How much does Medicare pay for CPT 14040?

Medicare allowed an average of $725.58 per service and paid $572.39 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1957.20, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 14040?

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less. It was billed 40,577 times to 36,928 Medicare beneficiaries by 1,106 providers in 2024.

Does 14040 pay differently in an office than a hospital?

Yes. The allowed amount averaged $751.45 in an office setting and $633.29 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 14040 most?

Dermatology, with 20,888 services from 572 clinicians. Next are Plastic and Reconstructive Surgery, Micrographic Dermatologic Surgery, Ambulatory Surgical Center.

CPT 14040

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less

$725.58Medicare-allowed amount per service, averaged across 40,577 services

Providers submitted

$1957.20

Asking price, not received

Medicare allowed

$725.58

The fee schedule figure

Medicare paid

$572.39

Balance is patient coinsurance

Providers submitted an average of $1957.20 for this code and Medicare allowed $725.58 — 2.7× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $572.39 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $751.45
Hospital / facility: $633.29

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 31,695 services were billed in an office setting and 8,882 in a facility.

Services: 40,577
Beneficiaries: 36,928
Providers billing it: 1,106
Total allowed: $29,441,860

What Medicare pays for CPT 14040

Across 40,577 services billed by 1,106 providers to 36,928 beneficiaries, Medicare allowed an average of $725.58 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 14040

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	20,888	19,009	$739.78	572
Plastic and Reconstructive Surgery	6,520	5,860	$698.79	140
Micrographic Dermatologic Surgery	4,153	3,842	$748.30	82
Ambulatory Surgical Center	3,735	3,407	$838.88	125
Otolaryngology	2,291	2,092	$619.37	67
Ophthalmology	591	506	$604.58	18
Physician Assistant	477	454	$628.64	17
Hand Surgery	445	419	$529.85	25
Podiatry	436	390	$620.36	20
Orthopedic Surgery	225	193	$450.35	10
General Surgery	151	144	$623.87	6
Family Practice	139	132	$680.30	4
Maxillofacial Surgery	118	108	$416.17	6
General Practice	115	97	$759.21	3
Neurosurgery	73	71	$711.18	1

14040 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	7,312	$761.29	$537.21	168
Florida	5,896	$732.98	$563.60	155
New York	3,132	$805.23	$558.40	76
New Jersey	2,583	$808.45	$582.71	37
Pennsylvania	2,292	$718.46	$576.71	43
Texas	2,255	$681.28	$540.49	54
Arizona	1,626	$726.09	$559.18	44
Illinois	1,195	$748.38	$555.80	44
North Carolina	944	$680.35	$558.37	36
Washington	912	$682.26	$514.26	27
Massachusetts	867	$762.44	$565.42	24
Indiana	858	$684.45	$566.17	26
Georgia	848	$693.92	$558.20	28
Maryland	843	$695.50	$532.03	30
South Carolina	702	$627.61	$485.89	16
Montana	657	$709.91	$562.48	3
Delaware	655	$671.88	$520.39	12
Ohio	617	$668.69	$543.59	20
Virginia	539	$744.00	$557.94	22
Tennessee	538	$625.39	$544.78	21
Missouri	537	$676.13	$569.88	22
Colorado	409	$755.62	$576.21	16
Oklahoma	380	$663.61	$561.89	10
Mississippi	331	$633.33	$561.92	13
Utah	301	$598.83	$469.59	14
Kentucky	289	$602.62	$491.73	13
Michigan	252	$718.23	$578.42	12
Alabama	235	$526.63	$452.06	11
Kansas	229	$624.08	$532.09	12
Minnesota	224	$649.74	$508.99	7
Connecticut	223	$756.14	$545.85	9
Iowa	221	$659.29	$559.46	6
Wisconsin	200	$647.87	$535.73	10
Arkansas	179	$536.26	$420.15	8
New Mexico	163	$617.88	$518.49	6
Nevada	157	$729.56	$585.09	8
Oregon	130	$728.49	$579.73	6
South Dakota	126	$672.63	$538.34	3
New Hampshire	123	$678.72	$524.04	5
Rhode Island	107	$657.85	$500.62	4
Louisiana	88	$575.65	$492.15	6
Alaska	64	$787.26	$551.95	3
Idaho	57	$657.69	$550.94	4
West Virginia	54	$676.58	$583.77	2
Wyoming	48	$757.24	$606.43	2
District of Columbia	43	$560.08	$388.33	1
North Dakota	38	$580.04	$474.03	2
Maine	37	$796.34	$603.98	2
Guam	33	$738.09	$595.19	1
Nebraska	28	$698.97	$596.76	2

Related codes

14060Repair of wound of eyelids$715.65
14041Repair of wound of forehead$874.01
14061Repair of wound of eyelids$911.44
14021Repair of wound of scalp$829.45
14020Repair of wound of scalp$695.44
14001Repair of wound of trunk by transferring skin$607.15
14000Repair of wound of trunk by transferring skin$535.72

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.