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CPT 14021 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Adjacent Tissue Transfer Or Re, Adjacent Tissue Transfer Or Rearrangement Scalp Armsandor Legs Defect 10.1 Sq Cm To 30.0 Sq Cm Adjacent Tissue Transfer Or Rearrangement Scalp Arms
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

11 - Office

24 - Ambulatory Surgical Center

Common Modifiers

None

79 - Unrelated procedure - postop period

59 - Distinct Procedural Service

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 14021
Medicaid Fee ScheduleView Medicaid rates for 14021

National average reimbursement for CPT 14021 by major payers:

bcbs

$974.84

uhc

$1,106.64

aetna

$1,139.95

cigna

$1,366.19

Compare published rates across providers.

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CPT 14021
5 of 25 sample ratesHigher to lower in this preview
  1. Inova Ambulatory Surgery Center At Lorton, LLC

    Inova Ambulatory Surgery Center At Lorton LLC

    VAAmbulatory Surgical Clinic/CenterNPI 1659793891Tax ID 46-1955980

    $2,272.00Published rate
  2. Khs Ambulatory Surgery Center, LLC, Select Surgical Center At Kennedy

    Khs Ambulatory Surgery Center LLC

    NJAmbulatory Surgical Clinic/CenterNPI 1124261771Tax ID 26-0715364

    $1,233.00Published rate
  3. Lubbock Surgery Center, LLC

    Lubbock Surgery Center LLC

    TXAmbulatory Surgical Clinic/CenterNPI 1912447418Tax ID 81-2766547

    $850.00Published rate
  4. Ulna Surgery Center LLC

    GAAmbulatory Surgical Clinic/CenterNPI 1881147965Tax ID 81-3050347

    $604.00Published rate
  5. Jeffrey L Bober Dpm PA, Jeffrey L Bober Dpm PA Asc

    Jeffrey L Bober Dpm PA

    MDAmbulatory Surgical Clinic/CenterNPI 1194999359Tax ID 52-1706931

    $197.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 14021 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 14021 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 14021 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
14020-CPTModerateAdjacent Tissue Transfer Or Re, Adjacent Tissue Transfer Or Rearrangement Scalp Armsandor Legs Defect 10 Sq Cm Or Less Adjacenttissue Transfer Or Rearrangement Scalp Arms
14021-CPTModerateAdjacent Tissue Transfer Or Re, Adjacent Tissue Transfer Or Rearrangement Scalp Armsandor Legs Defect 10.1 Sq Cm To 30.0 Sq Cm Adjacent Tissue Transfer Or Rearrangement Scalp Arms
15130-CPTModerateTwo-Layer Skin Graft, Surgery To Collect Tissue From The Middle Layer Of Skin (Dermis) And Attach It To Another Site On The Upper Body Arms Or Legs Of An Infant Or Child.
15221-CPTLowFth Grf Fr S A L Each Addl, Full Thickness Graft Free Including Direct Closure Of Donor Site Scalp Arms And Or Legs Each Additional 20 Sq Cm Or Part Thereof List Separately In Addition To Code For Primary Procedure

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 14021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 14021 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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