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CPT code 21032: Maxillary exostosis, maxilla2026 Medicare rate & RVUs in Washington, DC area

Reports surgical removal of a bony prominence of the maxilla, such as a palatal torus, when excision is performed.

CMS RVU26DEffective Oct 1, 2026One payment locality78 Medicare services in 2024

In Washington, DC area, Medicare pays $437.65 for 21032 in the office and $273.19 when it’s performed in a hospital or facility.

$437.65Office (non-facility)
$273.19Hospital or facility
+14.0%vs the national office rate ($383.78)

Check a contract rate as a % of Medicare · 21032 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 21032 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 21032 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 21032 covers

This procedure removes a localized bony prominence from the upper jaw. A typical example is excision of a palatal torus that interferes with a denture or is repeatedly traumatized. An oral and maxillofacial surgeon or another qualified surgeon may perform it in an office-based surgical setting or a facility, using an incision to expose and remove the excess bone.

Report 21032 when the treated finding is an exostosis of the maxilla; document its location, the diagnosis, and the work performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Washington, DC area compares for 21032

Across 109 of 109 payment localities, the office rate for 21032 runs from $340.08 in Arkansas to $504.24 in San Benito County, CA. Washington, DC area pays $437.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

21032 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$437.65
  2. Los Angeles, CA · California$431.09−$6.56
  3. Miami, FL · Florida$416.42−$21.23
  4. Chicago, IL · Illinois$404.44−$33.21
  5. Manhattan, NY · New York$441.37+$3.72
  6. Alaska · Alaska$448.71+$11.06
  7. Alabama · Alabama$344.98−$92.67

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

21032 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$340.08$220.15
ArizonaArizona$373.63$238.34
Bakersfield, CACalifornia$405.24$252.22
Chico, CACalifornia$403.97$250.95
El Centro, CACalifornia$404.05$251.03
Fresno, CACalifornia$403.97$250.95
Hanford, CACalifornia$403.97$250.95
Madera, CACalifornia$403.97$250.95

21032 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$340.08

$454.11

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
21032 office rate range by state
State / territoryOffice rate rangeLocalities
AK$448.711
AL$344.981
AR$340.081
AZ$373.631
CA$403.97–$504.2429
CO$398.611
CT$409.031
DC$437.651
DE$379.741
FL$379.54–$416.423
GA$358.40–$391.162
GU$413.421
HI$413.421
IA$352.971
ID$355.371
IL$369.20–$404.444
IN$357.381
KS$351.641
KY$353.641
LA$353.21–$370.362
MA$396.41–$437.202
MD$386.81–$437.653
ME$357.51–$376.132
MI$362.96–$384.512
MN$381.221
MO$347.45–$371.303
MS$343.811
MT$383.751
NC$361.141
ND$375.251
NE$354.781
NH$392.661
NJ$413.49–$433.302
NM$365.041
NV$381.641
NY$366.48–$452.295
OH$361.231
OK$352.701
OR$378.47–$410.762
PA$361.62–$399.192
PR$386.431
RI$392.891
SC$361.821
SD$374.241
TN$353.421
TX$359.31–$397.478
UT$366.681
VA$375.12–$437.652
VI$386.431
VT$374.081
WA$395.57–$445.732
WI$362.901
WV$355.841
WY$380.041

See 21032 in every payment locality

How the 21032 rate is calculated

Each of 21032’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 · 21032

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.26

3.26 RVUs× 1.000 GPCI

Practice expense7.80

7.80 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

11.4900

Conversion factor

$33.4009

Medicare rate

$383.78

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,848

Code
21032
Physician work
3.26
Practice expense
7.80
Malpractice
0.43

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 21032 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.26× 1.0543.4360
Practice expense7.80× 1.1789.1884
Malpractice0.43× 1.1130.4786
Total RVUs13.1030
Conversion factor× 33.4009

Office rate, Washington, DC area$437.65

Office: (3.26 × 1.054 + 7.8 × 1.178 + 0.43 × 1.113) × $33.4009 = $437.65

Facility: (3.26 × 1.054 + 3.62 × 1.178 + 0.43 × 1.113) × $33.4009 = $273.19

Open 21032 in the RVU calculator

Payment rules and modifiers for 21032

21032 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21032

Maxillary exostosis, maxilla

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)1Not paid (statutory restriction).
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 · 21032

Maxillary exostosis, maxilla

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

21032 without 51 · national office

$383.78

Maxillary exostosis, maxilla

21032-51 · Second procedure: 50%

$191.89

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

Codes related to 21032

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 21032
CodeHow it relatesOffice range, Washington, DC area
Same family
21031Exostosis removal, mandibleRemoval of an exostosis from the mandible rather than the maxilla.$444.51
Used instead
21029Bone contouring, benign facial bone tumorFor contouring a facial bone lesion rather than excising a maxillary exostosis.$921.66
21030Bone lesion excision, maxilla or zygoma, benignFor excision of a benign tumor of the maxilla or zygoma, not an exostosis.$539.56
21026Facial bone excision, one or more facial bonesFor excision of facial bone when the procedure is not maxillary exostosis removal.$654.07

How 21032 has changed in Washington, DC area

21032 · Office / nonfacility

$437.65

Effective 2026-10-01

The base rate is $17.21 higher than on 2025-10-01, moving from $420.44 to $437.65 (4.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $420.44changed to$437.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.34 changed to 3.26
    • Practice expense RVU 7.59 changed to 7.80
    • Malpractice RVU 0.36 changed to 0.43
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $429.11changed to$420.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.51 changed to 7.59
    • Malpractice RVU 0.35 changed to 0.36

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $422.11changed to$429.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $439.37changed to$422.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.43 changed to 7.51
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $452.68changed to$439.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 7.40 changed to 7.43
    • Malpractice RVU 0.32 changed to 0.34
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $471.09changed to$452.68

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 7.74 changed to 7.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $470.80changed to$471.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.48 changed to 7.74
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $476.05changed to$470.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.49 changed to 7.48
    • Malpractice RVU 0.55 changed to 0.32
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $480.30changed to$476.05

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 7.60 changed to 7.49

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $481.13changed to$480.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 7.63 changed to 7.60
    • Malpractice RVU 0.56 changed to 0.55
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $484.45changed to$481.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 7.71 changed to 7.63
    • Malpractice RVU 0.57 changed to 0.56
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $483.55changed to$484.45

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 7.67 changed to 7.71
    • Malpractice RVU 0.55 changed to 0.57

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $481.14changed to$483.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $473.59changed to$481.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 7.68 changed to 7.67
    • Malpractice RVU 0.40 changed to 0.55
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $474.88changed to$473.59

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.33 changed to 7.68
    • Malpractice RVU 0.42 changed to 0.40
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $474.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$437.65$273.19RVU26D
2026-07-01$437.65$273.19RVU26C
2026-04-01$437.65$273.19RVU26B
2026-01-01$437.65$273.19RVU26A
2025-10-01$420.44$292.82RVU25D
2025-07-01$420.44$292.82RVU25C
2025-04-01$420.44$292.82RVU25B
2025-01-01$420.44$292.82RVU25A
2024-10-01$429.11$296.19RVU24D
2024-07-01$429.11$296.19RVU24C
2024-04-01$429.11$296.19RVU24B
2024-03-09$429.11$296.19RVU24AR
2024-01-01$422.11$291.35RVU24A
2023-10-01$439.37$301.55RVU23D
2023-07-01$439.37$301.55RVU23C
2023-04-01$439.37$301.55RVU23B
2023-01-01$439.37$301.55RVU23A
2022-10-01$452.68$307.25RVU22D
2022-07-01$452.68$307.25RVU22C
2022-04-01$452.68$307.25RVU22B
2022-01-01$452.68$307.25RVU22A
2021-10-01$471.09$316.70RVU21D
2021-07-01$471.09$316.70RVU21C
2021-04-01$471.09$316.70RVU21B
2021-01-01$471.09$316.70RVU21A
2020-10-01$470.80$327.15RVU20D
2020-07-01$470.80$327.15RVU20C
2020-04-01$470.80$327.15RVU20B
2020-01-01$470.80$327.15RVU20A
2019-10-01$476.05$338.39RVU19D
2019-07-01$476.05$338.39RVU19C
2019-04-01$476.05$338.39RVU19B
2019-01-01$476.05$338.39RVU19A
2018-10-01$480.30$344.96RVU18D
2018-07-01$480.30$344.96RVU18C
2018-04-01$480.30$344.96RVU18B
2018-01-01$480.30$344.96RVU18AR1
2017-10-01$481.13$347.93RVU17D
2017-07-01$481.13$347.93RVU17C
2017-04-01$481.13$347.93RVU17B
2017-01-01$481.13$347.93RVU17A
2016-10-01$484.45$350.27RVU16D
2016-07-01$484.45$350.27RVU16C
2016-04-01$484.45$350.27RVU16B
2016-01-01$484.45$350.27RVU16A
2015-10-01$483.55$349.32RVU15D
2015-07-01$483.55$349.32RVU15C
2015-04-01$481.14$347.58RVU15B
2015-01-01$481.14$347.58RVU15A
2014-10-01$473.59$340.97RVU14D
2014-07-01$473.59$340.97RVU14C
2014-04-01$473.59$340.97RVU14B
2014-01-01$473.59$340.97RVU14A
2013-10-01$474.88$337.11RVU13D
2013-07-01$474.88$337.11RVU13C
2013-04-01$474.88$337.11RVU13B
2013-01-01$474.88$337.11RVU13AR

Price 21032 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

21032 billing questions

How is 21032 different from 21031?

21032 is for an exostosis of the maxilla, including a palatal torus. 21031 is for an exostosis of the mandible.

Can modifier 50 be used for exostoses on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Document the treated maxillary site or sites and report the service according to the applicable coding rules.

What documentation supports 21032?

Document that the bony prominence is in the maxilla, its clinical diagnosis and location, and the excision performed. The record should distinguish an exostosis from a tumor or another bone lesion.

Are related postoperative visits included?

Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 21032. Co-surgeon and team-surgery billing are not permitted.

What happens when another procedure is performed in the same session?

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

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 21032PPRRVU2026_Oct_nonQPP.csv, line 1,848 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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