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See a sample rate comparisonCPT 14040 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.
Tis Trnfr F C C M N A G H F, Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Defect 10 Sq Cm Or Less
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 14040 |
| Medicaid Fee Schedule | View Medicaid rates for 14040 |
National average reimbursement for CPT 14040 by major payers:
$929.08
$959.70
$1,011.42
$1,195.60
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CPT 14040
5 of 25 sample ratesHigher to lower in this preview
Mother Frances Hospital-Winnsboro
$2,969.00Published rateGold Coast Surgery Center LLC, Gulf Comprehensive Surgery Center
Gold Coast Surgery Center LLC
$1,258.00Published rateSaratoga Schenectady Endoscopy Center, LLC
Saratoga Schenectady Endoscopy Center LLC
$875.00Published rateGateway Surgical Center, LLC
Gateway Surgical Center LLC
$648.00Published rateEagle Physicians And Associates PA, Eagle Endoscopy Center
Eagle Physicians & Associates, P.A.
$500.00Published rate
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See a sample payer proposalCPT 14040 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 14040 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 14040 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.
| Code | Complexity | Description |
|---|---|---|
| 13133-CPT | Low | Cmplx Rpr F C C M N Ax G H F, Repair Complex Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Each Additional 5 Cm Or Less List Separately In Addition To Code For Primary Procedure |
| 14040-CPT | Moderate | Tis Trnfr F C C M N A G H F, Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Defect 10 Sq Cm Or Less |
| 14041-CPT | High | Tis Trnfr F C C M N A G H F, Adjacent Tissue Transfer Or Rearrangement Forehead Cheeks Chin Mouth Neck Axillae Genitalia Hands And Or Feet Defect 10 1 Sq Cm To 30 0 Sq Cm |
| 15004-CPT | Moderate | Wound Prep F N Hf G, Surgical Preparation Or Creation Of Recipient Site By Excision Of Open Wounds Burn Eschar Or Scar Including Subcutaneous Tissues Or Incisional Release Of Scar Contracture Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And Or Multiple Digits First 100 Sq Cm Or 1 Of Body Area Of Infants And Children |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 14040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 14040 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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