CPT® Code 21014

The CPT® Code 21014 refers to the excision of a tumor located in the soft tissue of the face and scalp, specifically when the tumor is subfascial and measures 2 cm or greater. Soft tissues encompass a variety of structures, including subcutaneous fat, connective tissue, fascia, muscles, tendons, blood vessels, lymph vessels, nerves, and the tissues surrounding joints. Tumors that arise in these soft tissues can be either benign or malignant. Typically, benign tumors are treated through excision, while small malignant or indeterminate tumors may also be excised if they have well-defined margins. The procedure involves making an incision in the skin over the tumor, which may include creating and elevating a skin flap or making a series of incisions along natural skin creases to facilitate access to the tumor. Once the overlying tissue is dissected, the soft tissue mass is exposed, allowing for the excision of the tumor along with a margin of healthy tissue to ensure complete removal. In some cases, a frozen section may be performed to verify that all margins are free of tumor cells. After the excision, drains may be placed as necessary, and the surgical wound is typically closed in layers to promote proper healing. For smaller tumors in the subcutaneous fat or connective tissue, CPT® Codes 21011 and 21012 are used, while for tumors located below the fascia, CPT® Code 21013 is applicable for masses less than 2 cm, and CPT® Code 21014 is designated for those measuring 2 cm or greater. Subfascial tumors include those found within muscle tissue and those located in the galea aponeurotica, which is a fibrous sheet of tissue that serves as an attachment point for specific muscle fibers in the scalp.