CPT code 21076: Obturator prosthesis, surgical obturator2026 Medicare rate & RVUs in San Diego, CA
Reports impression and preparation of a surgical obturator to cover a maxillary surgical defect, commonly in connection with maxillectomy.
In San Diego, CA, Medicare pays $991.21 for 21076 in the office and $642.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 21076 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 21076 covers
This service covers taking an impression and preparing a surgical obturator for a maxillary defect, commonly when a patient is undergoing maxillectomy. The device is intended for the surgical phase, helping separate the oral and nasal cavities after resection. A maxillofacial prosthodontist or other qualified dental or surgical specialist may perform the prosthetic work, often coordinating with the team treating an oral or maxillary tumor.
Report 21076 for the surgical obturator, not an interim device used during healing or a definitive device made after healing; those have separate codes. Document the defect and planned surgery, the impression and prosthetic work performed, and the device’s surgical purpose. Related postoperative visits for 10 days are included in the global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 San Diego, CA compares for 21076
Across 109 of 109 payment localities, the office rate for 21076 runs from $832.53 in Arkansas to $1,140.88 in Alaska. San Diego, CA pays $991.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- San Diego, CA · this page$991.21
- Bakersfield, CA · California$947.39−$43.82
- Chico, CA · California$942.44−$48.77
- El Centro, CA · California$942.72−$48.49
- Fresno, CA · California$942.44−$48.77
- Hanford, CA · California$942.44−$48.77
- Los Angeles, CA · California$997.26+$6.05
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $942.44 | $622.86 |
| Merced, CACalifornia | $942.44 | $622.86 |
| Modesto, CACalifornia | $942.44 | $622.86 |
| Napa, CACalifornia | $1,055.87 | $671.56 |
| Oxnard, CACalifornia | $988.87 | $644.21 |
| Redding, CACalifornia | $942.44 | $622.86 |
| Rest of CaliforniaCalifornia | $942.44 | $622.86 |
| Riverside, CACalifornia | $960.56 | $640.98 |
| Sacramento, CACalifornia | $979.38 | $640.26 |
| Salinas, CACalifornia | $975.49 | $637.54 |
| Marin County, CACalifornia | $1,106.44 | $695.30 |
| San Francisco, CACalifornia | $1,104.55 | $693.41 |
| San Benito County, CACalifornia | $1,130.97 | $710.50 |
| Santa Clara County, CACalifornia | $1,123.22 | $702.74 |
| San Luis Obispo, CACalifornia | $960.83 | $628.71 |
| Santa Cruz, CACalifornia | $995.07 | $640.78 |
| Santa Maria, CACalifornia | $977.17 | $637.18 |
| Santa Rosa, CACalifornia | $1,004.55 | $646.48 |
| Stockton, CACalifornia | $942.44 | $622.86 |
| Vallejo, CACalifornia | $1,053.14 | $668.83 |
| Visalia, CACalifornia | $942.44 | $622.86 |
| Yuba City, CACalifornia | $942.44 | $622.86 |
| Washington, DC areaDistrict of Columbia | $1,025.84 | $682.35 |
| Miami, FLFlorida | $1,022.68 | $719.13 |
| Chicago, ILIllinois | $997.29 | $704.24 |
| Manhattan, NYNew York | $1,049.75 | $710.92 |
| AlaskaAlaska | $1,140.88 | $830.34 |
| AlabamaAlabama | $842.21 | $587.07 |
| ArkansasArkansas | $832.53 | $582.05 |
| ArizonaArizona | $898.58 | $616.02 |
| ColoradoColorado | $940.25 | $629.99 |
| ConnecticutConnecticut | $973.23 | $659.18 |
| DelawareDelaware | $911.28 | $623.19 |
| Fort Lauderdale, FLFlorida | $970.49 | $675.11 |
| Rest of FloridaFlorida | $929.11 | $650.35 |
| Atlanta, GAGeorgia | $939.22 | $642.97 |
| Rest of GeorgiaGeorgia | $884.40 | $624.30 |
| Hawaii, Guam, HIHawaii | $954.95 | $623.41 |
| IowaIowa | $849.89 | $583.08 |
| IdahoIdaho | $856.26 | $588.00 |
| East St. Louis, ILIllinois | $942.22 | $673.96 |
| Rest of IllinoisIllinois | $914.07 | $647.85 |
| Suburban Chicago, ILIllinois | $977.52 | $678.06 |
| IndianaIndiana | $859.98 | $589.68 |
| KansasKansas | $851.15 | $587.55 |
| KentuckyKentucky | $867.66 | $608.44 |
| New Orleans, LALouisiana | $902.22 | $627.84 |
| Rest of LouisianaLouisiana | $868.35 | $610.29 |
| Metropolitan Boston, MAMassachusetts | $1,014.56 | $666.41 |
| Rest of MassachusettsMassachusetts | $938.18 | $631.14 |
| Baltimore area, MDMaryland | $971.28 | $658.40 |
| Rest of MarylandMaryland | $924.78 | $629.69 |
| Rest of MaineMaine | $864.57 | $596.31 |
| Southern Maine, MEMaine | $895.43 | $606.46 |
| Detroit, MIMichigan | $943.16 | $661.78 |
| Rest of MichiganMichigan | $889.86 | $623.64 |
| MinnesotaMinnesota | $892.99 | $592.94 |
| Metropolitan Kansas City, MOMissouri | $892.50 | $618.70 |
| Metropolitan St. Louis, MOMissouri | $899.45 | $621.86 |
| Rest of MissouriMissouri | $859.41 | $608.06 |
| MississippiMississippi | $845.88 | $594.82 |
| MontanaMontana | $919.75 | $628.16 |
| North CarolinaNorth Carolina | $871.08 | $599.03 |
| North DakotaNorth Dakota | $886.73 | $595.14 |
| NebraskaNebraska | $852.25 | $583.11 |
| New HampshireNew Hampshire | $930.42 | $626.87 |
| Northern New JerseyNew Jersey | $1,019.56 | $681.32 |
| Rest of New JerseyNew Jersey | $982.07 | $663.65 |
| New MexicoNew Mexico | $895.59 | $628.20 |
| NevadaNevada | $910.97 | $619.09 |
| NYC suburbs and Long Island, NYNew York | $1,076.41 | $729.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $991.83 | $672.54 |
| Queens, NYNew York | $1,050.27 | $705.61 |
| Rest of New YorkNew York | $881.92 | $604.91 |
| OhioOhio | $883.11 | $616.89 |
| OklahomaOklahoma | $861.68 | $601.29 |
| Portland, OROregon | $960.02 | $636.07 |
| Rest of OregonOregon | $901.58 | $611.16 |
| Metropolitan Philadelphia, PAPennsylvania | $956.01 | $652.47 |
| Rest of PennsylvaniaPennsylvania | $881.74 | $614.06 |
| Puerto RicoPuerto Rico | $923.73 | $628.93 |
| Rhode IslandRhode Island | $936.24 | $635.03 |
| South CarolinaSouth Carolina | $879.00 | $609.57 |
| South DakotaSouth Dakota | $882.82 | $591.23 |
| TennesseeTennessee | $855.13 | $590.07 |
| Austin, TXTexas | $939.17 | $630.67 |
| Beaumont, TXTexas | $877.42 | $612.08 |
| Brazoria, TXTexas | $907.23 | $618.27 |
| Dallas, TXTexas | $914.16 | $623.74 |
| Fort Worth, TXTexas | $910.61 | $623.10 |
| Galveston, TXTexas | $910.77 | $621.22 |
| Houston, TXTexas | $941.33 | $651.78 |
| Rest of TexasTexas | $892.65 | $615.93 |
| UtahUtah | $888.52 | $614.42 |
| VirginiaVirginia | $896.19 | $609.56 |
| Virgin Islands, VIUnited States Virgin Islands | $923.73 | $628.93 |
| VermontVermont | $888.03 | $599.36 |
| Rest of WashingtonWashington | $934.86 | $627.82 |
| King County, WAWashington | $1,028.53 | $670.75 |
| WisconsinWisconsin | $863.31 | $583.96 |
| West VirginiaWest Virginia | $887.90 | $634.50 |
| WyomingWyoming | $905.36 | $613.77 |
21076 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.
$832.53
$1,140.88
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 | $1,140.88 | 1 |
| AL | $842.21 | 1 |
| AR | $832.53 | 1 |
| AZ | $898.58 | 1 |
| CA | $942.44–$1,130.97 | 29 |
| CO | $940.25 | 1 |
| CT | $973.23 | 1 |
| DC | $1,025.84 | 1 |
| DE | $911.28 | 1 |
| FL | $929.11–$1,022.68 | 3 |
| GA | $884.40–$939.22 | 2 |
| GU | $954.95 | 1 |
| HI | $954.95 | 1 |
| IA | $849.89 | 1 |
| ID | $856.26 | 1 |
| IL | $914.07–$997.29 | 4 |
| IN | $859.98 | 1 |
| KS | $851.15 | 1 |
| KY | $867.66 | 1 |
| LA | $868.35–$902.22 | 2 |
| MA | $938.18–$1,014.56 | 2 |
| MD | $924.78–$1,025.84 | 3 |
| ME | $864.57–$895.43 | 2 |
| MI | $889.86–$943.16 | 2 |
| MN | $892.99 | 1 |
| MO | $859.41–$899.45 | 3 |
| MS | $845.88 | 1 |
| MT | $919.75 | 1 |
| NC | $871.08 | 1 |
| ND | $886.73 | 1 |
| NE | $852.25 | 1 |
| NH | $930.42 | 1 |
| NJ | $982.07–$1,019.56 | 2 |
| NM | $895.59 | 1 |
| NV | $910.97 | 1 |
| NY | $881.92–$1,076.41 | 5 |
| OH | $883.11 | 1 |
| OK | $861.68 | 1 |
| OR | $901.58–$960.02 | 2 |
| PA | $881.74–$956.01 | 2 |
| PR | $923.73 | 1 |
| RI | $936.24 | 1 |
| SC | $879.00 | 1 |
| SD | $882.82 | 1 |
| TN | $855.13 | 1 |
| TX | $877.42–$941.33 | 8 |
| UT | $888.52 | 1 |
| VA | $896.19–$1,025.84 | 2 |
| VI | $923.73 | 1 |
| VT | $888.03 | 1 |
| WA | $934.86–$1,028.53 | 2 |
| WI | $863.31 | 1 |
| WV | $887.90 | 1 |
| WY | $905.36 | 1 |
How the 21076 rate is calculated
Each of 21076’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 · 21076
RVUs × geographic indexes × conversion factor
Work13.07
13.07 RVUs× 1.000 GPCI
Practice expense12.80
12.80 RVUs× 1.000 GPCI
Malpractice1.67
1.67 RVUs× 1.000 GPCI
Adjusted RVUs
27.5400
Conversion factor
$33.4009
Medicare rate
$919.86
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact San Diego, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,861
- Code
- 21076
- Physician work
- 13.07
- Practice expense
- 12.80
- Malpractice
- 1.67
GPCI2026.csv
23
- Locality
- San Diego, CA
- Physician work
- 1.030
- Practice expense
- 1.196
- Malpractice
- 0.542
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.07 | × 1.030 | 13.4621 |
| Practice expense | 12.80 | × 1.196 | 15.3088 |
| Malpractice | 1.67 | × 0.542 | 0.9051 |
| Total RVUs | 29.6760 | ||
| Conversion factor | × 33.4009 | ||
Office rate, San Diego, CA$991.21
Office: (13.07 × 1.03 + 12.8 × 1.196 + 1.67 × 0.542) × $33.4009 = $991.21
Facility: (13.07 × 1.03 + 4.07 × 1.196 + 1.67 × 0.542) × $33.4009 = $642.46
Payment rules and modifiers for 21076
21076 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21076
Obturator prosthesis, surgical obturator
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 21076
Obturator prosthesis, surgical obturator
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
21076 without 51 · national office
$919.86
Obturator prosthesis, surgical obturator
21076-51 · Second procedure: 50%
$459.93
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 21076 has changed in San Diego, CA
21076 · Office / nonfacility
$991.21
Effective 2026-10-01
The base rate is $59.13 higher than on 2025-10-01, moving from $932.08 to $991.21 (6.3%).
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
$932.08changed to$991.21
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 13.40 changed to 13.07
- Practice expense RVU 11.98 changed to 12.80
- Malpractice RVU 1.35 changed to 1.67
- Work GPCI 1.028 changed to 1.030
- Practice expense GPCI 1.191 changed to 1.196
- Malpractice GPCI 0.572 changed to 0.542
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$928.69changed to$932.08
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 11.22 changed to 11.98
- Malpractice RVU 1.33 changed to 1.35
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$913.53changed to$928.69
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$932.44changed to$913.53
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.98 changed to 11.22
- Malpractice RVU 1.30 changed to 1.33
- Work GPCI 1.032 changed to 1.028
- Practice expense GPCI 1.176 changed to 1.191
- Malpractice GPCI 0.596 changed to 0.572
January 1, 2023
RVU23A
$933.78changed to$932.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.63 changed to 10.98
- Malpractice RVU 1.22 changed to 1.30
- Work GPCI 1.037 changed to 1.032
- Practice expense GPCI 1.160 changed to 1.176
- Malpractice GPCI 0.620 changed to 0.596
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$946.19changed to$933.78
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 10.93 changed to 10.63
- Malpractice RVU 1.19 changed to 1.22
- Work GPCI 1.035 changed to 1.037
- Practice expense GPCI 1.145 changed to 1.160
- Malpractice GPCI 0.616 changed to 0.620
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$986.16changed to$946.19
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 11.31 changed to 10.93
- Malpractice RVU 1.18 changed to 1.19
- Work GPCI 1.032 changed to 1.035
- Practice expense GPCI 1.130 changed to 1.145
- Malpractice GPCI 0.607 changed to 0.616
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1020.88changed to$986.16
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 11.95 changed to 11.31
- Malpractice RVU 2.25 changed to 1.18
- Work GPCI 1.023 changed to 1.032
- Practice expense GPCI 1.116 changed to 1.130
- Malpractice GPCI 0.570 changed to 0.607
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1039.96changed to$1020.88
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 12.65 changed to 11.95
- Malpractice RVU 2.21 changed to 2.25
- Work GPCI 1.022 changed to 1.023
- Practice expense GPCI 1.102 changed to 1.116
- Malpractice GPCI 0.567 changed to 0.570
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$1051.52changed to$1039.96
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 13.09 changed to 12.65
- Malpractice RVU 2.19 changed to 2.21
- Work GPCI 1.024 changed to 1.022
- Practice expense GPCI 1.088 changed to 1.102
- Malpractice GPCI 0.610 changed to 0.567
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$1051.52
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $991.21 | $642.46 | RVU26D |
| 2026-07-01 | $991.21 | $642.46 | RVU26C |
| 2026-04-01 | $991.21 | $642.46 | RVU26B |
| 2026-01-01 | $991.21 | $642.46 | RVU26A |
| 2025-10-01 | $932.08 | $734.45 | RVU25D |
| 2025-07-01 | $932.08 | $734.45 | RVU25C |
| 2025-04-01 | $932.08 | $734.45 | RVU25B |
| 2025-01-01 | $932.08 | $734.45 | RVU25A |
| 2024-10-01 | $928.69 | $735.22 | RVU24D |
| 2024-07-01 | $928.69 | $735.22 | RVU24C |
| 2024-04-01 | $928.69 | $735.22 | RVU24B |
| 2024-03-09 | $928.69 | $735.22 | RVU24AR |
| 2024-01-01 | $913.53 | $723.22 | RVU24A |
| 2023-10-01 | $932.44 | $745.14 | RVU23D |
| 2023-07-01 | $932.44 | $745.14 | RVU23C |
| 2023-04-01 | $932.44 | $745.14 | RVU23B |
| 2023-01-01 | $932.44 | $745.14 | RVU23A |
| 2022-10-01 | $933.78 | $751.53 | RVU22D |
| 2022-07-01 | $933.78 | $751.53 | RVU22C |
| 2022-04-01 | $933.78 | $751.53 | RVU22B |
| 2022-01-01 | $933.78 | $751.53 | RVU22A |
| 2021-10-01 | $946.19 | $765.21 | RVU21D |
| 2021-07-01 | $946.19 | $765.21 | RVU21C |
| 2021-04-01 | $946.19 | $765.21 | RVU21B |
| 2021-01-01 | $946.19 | $765.21 | RVU21A |
| 2020-10-01 | $986.16 | $808.76 | RVU20D |
| 2020-07-01 | $986.16 | $808.76 | RVU20C |
| 2020-04-01 | $986.16 | $808.76 | RVU20B |
| 2020-01-01 | $986.16 | $808.76 | RVU20A |
| 2019-10-01 | $1,020.88 | $842.30 | RVU19D |
| 2019-07-01 | $1,020.88 | $842.30 | RVU19C |
| 2019-04-01 | $1,020.88 | $842.30 | RVU19B |
| 2019-01-01 | $1,020.88 | $842.30 | RVU19A |
| 2018-10-01 | $1,039.96 | $859.85 | RVU18D |
| 2018-07-01 | $1,039.96 | $859.85 | RVU18C |
| 2018-04-01 | $1,039.96 | $859.85 | RVU18B |
| 2018-01-01 | $1,039.96 | $859.85 | RVU18AR1 |
| 2017-10-01 | $1,051.52 | $871.90 | RVU17D |
| 2017-07-01 | $1,051.52 | $871.90 | RVU17C |
| 2017-04-01 | $1,051.52 | $871.90 | RVU17B |
| 2017-01-01 | $1,051.52 | $871.90 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the San Diego, CA rate applies
San Diego, CA is a Medicare payment area, not a city. Our Census mapping connects it to 57 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
21076 billing questions
How is 21076 different from 21079?
21076 is for a surgical obturator intended for the surgical phase. Code 21079 describes an interim obturator used during healing.
When should 21080 be used instead?
Use 21080 for a definitive obturator, rather than the surgical-phase device reported with 21076.
Can the impression be billed separately from 21076?
The code covers the impression and preparation of the surgical obturator together. Document both parts of that prosthetic service.
What documentation supports 21076?
Record the maxillary defect and related surgery, the impression and preparation performed, and that the obturator is intended for the surgical phase.
Can modifier 50 be reported for bilateral work?
No. Modifier 50 is inappropriate for this service’s descriptor and anatomy.
What applies when other procedures are performed in the same session?
The highest-valued procedure is paid in full, with other procedures subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity.
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
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