CPT code 21016: Tumor resection, face or scalp, 2 cm or larger2026 Medicare rate & RVUs in Mississippi

Report this service for radical resection of a soft-tissue tumor of the face or scalp when the tumor measures 2 cm or greater.

CMS RVU26DEffective Oct 1, 2026One payment locality1.4K Medicare services in 2024

In Mississippi, Medicare pays $834.06 for 21016 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$834.06Hospital or facility

Check a contract rate as a % of Medicare · 21016 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 21016 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 21016 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 21016 covers

This code describes radical removal of a soft-tissue tumor on the face or scalp measuring at least 2 cm. It is distinct from a routine local excision and is used when the surgeon performs a more extensive resection. Plastic surgeons, otolaryngologists, oral and maxillofacial surgeons, and surgical oncologists may perform the procedure in an operating room or another appropriate surgical setting. The code concerns soft tissue, not a tumor arising in facial bone.

Choose the code based on the documented radical extent, soft-tissue location, and tumor size; distinguish it from simple excision codes for subcutaneous or deeper tumors. The operative report should identify the site, size, tissue involved, and extent of resection. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Mississippi compares for 21016

Across 109 of 109 payment localities, the facility rate for 21016 runs from $812.86 in Arkansas to $1,129.07 in Alaska. Mississippi pays $834.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

21016 in Mississippi vs other payment areas
  1. Mississippi · this page$834.06
  2. Los Angeles, CA · California$948.22+$114.16
  3. Washington, DC area · District of Columbia$994.36+$160.30
  4. Miami, FL · Florida$1,054.75+$220.69
  5. Chicago, IL · Illinois$1,025.48+$191.42
  6. Manhattan, NY · New York$1,037.77+$203.71
  7. Alaska · Alaska$1,129.07+$295.01

Other areas in Mississippi first, then benchmark localities. Bars start at $0.

Every other payment area

21016 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$822.55
ArkansasArkansas—$812.86
ArizonaArizona—$878.57
Bakersfield, CACalifornia—$905.03
Chico, CACalifornia—$897.33
El Centro, CACalifornia—$897.79
Fresno, CACalifornia—$897.33
Hanford, CACalifornia—$897.33

21016 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
21016 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 21016 in every payment locality

How the 21016 rate is calculated

Each of 21016’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 21016

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.88

14.88 RVUs× 1.000 GPCI

Practice expense9.36

9.36 RVUs× 1.000 GPCI

Malpractice2.75

2.75 RVUs× 1.000 GPCI

Adjusted RVUs

26.9900

Conversion factor

$33.4009

Medicare rate

$901.49

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,842

Code
21016
Physician work
14.88
Practice expense
9.36
Malpractice
2.75

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 21016 in Mississippi
ComponentRVULocality factorAdjusted
Physician work14.88× 1.00014.8800
Practice expense9.36× 0.8618.0590
Malpractice2.75× 0.7392.0322
Total RVUs24.9712
Conversion factor× 33.4009

Facility rate, Mississippi$834.06

Facility: (14.88 × 1 + 9.36 × 0.861 + 2.75 × 0.739) × $33.4009 = $834.06

Open 21016 in the RVU calculator

Payment rules and modifiers for 21016

21016 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21016

Tumor resection, face or scalp, 2 cm or larger

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21016

Tumor resection, face or scalp, 2 cm or larger

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

21016 without 51 · national facility

$901.49

Tumor resection, face or scalp, 2 cm or larger

21016-51 · Second procedure: 50%

$450.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 21016 has changed in Mississippi

21016 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$834.06RVU26D
2026-07-01Not available in this setting$834.06RVU26C
2026-04-01Not available in this setting$834.06RVU26B
2026-01-01Not available in this setting$834.06RVU26A
2025-10-01Not available in this setting$903.39RVU25D
2025-07-01Not available in this setting$903.39RVU25C
2025-04-01Not available in this setting$903.39RVU25B
2025-01-01Not available in this setting$903.39RVU25A
2024-10-01Not available in this setting$926.44RVU24D
2024-07-01Not available in this setting$926.44RVU24C
2024-04-01Not available in this setting$926.44RVU24B
2024-03-09Not available in this setting$926.44RVU24AR
2024-01-01Not available in this setting$911.31RVU24A
2023-10-01Not available in this setting$933.18RVU23D
2023-07-01Not available in this setting$933.18RVU23C
2023-04-01Not available in this setting$933.18RVU23B
2023-01-01Not available in this setting$933.18RVU23A
2022-10-01Not available in this setting$935.54RVU22D
2022-07-01Not available in this setting$935.54RVU22C
2022-04-01Not available in this setting$935.54RVU22B
2022-01-01Not available in this setting$935.54RVU22A
2021-10-01Not available in this setting$933.84RVU21D
2021-07-01Not available in this setting$933.84RVU21C
2021-04-01Not available in this setting$933.84RVU21B
2021-01-01Not available in this setting$933.84RVU21A
2020-10-01Not available in this setting$945.09RVU20D
2020-07-01Not available in this setting$945.09RVU20C
2020-04-01Not available in this setting$945.09RVU20B
2020-01-01Not available in this setting$945.09RVU20A
2019-10-01Not available in this setting$936.09RVU19D
2019-07-01Not available in this setting$936.09RVU19C
2019-04-01Not available in this setting$936.09RVU19B
2019-01-01Not available in this setting$936.09RVU19A
2018-10-01Not available in this setting$935.92RVU18D
2018-07-01Not available in this setting$935.92RVU18C
2018-04-01Not available in this setting$935.92RVU18B
2018-01-01Not available in this setting$935.92RVU18AR1
2017-10-01Not available in this setting$950.14RVU17D
2017-07-01Not available in this setting$950.14RVU17C
2017-04-01Not available in this setting$950.14RVU17B
2017-01-01Not available in this setting$950.14RVU17A
2016-10-01Not available in this setting$961.99RVU16D
2016-07-01Not available in this setting$961.99RVU16C
2016-04-01Not available in this setting$961.99RVU16B
2016-01-01Not available in this setting$961.99RVU16A
2015-10-01Not available in this setting$962.23RVU15D
2015-07-01Not available in this setting$962.23RVU15C
2015-04-01Not available in this setting$957.44RVU15B
2015-01-01Not available in this setting$957.44RVU15A
2014-10-01Not available in this setting$975.45RVU14D
2014-07-01Not available in this setting$975.45RVU14C
2014-04-01Not available in this setting$975.45RVU14B
2014-01-01Not available in this setting$975.45RVU14A
2013-10-01Not available in this setting$965.49RVU13D
2013-07-01Not available in this setting$965.49RVU13C
2013-04-01Not available in this setting$965.49RVU13B
2013-01-01Not available in this setting$965.49RVU13AR

Price 21016 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

21016 billing questions

How does this differ from 21015?

Both describe radical resection of a soft-tissue tumor of the face or scalp. Use 21016 when the tumor is 2 cm or greater and 21015 when it is less than 2 cm.

When is 21014 a better fit?

21014 describes excision of a deep or subfascial face or scalp tumor measuring 2 cm or greater. Choose 21016 when the documented procedure is a radical resection rather than that excision.

Can modifier 50 be appended for tumors on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the documented services without modifier 50.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

May an assistant or another surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 21016PPRRVU2026_Oct_nonQPP.csv, line 1,842 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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