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CPT code 21032: Maxillary exostosis, maxilla2026 Medicare rate & RVUs in Vermont

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 Vermont, Medicare pays $374.08 for 21032 in the office and $235.86 when it’s performed in a hospital or facility.

$374.08Office (non-facility)
$235.86Hospital or facility
−2.5%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 Vermont
  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 Vermont 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. Vermont pays $374.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

21032 in Vermont vs other payment areas
  1. Vermont · this page$374.08
  2. Los Angeles, CA · California$431.09+$57.01
  3. Washington, DC area · District of Columbia$437.65+$63.57
  4. Miami, FL · Florida$416.42+$42.34
  5. Chicago, IL · Illinois$404.44+$30.36
  6. Manhattan, NY · New York$441.37+$67.29
  7. Alaska · Alaska$448.71+$74.63

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

Every other payment area

21032 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$344.98$222.81
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

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 21032 in Vermont
ComponentRVULocality factorAdjusted
Physician work3.26× 1.0003.2600
Practice expense7.80× 0.9907.7220
Malpractice0.43× 0.5060.2176
Total RVUs11.1996
Conversion factor× 33.4009

Office rate, Vermont$374.08

Office: (3.26 × 1 + 7.8 × 0.99 + 0.43 × 0.506) × $33.4009 = $374.08

Facility: (3.26 × 1 + 3.62 × 0.99 + 0.43 × 0.506) × $33.4009 = $235.86

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, Vermont
Same family
21031Exostosis removal, mandibleRemoval of an exostosis from the mandible rather than the maxilla.$379.68
Used instead
21029Bone contouring, benign facial bone tumorFor contouring a facial bone lesion rather than excising a maxillary exostosis.$786.42
21030Bone lesion excision, maxilla or zygoma, benignFor excision of a benign tumor of the maxilla or zygoma, not an exostosis.$463.27
21026Facial bone excision, one or more facial bonesFor excision of facial bone when the procedure is not maxillary exostosis removal.$560.14

How 21032 has changed in Vermont

21032 · Office / nonfacility

$374.08

Effective 2026-10-01

The base rate is $16.22 higher than on 2025-10-01, moving from $357.86 to $374.08 (4.5%).

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

    $357.86changed to$374.08

    • 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
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $365.45changed to$357.86

    • 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

    $359.49changed to$365.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $370.47changed to$359.49

    • 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
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $378.23changed to$370.47

    • 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
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $393.24changed to$378.23

    • 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

    $399.37changed to$393.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.48 changed to 7.74
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $406.15changed to$399.37

    • 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
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $409.72changed to$406.15

    • 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

    $409.28changed to$409.72

    • 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
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $410.66changed to$409.28

    • 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
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $410.21changed to$410.66

    • 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

    $408.17changed to$410.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $405.27changed to$408.17

    • 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
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$405.27

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$374.08$235.86RVU26D
2026-07-01$374.08$235.86RVU26C
2026-04-01$374.08$235.86RVU26B
2026-01-01$374.08$235.86RVU26A
2025-10-01$357.86$251.54RVU25D
2025-07-01$357.86$251.54RVU25C
2025-04-01$357.86$251.54RVU25B
2025-01-01$357.86$251.54RVU25A
2024-10-01$365.45$254.72RVU24D
2024-07-01$365.45$254.72RVU24C
2024-04-01$365.45$254.72RVU24B
2024-03-09$365.45$254.72RVU24AR
2024-01-01$359.49$250.56RVU24A
2023-10-01$370.47$257.28RVU23D
2023-07-01$370.47$257.28RVU23C
2023-04-01$370.47$257.28RVU23B
2023-01-01$370.47$257.28RVU23A
2022-10-01$378.23$260.45RVU22D
2022-07-01$378.23$260.45RVU22C
2022-04-01$378.23$260.45RVU22B
2022-01-01$378.23$260.45RVU22A
2021-10-01$393.24$268.20RVU21D
2021-07-01$393.24$268.20RVU21C
2021-04-01$393.24$268.20RVU21B
2021-01-01$393.24$268.20RVU21A
2020-10-01$399.37$280.78RVU20D
2020-07-01$399.37$280.78RVU20C
2020-04-01$399.37$280.78RVU20B
2020-01-01$399.37$280.78RVU20A
2019-10-01$406.15$290.19RVU19D
2019-07-01$406.15$290.19RVU19C
2019-04-01$406.15$290.19RVU19B
2019-01-01$406.15$290.19RVU19A
2018-10-01$409.72$295.72RVU18D
2018-07-01$409.72$295.72RVU18C
2018-04-01$409.72$295.72RVU18B
2018-01-01$409.72$295.72RVU18AR1
2017-10-01$409.28$297.64RVU17D
2017-07-01$409.28$297.64RVU17C
2017-04-01$409.28$297.64RVU17B
2017-01-01$409.28$297.64RVU17A
2016-10-01$410.66$298.86RVU16D
2016-07-01$410.66$298.86RVU16C
2016-04-01$410.66$298.86RVU16B
2016-01-01$410.66$298.86RVU16A
2015-10-01$410.21$298.37RVU15D
2015-07-01$410.21$298.37RVU15C
2015-04-01$408.17$296.88RVU15B
2015-01-01$408.17$296.88RVU15A
2014-10-01$405.27$294.28RVU14D
2014-07-01$405.27$294.28RVU14C
2014-04-01$405.27$294.28RVU14B
2014-01-01$405.27$294.28RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 21032 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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