CPT CODES

CPT Code 14061

CPT code 14061 is for tissue transfer or rearrangement of the eyelids, nose, ears, or lips, covering an area of 10.1 to 30 square centimeters.

Table of Contents
What is CPT Code 14061
Does CPT 14061 Need a Modifier?
CPT Code 14061 Medicare Reimbursement
Are You Being Underpaid for 14061 CPT Code?
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What is CPT Code 14061

CPT code 14061 is used for a tissue transfer procedure involving the face, ears, eyelids, nose, or lips, where the area of the transfer is between 10.1 to 30 square centimeters. This code is typically used when a surgeon needs to move tissue from one part of the body to another to repair or reconstruct these specific areas.

Does CPT 14061 Need a Modifier?

For CPT code 14061, the following modifiers may be applicable:

1. Modifier 22 - Increased Procedural Services: Use this modifier if the work required to perform the procedure is substantially greater than typically required.

2. Modifier 50 - Bilateral Procedure: Use this modifier if the procedure is performed on both sides of the body.

3. Modifier 51 - Multiple Procedures: Use this modifier when multiple procedures are performed during the same surgical session.

4. Modifier 52 - Reduced Services: Use this modifier if the procedure is partially reduced or eliminated at the physician's discretion.

5. Modifier 58 - Staged or Related Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the procedure was planned or anticipated (staged), more extensive than the original procedure, or for therapy following a surgical procedure.

6. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that a procedure or service was distinct or independent from other services performed on the same day.

7. Modifier 76 - Repeat Procedure or Service by Same Physician: Use this modifier if the procedure had to be repeated by the same physician.

8. Modifier 77 - Repeat Procedure by Another Physician: Use this modifier if the procedure had to be repeated by a different physician.

9. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: Use this modifier if the patient needs to return to the operating room for a related procedure during the postoperative period.

10. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier if the procedure performed during the postoperative period was unrelated to the original procedure.

11. Modifier 80 - Assistant Surgeon: Use this modifier if an assistant surgeon was required for the procedure.

12. Modifier 81 - Minimum Assistant Surgeon: Use this modifier if a minimum assistant surgeon was required for the procedure.

13. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Use this modifier if an assistant surgeon was required because a qualified resident surgeon was not available.

14. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery: Use this modifier if the services of a physician assistant, nurse practitioner, or clinical nurse specialist were required for the procedure.

These modifiers help provide additional information about the circumstances under which the procedure was performed, ensuring accurate billing and reimbursement.

CPT Code 14061 Medicare Reimbursement

The CPT code 14061 is reimbursed by Medicare, but it is essential to verify its specific reimbursement rate and coverage details through the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of fees and guidelines for services covered by Medicare.

Additionally, reimbursement can vary based on the region, as Medicare Administrative Contractors (MACs) may have localized policies and fee schedules. Therefore, healthcare providers should consult their respective MAC for precise information on the reimbursement of CPT code 14061.

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