CPT code 21034: Tumor excision, malignant, maxilla or zygoma2026 Medicare rate & RVUs in Washington, DC area

Report this service when a surgeon excises a malignant tumor arising in the maxilla or zygoma, rather than a benign lesion or a tumor at another jaw site.

CMS RVU26DEffective Oct 1, 2026One payment locality163 Medicare services in 2024

In Washington, DC area, Medicare pays $1,462.42 for 21034 in the office and $1,088.23 when it’s performed in a hospital or facility.

$1,462.42Office (non-facility)

$1,088.23Hospital or facility

+12.0%vs the national office rate ($1,305.64)

Check a contract rate as a % of Medicare · 21034 nationwide

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

On this page 11 sections

Rate in Washington, DC area
What 21034 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 21034 covers

This service covers surgical excision of a malignant tumor involving the maxilla, or upper jaw, or the zygoma, the cheekbone. It is typically performed in an operating room by an oral and maxillofacial surgeon, head and neck surgeon, or another surgeon treating facial bone malignancy. The operative approach and tissue removed depend on the tumor’s location and extent; the code is specific to the malignant tumor site, not simply any procedure on facial bone.

Choose this code when the operative report supports a malignant tumor of the maxilla or zygoma and documents the excision performed. A benign tumor at those sites points to 21030; a malignant mandibular tumor belongs to a different code family. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this descriptor and anatomy.

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 21034

Across 109 of 109 payment localities, the office rate for 21034 runs from $1,172.65 in Arkansas to $1,619.12 in San Benito County, CA. Washington, DC area pays $1,462.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

21034 in Washington, DC area vs other payment areas

Washington, DC area · this page$1,462.42
Los Angeles, CA · California$1,420.84−$41.58
Miami, FL · Florida$1,460.21−$2.21
Chicago, IL · Illinois$1,421.02−$41.40
Manhattan, NY · New York$1,497.08+$34.66
Alaska · Alaska$1,593.86+$131.44
Alabama · Alabama$1,187.40−$275.02

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

Every other payment area

21034 in every other Medicare payment locality
Payment locality	Office	Facility
ArkansasArkansas	$1,172.65	$899.79
ArizonaArizona	$1,273.28	$965.49
Bakersfield, CACalifornia	$1,346.72	$998.59
Chico, CACalifornia	$1,339.50	$991.36
El Centro, CACalifornia	$1,339.91	$991.78
Fresno, CACalifornia	$1,339.50	$991.36
Hanford, CACalifornia	$1,339.50	$991.36
Madera, CACalifornia	$1,339.50	$991.36
Merced, CACalifornia	$1,339.50	$991.36
Modesto, CACalifornia	$1,339.50	$991.36
Napa, CACalifornia	$1,508.83	$1,090.18
Oxnard, CACalifornia	$1,409.40	$1,033.95
Redding, CACalifornia	$1,339.50	$991.36
Rest of CaliforniaCalifornia	$1,339.50	$991.36
Riverside, CACalifornia	$1,366.53	$1,018.40
Sacramento, CACalifornia	$1,394.20	$1,024.79
Salinas, CACalifornia	$1,388.75	$1,020.60
San Diego, CACalifornia	$1,412.96	$1,033.06
Marin County, CACalifornia	$1,583.21	$1,135.33
San Francisco, CACalifornia	$1,580.37	$1,132.49
San Benito County, CACalifornia	$1,619.12	$1,161.08
Santa Clara County, CACalifornia	$1,607.51	$1,149.47
San Luis Obispo, CACalifornia	$1,367.70	$1,005.91
Santa Cruz, CACalifornia	$1,419.82	$1,033.89
Santa Maria, CACalifornia	$1,391.64	$1,021.27
Santa Rosa, CACalifornia	$1,433.45	$1,043.38
Stockton, CACalifornia	$1,339.50	$991.36
Vallejo, CACalifornia	$1,504.74	$1,086.09
Visalia, CACalifornia	$1,339.50	$991.36
Yuba City, CACalifornia	$1,339.50	$991.36
ColoradoColorado	$1,336.13	$998.16
ConnecticutConnecticut	$1,385.01	$1,042.91
DelawareDelaware	$1,292.17	$978.34
Fort Lauderdale, FLFlorida	$1,381.64	$1,059.87
Rest of FloridaFlorida	$1,318.78	$1,015.11
Atlanta, GAGeorgia	$1,334.62	$1,011.89
Rest of GeorgiaGeorgia	$1,250.83	$967.49
Hawaii, Guam, HIHawaii	$1,360.36	$999.20
IowaIowa	$1,199.53	$908.89
IdahoIdaho	$1,209.16	$916.92
East St. Louis, ILIllinois	$1,337.83	$1,045.60
Rest of IllinoisIllinois	$1,295.58	$1,005.57
Suburban Chicago, ILIllinois	$1,391.78	$1,065.56
IndianaIndiana	$1,214.83	$920.38
KansasKansas	$1,201.25	$914.10
KentuckyKentucky	$1,225.73	$943.34
New Orleans, LALouisiana	$1,278.29	$979.39
Rest of LouisianaLouisiana	$1,226.69	$945.58
Metropolitan Boston, MAMassachusetts	$1,446.93	$1,067.67
Rest of MassachusettsMassachusetts	$1,332.52	$998.04
Baltimore area, MDMaryland	$1,382.38	$1,041.55
Rest of MarylandMaryland	$1,312.33	$990.87
Rest of MaineMaine	$1,221.60	$929.37
Southern Maine, MEMaine	$1,268.92	$954.14
Detroit, MIMichigan	$1,339.96	$1,033.44
Rest of MichiganMichigan	$1,259.34	$969.33
MinnesotaMinnesota	$1,265.88	$939.03
Metropolitan Kansas City, MOMissouri	$1,263.71	$965.44
Metropolitan St. Louis, MOMissouri	$1,274.32	$971.92
Rest of MissouriMissouri	$1,212.94	$939.14
MississippiMississippi	$1,192.66	$919.17
MontanaMontana	$1,305.47	$987.83
North CarolinaNorth Carolina	$1,231.55	$935.18
North DakotaNorth Dakota	$1,256.04	$938.40
NebraskaNebraska	$1,203.19	$910.01
New HampshireNew Hampshire	$1,322.10	$991.43
Northern New JerseyNew Jersey	$1,451.95	$1,083.48
Rest of New JerseyNew Jersey	$1,396.74	$1,049.87
New MexicoNew Mexico	$1,267.98	$976.70
NevadaNevada	$1,292.35	$974.39
NYC suburbs and Long Island, NYNew York	$1,537.42	$1,159.74
Poughkeepsie and northern NYC suburbs, NYNew York	$1,410.97	$1,063.15
Queens, NYNew York	$1,498.17	$1,122.72
Rest of New YorkNew York	$1,248.04	$946.28
OhioOhio	$1,249.24	$959.23
OklahomaOklahoma	$1,216.83	$933.17
Portland, OROregon	$1,366.14	$1,013.24
Rest of OregonOregon	$1,278.22	$961.85
Metropolitan Philadelphia, PAPennsylvania	$1,358.84	$1,028.18
Rest of PennsylvaniaPennsylvania	$1,247.26	$955.66
Puerto RicoPuerto Rico	$1,311.60	$990.47
Rhode IslandRhode Island	$1,329.03	$1,000.90
South CarolinaSouth Carolina	$1,243.26	$949.76
South DakotaSouth Dakota	$1,250.20	$932.55
TennesseeTennessee	$1,207.28	$918.55
Austin, TXTexas	$1,335.30	$999.24
Beaumont, TXTexas	$1,240.67	$951.62
Brazoria, TXTexas	$1,285.90	$971.11
Dallas, TXTexas	$1,296.26	$979.88
Fort Worth, TXTexas	$1,290.78	$977.59
Galveston, TXTexas	$1,291.22	$975.80
Houston, TXTexas	$1,336.98	$1,021.56
Rest of TexasTexas	$1,264.09	$962.64
UtahUtah	$1,257.76	$959.18
VirginiaVirginia	$1,269.94	$957.70
Virgin Islands, VIUnited States Virgin Islands	$1,311.60	$990.47
VermontVermont	$1,257.83	$943.36
Rest of WashingtonWashington	$1,327.81	$993.33
King County, WAWashington	$1,467.58	$1,077.83
WisconsinWisconsin	$1,220.31	$916.00
West VirginiaWest Virginia	$1,255.70	$979.66
WyomingWyoming	$1,283.93	$966.29

21034 rates by state

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

ME WI VT NH MT ND MN MI NY MA RI WA ID WY SD IA IL IN OH PA NJ CT OR NV UT CO NE MO KY WV VA MD DE CA AZ NM KS OK AR TN NC SC DC TX LA MS AL GA FL AK HI

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.

$1,172.65

$1,593.86

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

View every state and territory as a table

21034 office rate range by state
State / territory	Office rate range	Localities
AK	$1,593.86	1
AL	$1,187.40	1
AR	$1,172.65	1
AZ	$1,273.28	1
CA	$1,339.50–$1,619.12	29
CO	$1,336.13	1
CT	$1,385.01	1
DC	$1,462.42	1
DE	$1,292.17	1
FL	$1,318.78–$1,460.21	3
GA	$1,250.83–$1,334.62	2
GU	$1,360.36	1
HI	$1,360.36	1
IA	$1,199.53	1
ID	$1,209.16	1
IL	$1,295.58–$1,421.02	4
IN	$1,214.83	1
KS	$1,201.25	1
KY	$1,225.73	1
LA	$1,226.69–$1,278.29	2
MA	$1,332.52–$1,446.93	2
MD	$1,312.33–$1,462.42	3
ME	$1,221.60–$1,268.92	2
MI	$1,259.34–$1,339.96	2
MN	$1,265.88	1
MO	$1,212.94–$1,274.32	3
MS	$1,192.66	1
MT	$1,305.47	1
NC	$1,231.55	1
ND	$1,256.04	1
NE	$1,203.19	1
NH	$1,322.10	1
NJ	$1,396.74–$1,451.95	2
NM	$1,267.98	1
NV	$1,292.35	1
NY	$1,248.04–$1,537.42	5
OH	$1,249.24	1
OK	$1,216.83	1
OR	$1,278.22–$1,366.14	2
PA	$1,247.26–$1,358.84	2
PR	$1,311.60	1
RI	$1,329.03	1
SC	$1,243.26	1
SD	$1,250.20	1
TN	$1,207.28	1
TX	$1,240.67–$1,336.98	8
UT	$1,257.76	1
VA	$1,269.94–$1,462.42	2
VI	$1,311.60	1
VT	$1,257.83	1
WA	$1,327.81–$1,467.58	2
WI	$1,220.31	1
WV	$1,255.70	1
WY	$1,283.93	1

See 21034 in every payment locality

How the 21034 rate is calculated

Each of 21034’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 · 21034

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work16.95

16.95 RVUs× 1.000 GPCI

Practice expense19.64

19.64 RVUs× 1.000 GPCI

Malpractice2.50

2.50 RVUs× 1.000 GPCI

Adjusted RVUs

39.0900

Conversion factor

$33.4009

Medicare rate

$1,305.64

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

1,849

Code: 21034
Physician work: 16.95
Practice expense: 19.64
Malpractice: 2.50

GPCI2026.csv

Locality: Washington, DC area
Physician work: 1.054
Practice expense: 1.178
Malpractice: 1.113

Office calculation for 21034 in Washington, DC area
Component	RVU	Locality factor	Adjusted
Physician work	16.95	× 1.054	17.8653
Practice expense	19.64	× 1.178	23.1359
Malpractice	2.50	× 1.113	2.7825
Total RVUs			43.7837
Conversion factor			× 33.4009

Office rate, Washington, DC area$1462.42

Office: (16.95 × 1.054 + 19.64 × 1.178 + 2.5 × 1.113) × $33.4009 = $1462.42

Facility: (16.95 × 1.054 + 10.13 × 1.178 + 2.5 × 1.113) × $33.4009 = $1088.23

Open 21034 in the RVU calculator

Payment rules and modifiers for 21034

21034 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21034

Tumor excision, malignant, maxilla or zygoma

Rule	CMS value	What it means
Global period	090	Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures	2	Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)	0	The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)	2	Paid.
Co-surgeons (62)	1	Permitted with supporting documentation.
Team surgery (66)	0	Not permitted.
Professional/technical	0	Physician service: no professional/technical split.
Split (54/55/56)	0.10/0.69/0.21	Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21034

Tumor excision, malignant, maxilla or zygoma

Date of surgery

Date of a later visit

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

21034 without 51 · national office

$1,305.64

Tumor excision, malignant, maxilla or zygoma

21034-51 · Second procedure: 50%

$652.82

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 21034

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

Codes related to 21034
Code	How it relates	Office range, Washington, DC area
Same family
21030	Bone lesion excision, maxilla or zygoma, benignCovers benign tumor or cyst excision at the maxilla or zygoma.	$539.56
Used instead
21044	Jaw tumor excision, mandible, intraoral approachUsed for malignant tumor excision at the mandible rather than the maxilla or zygoma.	No office rate
21026	Facial bone excision, one or more facial bonesDescribes excision of facial bone when the specific malignant maxillary or zygomatic tumor service is not represented.	$654.07

How 21034 has changed in Washington, DC area

21034 · Office / nonfacility

$1462.42

Effective 2026-10-01

Compare with release effective

The base rate is $35.32 higher than on 2025-10-01, moving from $1427.10 to $1462.42 (2.5%).

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

January 1, 2026
RVU26A
$1427.10changed to$1462.42
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 17.38 changed to 16.95
- Practice expense RVU 19.22 changed to 19.64
- Malpractice RVU 2.43 changed to 2.50
- 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.
January 1, 2025
RVU25A
$1467.43changed to$1427.10
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 19.20 changed to 19.22
- Malpractice RVU 2.42 changed to 2.43
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1443.48changed to$1467.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1508.64changed to$1443.48
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 19.12 changed to 19.20
- Malpractice RVU 2.40 changed to 2.42
- 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
January 1, 2023
RVU23A
$1544.22changed to$1508.64
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 18.79 changed to 19.12
- Malpractice RVU 2.38 changed to 2.40
- 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.
January 1, 2022
RVU22A
$1546.61changed to$1544.22
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 18.58 changed to 18.79
- Malpractice RVU 2.35 changed to 2.38
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1537.42changed to$1546.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 17.50 changed to 18.58
- 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.
January 1, 2020
RVU20A
$1533.77changed to$1537.42
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 17.41 changed to 17.50
- Malpractice RVU 2.71 changed to 2.35
- 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.
January 1, 2019
RVU19A
$1524.59changed to$1533.77
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 17.30 changed to 17.41
- Malpractice RVU 2.65 changed to 2.71
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1546.67changed to$1524.59
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 17.78 changed to 17.30
- Malpractice RVU 2.72 changed to 2.65
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1550.01changed to$1546.67
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 17.91 changed to 17.78
- Malpractice RVU 2.69 changed to 2.72
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1560.53changed to$1550.01
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 17.96 changed to 17.91
- Malpractice RVU 2.75 changed to 2.69
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1552.76changed to$1560.53
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1531.52changed to$1552.76
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.05 changed to 17.96
- Malpractice RVU 2.33 changed to 2.75
- 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.
January 1, 2014
RVU14A
$1523.59changed to$1531.52
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 19.86 changed to 18.05
- Malpractice RVU 2.44 changed to 2.33
- 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.
January 1, 2013
RVU13AR
Earliest loaded release: $1523.59
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,462.42	$1,088.23	RVU26D
2026-07-01	$1,462.42	$1,088.23	RVU26C
2026-04-01	$1,462.42	$1,088.23	RVU26B
2026-01-01	$1,462.42	$1,088.23	RVU26A
2025-10-01	$1,427.10	$1,229.69	RVU25D
2025-07-01	$1,427.10	$1,229.69	RVU25C
2025-04-01	$1,427.10	$1,229.69	RVU25B
2025-01-01	$1,427.10	$1,229.69	RVU25A
2024-10-01	$1,467.43	$1,260.71	RVU24D
2024-07-01	$1,467.43	$1,260.71	RVU24C
2024-04-01	$1,467.43	$1,260.71	RVU24B
2024-03-09	$1,467.43	$1,260.71	RVU24AR
2024-01-01	$1,443.48	$1,240.13	RVU24A
2023-10-01	$1,508.64	$1,293.89	RVU23D
2023-07-01	$1,508.64	$1,293.89	RVU23C
2023-04-01	$1,508.64	$1,293.89	RVU23B
2023-01-01	$1,508.64	$1,293.89	RVU23A
2022-10-01	$1,544.22	$1,321.37	RVU22D
2022-07-01	$1,544.22	$1,321.37	RVU22C
2022-04-01	$1,544.22	$1,321.37	RVU22B
2022-01-01	$1,544.22	$1,321.37	RVU22A
2021-10-01	$1,546.61	$1,322.35	RVU21D
2021-07-01	$1,546.61	$1,322.35	RVU21C
2021-04-01	$1,546.61	$1,322.35	RVU21B
2021-01-01	$1,546.61	$1,322.35	RVU21A
2020-10-01	$1,537.42	$1,334.28	RVU20D
2020-07-01	$1,537.42	$1,334.28	RVU20C
2020-04-01	$1,537.42	$1,334.28	RVU20B
2020-01-01	$1,537.42	$1,334.28	RVU20A
2019-10-01	$1,533.77	$1,338.78	RVU19D
2019-07-01	$1,533.77	$1,338.78	RVU19C
2019-04-01	$1,533.77	$1,338.78	RVU19B
2019-01-01	$1,533.77	$1,338.78	RVU19A
2018-10-01	$1,524.59	$1,335.02	RVU18D
2018-07-01	$1,524.59	$1,335.02	RVU18C
2018-04-01	$1,524.59	$1,335.02	RVU18B
2018-01-01	$1,524.59	$1,335.02	RVU18AR1
2017-10-01	$1,546.67	$1,355.95	RVU17D
2017-07-01	$1,546.67	$1,355.95	RVU17C
2017-04-01	$1,546.67	$1,355.95	RVU17B
2017-01-01	$1,546.67	$1,355.95	RVU17A
2016-10-01	$1,550.01	$1,358.45	RVU16D
2016-07-01	$1,550.01	$1,358.45	RVU16C
2016-04-01	$1,550.01	$1,358.45	RVU16B
2016-01-01	$1,550.01	$1,358.45	RVU16A
2015-10-01	$1,560.53	$1,366.11	RVU15D
2015-07-01	$1,560.53	$1,366.11	RVU15C
2015-04-01	$1,552.76	$1,359.31	RVU15B
2015-01-01	$1,552.76	$1,359.31	RVU15A
2014-10-01	$1,531.52	$1,341.63	RVU14D
2014-07-01	$1,531.52	$1,341.63	RVU14C
2014-04-01	$1,531.52	$1,341.63	RVU14B
2014-01-01	$1,531.52	$1,341.63	RVU14A
2013-10-01	$1,523.59	$1,322.64	RVU13D
2013-07-01	$1,523.59	$1,322.64	RVU13C
2013-04-01	$1,523.59	$1,322.64	RVU13B
2013-01-01	$1,523.59	$1,322.64	RVU13AR

Price 21034 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.

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21034 billing questions

How does this differ from 21030?

Both codes concern the maxilla or zygoma, but 21034 is for a malignant tumor. Code 21030 describes excision of a benign tumor or cyst at those sites.

Can I use 21034 for a malignant mandibular tumor?

No. This code is limited to the maxilla or zygoma; a malignant tumor of the mandible is represented by a different code, such as 21044.

What documentation supports reporting 21034?

The operative report should identify the maxilla or zygoma as the tumor site and describe the excision. The record should also support that the tumor is malignant.

Is modifier 50 appropriate for bilateral work?

No. CMS identifies modifier 50 as inappropriate for this descriptor and anatomy.

What postoperative care is included?

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

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 21034PPRRVU2026_Oct_nonQPP.csv, line 1,849 (RVU26D)

1,84621030,,[CPT descriptor omitted],A,,4.79,8.87,,4.70,,0.59,14.25,10.08,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,84721031,,[CPT descriptor omitted],A,,3.22,8.01,,3.93,,0.43,11.66,7.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,84821032,,[CPT descriptor omitted],A,,3.26,7.80,,3.62,,0.43,11.49,7.31,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,84921034,,[CPT descriptor omitted],A,,16.95,19.64,,10.13,,2.50,39.09,29.58,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,85021040,,[CPT descriptor omitted],A,,4.79,8.99,,4.73,,0.59,14.37,10.11,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,85121044,,[CPT descriptor omitted],A,,12.48,8.57,NA,8.57,,1.85,22.90,22.90,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,85221045,,[CPT descriptor omitted],A,,17.91,11.15,NA,11.15,,2.71,31.77,31.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536

3704112,CO,01,COLORADO,1.012,1.064,0.781

3813102,CT,00,CONNECTICUT,1.020,1.077,1.210

3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113

4012102,DE,01,DELAWARE,1.005,0.988,0.899

4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808

4209102,FL,04,MIAMI,1.000,1.041,2.529

Open CMS source How we calculate rates

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What 21034 covers

How Washington, DC area compares for 21034

Every other payment area

21034 rates by state

How the 21034 rate is calculated

Payment rules and modifiers for 21034

What modifiers do to the payment

Codes related to 21034

How 21034 has changed in Washington, DC area

Where the Washington, DC area rate applies

21034 billing questions

How does this differ from 21030?

Can I use 21034 for a malignant mandibular tumor?

What documentation supports reporting 21034?

Is modifier 50 appropriate for bilateral work?

What postoperative care is included?

Can an assistant or co-surgeon be reported?

Where these rates come from

Did this answer your question about what 21034 pays in Washington, DC area?

Put 21034 and the rest of your codes on one sheet