CPT® Code 14060

An adjacent tissue transfer or rearrangement is a surgical procedure aimed at addressing defects located on the eyelids, nose, ears, and/or lips. These defects may arise from various causes, including traumatic injuries such as wounds or lacerations, or they may result from surgical interventions that create defects through the excision of lesions or scars. The procedure involves a careful evaluation of the primary defect to determine the most suitable method of tissue transfer or rearrangement. Techniques employed in this procedure can include Z-plasty, W-plasty, V-Y-plasty, rotation flaps, advancement flaps, or double pedicle flaps. During the operation, adjacent skin and subcutaneous tissue are incised and elevated while ensuring that one or more borders of the tissue remain attached, which results in the formation of a secondary defect. To facilitate the movement of the skin flaps, the surrounding tissue is undermined. The elevated tissue is then repositioned to effectively cover the primary defect. In some cases, the rearrangement may also address the secondary defect, or alternatively, the secondary defect may be closed using a separately reportable skin graft. It is essential to measure both the primary and secondary defects to ascertain their sizes accurately. For coding purposes, CPT® Code 14060 is utilized for defects measuring 10 square centimeters or less, while CPT® Code 14061 is designated for defects that exceed 10.1 square centimeters up to 30 square centimeters.