconstruction using a finger or toe fillet flap to replace an affected site and restore function. This procedure is a specialized reconstructive soft-tissue surgery performed in operative settings, typically in ambulatory surgery centers or hospital operating rooms. Nationally, codes like 14350 matter because they define clinical intent for complex limb-sparing reconstructions, support documentation and coding consistency, and influence payer coverage and reimbursement practices for hand and foot salvage procedures.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a national-level overview of clinical context, expected sites of service, and common billing considerations. The publication outlines typical service descriptors, how this code fits within reconstructive surgical practice, and what to expect in payer reviews and authorization workflows. The content includes benchmarks and policy-relevant notes where available, clarifies scenarios for operative reporting, and highlights documentation elements that commonly accompany flap reconstruction claims. Data not available in the input is explicitly noted where applicable.