CPT code 21047: Jaw cyst excision, lower jaw, intraoral approach2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,045.17 for 21047 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21047 nationwide

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

What 21047 covers

This service removes a benign cyst or tumor arising in the mandible when removal requires an osteotomy performed through the mouth, extraction of a tooth, or both. The surgeon also repairs the operative site. Oral and maxillofacial surgeons commonly perform the procedure in an ambulatory surgery center or hospital; selected cases may be performed in an office setting. The operative report should identify the mandibular lesion and document the intraoral approach, bone work, any tooth extraction, and repair.

Report this code when the required intraoral osteotomy or tooth extraction distinguishes the operation from simpler enucleation and curettage. The repair associated with the excision is part of the service. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in its 90-day global period. 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. 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 service.

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 Virginia compares for 21047

Across 109 of 109 payment localities, the facility rate for 21047 runs from $986.90 in Arkansas to $1,386.02 in Alaska. Virginia pays $1,045.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21047 rates by state

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

See 21047 in every payment locality

How the 21047 rate is calculated

Each of 21047’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.

Payment rules and modifiers for 21047

21047 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 21047

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

How 21047 has changed in Virginia

Price 21047 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates