How To Use CPT Code 14000

CPT 14000 describes the procedure of adjacent tissue transfer or rearrangement for trunk defects that are 10 square centimeters or less in size. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 14000?

CPT 14000 is a code used to describe the procedure of adjacent tissue transfer or rearrangement for trunk defects that are 10 square centimeters or less in size. This procedure involves the transfer of a skin part from one area of the trunk to another area to close a primary or secondary integumentary defect.

2. Official Description

The official description of CPT code 14000 is: ‘Adjacent tissue transfer or rearrangement, trunk defect 10 sq cm or less.’

3. Procedure

In the procedure of adjacent tissue transfer or rearrangement (ATT) for trunk defects, the healthcare provider prepares the patient by prepping and anesthetizing them. The provider then makes an incision around the healthy tissue surrounding the wound to prepare it for transfer. The healthy tissue is then transplanted to the primary or secondary integumentary defect on the trunk. The provider closes the incisions with sutures to complete the procedure.

4. Qualifying circumstances

CPT 14000 is used when there is a need to close primary or secondary integumentary defects on the trunk using adjacent tissue transfer or rearrangement. The procedure is performed when the defect is 10 square centimeters or less in size.

5. When to use CPT code 14000

CPT code 14000 should be used when a healthcare provider performs adjacent tissue transfer or rearrangement to close a trunk defect that is 10 square centimeters or less in size. It is important to accurately measure the size of the defect to determine if it falls within the criteria for this code.

6. Documentation requirements

To support a claim for CPT 14000, the healthcare provider must document the following information:

• The size of the trunk defect
• The need for adjacent tissue transfer or rearrangement
• The specific technique used for the procedure
• The date of the procedure
• The start and end time of the procedure
• Any additional procedures performed in conjunction with CPT 14000
• Any complications or unexpected findings during the procedure
• The provider’s signature

7. Billing guidelines

When billing for CPT 14000, ensure that the procedure meets the criteria of adjacent tissue transfer or rearrangement for trunk defects that are 10 square centimeters or less in size. It is important to accurately document the size of the defect and the specific technique used for the procedure. Additionally, be aware of any additional procedures performed in conjunction with CPT 14000 and follow the appropriate coding guidelines for reporting multiple procedures.

8. Historical information

CPT 14000 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 14000

There are several similar codes to CPT 14000 that are used for adjacent tissue transfer or rearrangement procedures on the integumentary system. These include:

• CPT 14001: Adjacent tissue transfer or rearrangement, trunk defect 10.1 sq cm to 30.0 sq cm
• CPT 14020: Adjacent tissue transfer or rearrangement, scalp, arms, and/or legs; defect 10 sq cm or less
• CPT 14021: Adjacent tissue transfer or rearrangement, scalp, arms, and/or legs; defect 10.1 sq cm to 30.0 sq cm
• CPT 14040: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect 10 sq cm or less
• CPT 14041: 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

9. Examples

1. A healthcare provider performs adjacent tissue transfer to close a 5 square centimeter defect on the trunk.
2. A patient undergoes adjacent tissue rearrangement to repair a 7 square centimeter defect on the trunk.
3. A provider performs adjacent tissue transfer to close a 10 square centimeter defect on the trunk.
4. A patient undergoes adjacent tissue rearrangement to repair a 3 square centimeter defect on the trunk.
5. A healthcare provider performs adjacent tissue transfer to close a 2 square centimeter defect on the trunk.
6. A patient undergoes adjacent tissue rearrangement to repair a 9 square centimeter defect on the trunk.
7. A provider performs adjacent tissue transfer to close a 6 square centimeter defect on the trunk.
8. A patient undergoes adjacent tissue rearrangement to repair a 4 square centimeter defect on the trunk.
9. A healthcare provider performs adjacent tissue transfer to close an 8 square centimeter defect on the trunk.
10. A patient undergoes adjacent tissue rearrangement to repair a 1 square centimeter defect on the trunk.