CPT CODEAnesthesiaStatus A

CPT Code 14301Complete Billing & Coding Guide (2026)Tis trnfr any 30.1-60 sq cm

Reviewed by AAPC-Certified Coders2026 Medicare Fee ScheduleCMS + AMA Sources
Medicare Payment
$1120
Non-facility · National avg
Facility
$768
Total RVU
33.54
Global
090
Payment
$1120
non-facility
Work RVU
12.33
physician effort
Global Period
090
post-op days
Bundling Edits
10
NCCI pairs
Last reviewed: May 2026Reviewed by the Go Medical Billing Editorial TeamAAPC-certified coders

About CPT 14301

CPT 14301 is a Current Procedural Terminology code in the Anesthesia category maintained by the American Medical Association. The CMS short descriptor reads "Tis trnfr any 30.1-60 sq cm". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.

Major surgical codes carry a 90-day global period that bundles all related post-operative care. Improper billing of post-op E/M (without modifier 24 for unrelated care) is a common audit finding. Documentation of medical necessity for the procedure itself remains the foundation of any successful claim.

Pro Tip

CPT 14301 has a 90-day global period. Any E/M visit within that window for the same condition is bundled into the procedure payment. Use modifier 24 for unrelated E/M, modifier 79 for unrelated procedures, and modifier 78 for related returns to the OR.

Code Properties

Global Period
090
90-day global period
Status Indicator
A
Active. Payment under Medicare PFS.
Conversion Factor
$33.4009
CMS national rate
Effective Date
2026-04-01
per CMS publication

RVU Breakdown

Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.

RVU Composition
33.54 total RVU
12.33
19.17
Work RVU
12.33 · 37%
Physician time + skill
Practice Expense
19.17 · 57%
Office & equipment
Malpractice
2.04 · 6%
Liability insurance
Non-Facility
Private office · urgent care · ambulatory
Most billed
$1120.27
33.54 RVU × $33.4009 CF
Facility
Hospital · ASC · nursing home
$768.22
23.00 RVU × $33.4009 CF

Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.

Medicare Payment by State

Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.

AK
$1337
DC
$1264
NY
$1238
NJ
$1228
CA
$1221
WA
$1209
MA
$1200
CT
$1192
FL
$1187
HI
$1179
IL
$1162
MD
$1158

Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.

NCCI Bundling Edits

10 pairs

These codes trigger National Correct Coding Initiative edits when billed with 14301. An indicator of 0 means the pair cannot be unbundled. Indicator 1 means modifier 59 or X-modifiers may allow separate billing with supporting documentation.

Featured pair
NCCI Bundling Verdict

14301 + 0213T: hard bundle (indicator 0)

The most-asked bundling question on this code. Verdict pulled from the current NCCI quarterly file.

Modifier indicator 0 means this edit cannot be bypassed. Do not append modifier 59 or X-modifiers. The bundled code must be written off, or, if clinically inappropriate, the entire claim reconsidered.

NCCI Rationale

Standards of medical/surgical practice

Live NCCI verdict, updated quarterly against the CMS file.Check another pair
Common Denial Risk

Billing 14301 alongside a bundled code without the correct modifier generates CARC 97 denials. Payers often flag these as audit risks. Document medical necessity for the separate service and apply modifier 59 or the appropriate X-modifier (XE, XS, XP, XU) only when clinically justified.

AR Recovery Note

Bundling denials on 14301 are recoverable when the edit indicator is 1 and the chart documents a distinct, separately identifiable service. Our coders verify the indicator and pick the precise X-modifier (XE, XS, XP, XU) instead of defaulting to modifier 59.

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Got a CO-97 on 14301 and 0213T? Send us the EOB before you write it off.

Indicator 0 means no modifier bypasses the edit. A real coder should confirm before the charge is written off. Some look-alike edits get appealed successfully on documentation grounds.

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Applicable Modifiers

Modifiers commonly paired with 14301 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.

33
Preventive services — when the primary purpose is delivery of an evidence-based service per USPSTF A or B recommendation
When to use · Screening services (colonoscopy, mammography, etc.) to indicate the primary purpose is preventive. Waives cost-sharing under ACA.
AA
Anesthesia services performed personally by anesthesiologist
When to use · Anesthesiologist personally performed the entire anesthesia service.
GA
Waiver of liability statement issued as required by payer policy (ABN on file)
When to use · Medicare: when an Advance Beneficiary Notice (ABN) has been signed by the patient for services that may not be covered.
GY
Item or service statutorily excluded or does not meet the definition of any Medicare benefit
When to use · Service is never covered by Medicare (e.g., cosmetic procedures). May bill patient directly.
GZ
Item or service expected to be denied as not reasonable and necessary — no ABN on file
When to use · When a service is expected to be denied by Medicare and no ABN was obtained. Provider cannot bill the patient.
KX
Requirements specified in the medical policy have been met
When to use · Attestation that LCD/NCD criteria have been met. Common with therapy cap exceptions and DME.
P1
Normal healthy patient — ASA physical status 1
When to use · A normal healthy patient
P2
Patient with mild systemic disease — ASA physical status 2
When to use · A patient with mild systemic disease
AR Recovery Note

Modifier audits catch what scrubbers miss. Our AAPC-certified team reviews every modifier choice on 14301 against the chart documentation before submission, surfacing missed and misapplied modifiers across the practice.

Free 90-Day AR Recovery Audit

Find the revenue leakage in your 14301 claims.

Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on Anesthesia claims. Our AAPC-certified team audits your last 90 days of 14301 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.

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FAQ

Everything about CPT 14301

What does CPT code 14301 cover?

CPT 14301 is a Current Procedural Terminology code in the Anesthesia category maintained by the American Medical Association. The CMS short descriptor reads "Tis trnfr any 30.1-60 sq cm". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.

What is the Medicare payment for CPT 14301?

The national average Medicare payment for CPT 14301 is approximately $1120.27 in a non-facility setting and $768.22 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 33.54 with a conversion factor of $33.4009.

What is the global period for CPT 14301?

CPT 14301 has a 90-day global period (indicator 090). Routine post-op care for the next 90 days is bundled into the procedure payment, including all related E/M visits. Bill modifier 24 for unrelated E/M, modifier 79 for unrelated procedures, or modifier 78 for related returns to the OR during this window.

What codes bundle with CPT 14301?

CPT 14301 has NCCI Procedure-to-Procedure edits with 10+ codes including 0213T, 0216T, 0490T. Modifier indicator 0 means the edit cannot be bypassed. Indicator 1 means modifier 59 or X-modifiers may allow separate billing with documentation.

CMS Medicare Physician Fee ScheduleNCCI Edits · Current QuarterAMA CPT Code Set

CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.

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We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.