CPT code 21034: Tumor excision, malignant, maxilla or zygoma2026 Medicare rate & RVUs in South Dakota
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.
In South Dakota, Medicare pays $1,250.20 for 21034 in the office and $932.55 when it’s performed in a hospital or facility.
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
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 South Dakota 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. South Dakota pays $1,250.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$1,250.20
- Los Angeles, CA · California$1,420.84+$170.64
- Washington, DC area · District of Columbia$1,462.42+$212.22
- Miami, FL · Florida$1,460.21+$210.01
- Chicago, IL · Illinois$1,421.02+$170.82
- Manhattan, NY · New York$1,497.08+$246.88
- Alaska · Alaska$1,593.86+$343.66
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,187.40 | $909.46 |
| 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 |
| 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.
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
| 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 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.95 | × 1.000 | 16.9500 |
| Practice expense | 19.64 | × 1.000 | 19.6400 |
| Malpractice | 2.50 | × 0.336 | 0.8400 |
| Total RVUs | 37.4300 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$1250.20
Office: (16.95 × 1 + 19.64 × 1 + 2.5 × 0.336) × $33.4009 = $1250.20
Facility: (16.95 × 1 + 10.13 × 1 + 2.5 × 0.336) × $33.4009 = $932.55
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
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.
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%).
How 21034 has changed in South Dakota
21034 · Office / nonfacility
$1250.20
Effective 2026-10-01
The base rate is $36.29 higher than on 2025-10-01, moving from $1213.91 to $1250.20 (3.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
$1213.91changed to$1250.20
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1248.43changed to$1213.91
- 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
$1228.05changed to$1248.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1266.49changed to$1228.05
- 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
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$1280.29changed to$1266.49
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1283.21changed to$1280.29
- 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
$1290.02changed to$1283.21
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 17.50 changed to 18.58
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1291.79changed to$1290.02
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1285.58changed to$1291.79
- 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
$1300.41changed to$1285.58
- 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
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1302.06changed to$1300.41
- 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
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1309.42changed to$1302.06
- 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
$1302.90changed to$1309.42
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1303.92changed to$1302.90
- 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
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$1302.88changed to$1303.92
- 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
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1302.88
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,250.20 | $932.55 | RVU26D |
| 2026-07-01 | $1,250.20 | $932.55 | RVU26C |
| 2026-04-01 | $1,250.20 | $932.55 | RVU26B |
| 2026-01-01 | $1,250.20 | $932.55 | RVU26A |
| 2025-10-01 | $1,213.91 | $1,048.29 | RVU25D |
| 2025-07-01 | $1,213.91 | $1,048.29 | RVU25C |
| 2025-04-01 | $1,213.91 | $1,048.29 | RVU25B |
| 2025-01-01 | $1,213.91 | $1,048.29 | RVU25A |
| 2024-10-01 | $1,248.43 | $1,075.00 | RVU24D |
| 2024-07-01 | $1,248.43 | $1,075.00 | RVU24C |
| 2024-04-01 | $1,248.43 | $1,075.00 | RVU24B |
| 2024-03-09 | $1,248.43 | $1,075.00 | RVU24AR |
| 2024-01-01 | $1,228.05 | $1,057.46 | RVU24A |
| 2023-10-01 | $1,266.49 | $1,089.60 | RVU23D |
| 2023-07-01 | $1,266.49 | $1,089.60 | RVU23C |
| 2023-04-01 | $1,266.49 | $1,089.60 | RVU23B |
| 2023-01-01 | $1,266.49 | $1,089.60 | RVU23A |
| 2022-10-01 | $1,280.29 | $1,099.99 | RVU22D |
| 2022-07-01 | $1,280.29 | $1,099.99 | RVU22C |
| 2022-04-01 | $1,280.29 | $1,099.99 | RVU22B |
| 2022-01-01 | $1,280.29 | $1,099.99 | RVU22A |
| 2021-10-01 | $1,283.21 | $1,101.77 | RVU21D |
| 2021-07-01 | $1,283.21 | $1,101.77 | RVU21C |
| 2021-04-01 | $1,283.21 | $1,101.77 | RVU21B |
| 2021-01-01 | $1,283.21 | $1,101.77 | RVU21A |
| 2020-10-01 | $1,290.02 | $1,123.64 | RVU20D |
| 2020-07-01 | $1,290.02 | $1,123.64 | RVU20C |
| 2020-04-01 | $1,290.02 | $1,123.64 | RVU20B |
| 2020-01-01 | $1,290.02 | $1,123.64 | RVU20A |
| 2019-10-01 | $1,291.79 | $1,129.98 | RVU19D |
| 2019-07-01 | $1,291.79 | $1,129.98 | RVU19C |
| 2019-04-01 | $1,291.79 | $1,129.98 | RVU19B |
| 2019-01-01 | $1,291.79 | $1,129.98 | RVU19A |
| 2018-10-01 | $1,285.58 | $1,128.26 | RVU18D |
| 2018-07-01 | $1,285.58 | $1,128.26 | RVU18C |
| 2018-04-01 | $1,285.58 | $1,128.26 | RVU18B |
| 2018-01-01 | $1,285.58 | $1,128.26 | RVU18AR1 |
| 2017-10-01 | $1,300.41 | $1,142.14 | RVU17D |
| 2017-07-01 | $1,300.41 | $1,142.14 | RVU17C |
| 2017-04-01 | $1,300.41 | $1,142.14 | RVU17B |
| 2017-01-01 | $1,300.41 | $1,142.14 | RVU17A |
| 2016-10-01 | $1,302.06 | $1,143.09 | RVU16D |
| 2016-07-01 | $1,302.06 | $1,143.09 | RVU16C |
| 2016-04-01 | $1,302.06 | $1,143.09 | RVU16B |
| 2016-01-01 | $1,302.06 | $1,143.09 | RVU16A |
| 2015-10-01 | $1,309.42 | $1,148.08 | RVU15D |
| 2015-07-01 | $1,309.42 | $1,148.08 | RVU15C |
| 2015-04-01 | $1,302.90 | $1,142.36 | RVU15B |
| 2015-01-01 | $1,302.90 | $1,142.36 | RVU15A |
| 2014-10-01 | $1,303.92 | $1,145.95 | RVU14D |
| 2014-07-01 | $1,303.92 | $1,145.95 | RVU14C |
| 2014-04-01 | $1,303.92 | $1,145.95 | RVU14B |
| 2014-01-01 | $1,303.92 | $1,145.95 | RVU14A |
| 2013-10-01 | $1,302.88 | $1,135.15 | RVU13D |
| 2013-07-01 | $1,302.88 | $1,135.15 | RVU13C |
| 2013-04-01 | $1,302.88 | $1,135.15 | RVU13B |
| 2013-01-01 | $1,302.88 | $1,135.15 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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