CPT code 21080: Obturator prosthesis, definitive obturator2026 Medicare rate & RVUs in New Hampshire

Impression and preparation of a definitive obturator prosthesis to restore an acquired maxillary defect, commonly after resection and healing.

CMS RVU26DEffective Oct 1, 2026One payment locality521 Medicare services in 2024

In New Hampshire, Medicare pays $1,751.17 for 21080 in the office and $1,161.11 when it’s performed in a hospital or facility.

$1,751.17Office (non-facility)

$1,161.11Hospital or facility

+1.2%vs the national office rate ($1,729.83)

Check a contract rate as a % of Medicare · 21080 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 New Hampshire
What 21080 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 21080 covers

This service covers taking an impression and preparing a definitive obturator prosthesis for a patient with an acquired maxillary or palatal defect, often following maxillectomy. The custom appliance closes the opening between the oral and nasal cavities and can support speech and swallowing. A maxillofacial prosthodontist or dentist with maxillofacial prosthetic expertise typically performs the work in a dental prosthetics clinic or hospital outpatient setting. The definitive stage is generally selected after the surgical defect has healed or stabilized, rather than for an appliance used immediately after surgery or during interim healing.

Report this code for the definitive obturator service, not the surgical or interim obturator stage. Documentation should identify the defect and clinical stage and describe the impression and preparation performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate; assistant-at-surgery payment is restricted, and 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 New Hampshire compares for 21080

Across 109 of 109 payment localities, the office rate for 21080 runs from $1,567.54 in Arkansas to $2,147.27 in Alaska. New Hampshire pays $1,751.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

21080 in New Hampshire vs other payment areas

New Hampshire · this page$1,751.17
Los Angeles, CA · California$1,880.08+$128.91
Washington, DC area · District of Columbia$1,930.24+$179.07
Miami, FL · Florida$1,911.93+$160.76
Chicago, IL · Illinois$1,865.50+$114.33
Manhattan, NY · New York$1,971.31+$220.14
Alaska · Alaska$2,147.27+$396.10

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

Every other payment area

21080 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$1,585.57	$1,089.61
ArkansasArkansas	$1,567.54	$1,080.65
ArizonaArizona	$1,690.52	$1,141.28
Bakersfield, CACalifornia	$1,785.73	$1,164.50
Chico, CACalifornia	$1,777.00	$1,155.78
El Centro, CACalifornia	$1,777.49	$1,156.26
Fresno, CACalifornia	$1,777.00	$1,155.78
Hanford, CACalifornia	$1,777.00	$1,155.78
Madera, CACalifornia	$1,777.00	$1,155.78
Merced, CACalifornia	$1,777.00	$1,155.78
Modesto, CACalifornia	$1,777.00	$1,155.78
Napa, CACalifornia	$1,993.11	$1,246.05
Oxnard, CACalifornia	$1,864.67	$1,194.69
Redding, CACalifornia	$1,777.00	$1,155.78
Rest of CaliforniaCalifornia	$1,777.00	$1,155.78
Riverside, CACalifornia	$1,808.63	$1,187.40
Sacramento, CACalifornia	$1,847.22	$1,188.02
Salinas, CACalifornia	$1,839.88	$1,182.94
San Diego, CACalifornia	$1,869.86	$1,191.95
Marin County, CACalifornia	$2,089.60	$1,290.39
San Francisco, CACalifornia	$2,086.29	$1,287.08
San Benito County, CACalifornia	$2,135.45	$1,318.11
Santa Clara County, CACalifornia	$2,121.94	$1,304.60
San Luis Obispo, CACalifornia	$1,812.12	$1,166.52
Santa Cruz, CACalifornia	$1,877.45	$1,188.77
Santa Maria, CACalifornia	$1,843.15	$1,182.24
Santa Rosa, CACalifornia	$1,895.41	$1,199.36
Stockton, CACalifornia	$1,777.00	$1,155.78
Vallejo, CACalifornia	$1,988.35	$1,241.29
Visalia, CACalifornia	$1,777.00	$1,155.78
Yuba City, CACalifornia	$1,777.00	$1,155.78
ColoradoColorado	$1,770.60	$1,167.51
ConnecticutConnecticut	$1,829.45	$1,218.99
DelawareDelaware	$1,714.30	$1,154.28
Fort Lauderdale, FLFlorida	$1,818.98	$1,244.80
Rest of FloridaFlorida	$1,742.79	$1,200.92
Atlanta, GAGeorgia	$1,764.88	$1,189.00
Rest of GeorgiaGeorgia	$1,660.30	$1,154.70
Hawaii, Guam, HIHawaii	$1,800.79	$1,156.33
IowaIowa	$1,601.81	$1,083.17
IdahoIdaho	$1,613.28	$1,091.81
East St. Louis, ILIllinois	$1,763.06	$1,241.59
Rest of IllinoisIllinois	$1,713.51	$1,196.01
Suburban Chicago, ILIllinois	$1,832.63	$1,250.51
IndianaIndiana	$1,620.26	$1,094.82
KansasKansas	$1,603.22	$1,090.83
KentuckyKentucky	$1,630.92	$1,127.03
New Orleans, LALouisiana	$1,694.87	$1,161.50
Rest of LouisianaLouisiana	$1,631.84	$1,130.21
Metropolitan Boston, MAMassachusetts	$1,911.03	$1,234.25
Rest of MassachusettsMassachusetts	$1,766.44	$1,169.59
Baltimore area, MDMaryland	$1,825.54	$1,217.35
Rest of MarylandMaryland	$1,739.82	$1,166.21
Rest of MaineMaine	$1,627.76	$1,106.29
Southern Maine, MEMaine	$1,686.62	$1,124.91
Detroit, MIMichigan	$1,767.93	$1,220.95
Rest of MichiganMichigan	$1,671.32	$1,153.82
MinnesotaMinnesota	$1,685.09	$1,101.84
Metropolitan Kansas City, MOMissouri	$1,677.78	$1,145.54
Metropolitan St. Louis, MOMissouri	$1,690.83	$1,151.22
Rest of MissouriMissouri	$1,614.61	$1,126.01
MississippiMississippi	$1,590.95	$1,102.92
MontanaMontana	$1,729.64	$1,162.82
North CarolinaNorth Carolina	$1,640.03	$1,111.19
North DakotaNorth Dakota	$1,672.10	$1,105.28
NebraskaNebraska	$1,606.49	$1,083.33
Northern New JerseyNew Jersey	$1,918.51	$1,261.01
Rest of New JerseyNew Jersey	$1,847.03	$1,228.07
New MexicoNew Mexico	$1,681.59	$1,161.82
NevadaNevada	$1,714.42	$1,147.04
NYC suburbs and Long Island, NYNew York	$2,019.70	$1,345.76
Poughkeepsie and northern NYC suburbs, NYNew York	$1,864.55	$1,243.88
Queens, NYNew York	$1,973.65	$1,303.67
Rest of New YorkNew York	$1,660.13	$1,121.66
OhioOhio	$1,659.56	$1,142.06
OklahomaOklahoma	$1,620.78	$1,114.61
Portland, OROregon	$1,808.65	$1,178.92
Rest of OregonOregon	$1,697.70	$1,133.15
Metropolitan Philadelphia, PAPennsylvania	$1,796.76	$1,206.71
Rest of PennsylvaniaPennsylvania	$1,657.52	$1,137.19
Puerto RicoPuerto Rico	$1,737.36	$1,164.31
Rhode IslandRhode Island	$1,761.79	$1,176.27
South CarolinaSouth Carolina	$1,653.19	$1,129.45
South DakotaSouth Dakota	$1,665.29	$1,098.48
TennesseeTennessee	$1,610.52	$1,095.28
Austin, TXTexas	$1,767.75	$1,168.06
Beaumont, TXTexas	$1,649.43	$1,133.63
Brazoria, TXTexas	$1,707.63	$1,145.92
Dallas, TXTexas	$1,720.11	$1,155.56
Fort Worth, TXTexas	$1,713.20	$1,154.33
Galveston, TXTexas	$1,713.93	$1,151.08
Houston, TXTexas	$1,767.19	$1,204.34
Rest of TexasTexas	$1,678.76	$1,140.85
UtahUtah	$1,670.92	$1,138.11
VirginiaVirginia	$1,687.37	$1,130.20
Virgin Islands, VIUnited States Virgin Islands	$1,737.36	$1,164.31
VermontVermont	$1,673.65	$1,112.51
Rest of WashingtonWashington	$1,760.49	$1,163.64
King County, WAWashington	$1,938.22	$1,242.74
WisconsinWisconsin	$1,628.27	$1,085.27
West VirginiaWest Virginia	$1,664.74	$1,172.18
WyomingWyoming	$1,704.56	$1,137.75

21080 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.

$1,567.54

$2,147.27

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

View every state and territory as a table

21080 office rate range by state
State / territory	Office rate range	Localities
AK	$2,147.27	1
AL	$1,585.57	1
AR	$1,567.54	1
AZ	$1,690.52	1
CA	$1,777.00–$2,135.45	29
CO	$1,770.60	1
CT	$1,829.45	1
DC	$1,930.24	1
DE	$1,714.30	1
FL	$1,742.79–$1,911.93	3
GA	$1,660.30–$1,764.88	2
GU	$1,800.79	1
HI	$1,800.79	1
IA	$1,601.81	1
ID	$1,613.28	1
IL	$1,713.51–$1,865.50	4
IN	$1,620.26	1
KS	$1,603.22	1
KY	$1,630.92	1
LA	$1,631.84–$1,694.87	2
MA	$1,766.44–$1,911.03	2
MD	$1,739.82–$1,930.24	3
ME	$1,627.76–$1,686.62	2
MI	$1,671.32–$1,767.93	2
MN	$1,685.09	1
MO	$1,614.61–$1,690.83	3
MS	$1,590.95	1
MT	$1,729.64	1
NC	$1,640.03	1
ND	$1,672.10	1
NE	$1,606.49	1
NH	$1,751.17	1
NJ	$1,847.03–$1,918.51	2
NM	$1,681.59	1
NV	$1,714.42	1
NY	$1,660.13–$2,019.70	5
OH	$1,659.56	1
OK	$1,620.78	1
OR	$1,697.70–$1,808.65	2
PA	$1,657.52–$1,796.76	2
PR	$1,737.36	1
RI	$1,761.79	1
SC	$1,653.19	1
SD	$1,665.29	1
TN	$1,610.52	1
TX	$1,649.43–$1,767.75	8
UT	$1,670.92	1
VA	$1,687.37–$1,930.24	2
VI	$1,737.36	1
VT	$1,673.65	1
WA	$1,760.49–$1,938.22	2
WI	$1,628.27	1
WV	$1,664.74	1
WY	$1,704.56	1

See 21080 in every payment locality

How the 21080 rate is calculated

Each of 21080’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 · 21080

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work24.43

24.43 RVUs× 1.000 GPCI

Practice expense24.45

24.45 RVUs× 1.000 GPCI

Malpractice2.91

2.91 RVUs× 1.000 GPCI

Adjusted RVUs

51.7900

Conversion factor

$33.4009

Medicare rate

$1,729.83

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Hampshire inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,864

Code: 21080
Physician work: 24.43
Practice expense: 24.45
Malpractice: 2.91

GPCI2026.csv

Locality: New Hampshire
Physician work: 1.000
Practice expense: 1.041
Malpractice: 0.875

Office calculation for 21080 in New Hampshire
Component	RVU	Locality factor	Adjusted
Physician work	24.43	× 1.000	24.4300
Practice expense	24.45	× 1.041	25.4524
Malpractice	2.91	× 0.875	2.5463
Total RVUs			52.4287
Conversion factor			× 33.4009

Office rate, New Hampshire$1751.17

Office: (24.43 × 1 + 24.45 × 1.041 + 2.91 × 0.875) × $33.4009 = $1751.17

Facility: (24.43 × 1 + 7.48 × 1.041 + 2.91 × 0.875) × $33.4009 = $1161.11

Open 21080 in the RVU calculator

Payment rules and modifiers for 21080

21080 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21080

Obturator prosthesis, definitive obturator

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)	1	Not paid (statutory restriction).
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)	0.10/0.69/0.21	Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21080

Obturator prosthesis, definitive obturator

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

21080 without 51 · national office

$1,729.83

Obturator prosthesis, definitive obturator

21080-51 · Second procedure: 50%

$864.92

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 21080

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

Codes related to 21080
Code	How it relates	Office range, New Hampshire
Same family
21076	Obturator prosthesis, surgical obturatorSurgical obturator prosthesis service for the surgical stage.	$930.42
21079	Obturator prosthesis, interim obturatorInterim obturator prosthesis service during healing.	$1,540.21
Used instead
21081	Mandibular prosthesis, impression and custom preparationMandibular resection prosthesis service for a lower-jaw defect instead of a maxillary defect.	$1,612.13

How 21080 has changed in New Hampshire

21080 · Office / nonfacility

$1751.17

Effective 2026-10-01

Compare with release effective

The base rate is $89.26 higher than on 2025-10-01, moving from $1661.91 to $1751.17 (5.4%).

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
$1661.91changed to$1751.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 25.06 changed to 24.43
- Practice expense RVU 23.36 changed to 24.45
- Malpractice RVU 2.41 changed to 2.91
- Practice expense GPCI 1.034 changed to 1.041
- Malpractice GPCI 0.898 changed to 0.875
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1670.29changed to$1661.91
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 22.19 changed to 23.36
- Malpractice RVU 2.42 changed to 2.41
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1643.03changed to$1670.29
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1698.85changed to$1643.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 22.10 changed to 22.19
- Malpractice RVU 2.40 changed to 2.42
- Practice expense GPCI 1.036 changed to 1.034
- Malpractice GPCI 0.907 changed to 0.898
January 1, 2023
RVU23A
$1725.67changed to$1698.85
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 21.91 changed to 22.10
- Malpractice RVU 2.25 changed to 2.40
- Practice expense GPCI 1.038 changed to 1.036
- Malpractice GPCI 0.917 changed to 0.907
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1742.64changed to$1725.67
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 22.01 changed to 21.91
- Malpractice RVU 2.22 changed to 2.25
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1831.72changed to$1742.64
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 22.61 changed to 22.01
- Malpractice RVU 2.17 changed to 2.22
- Practice expense GPCI 1.042 changed to 1.038
- Malpractice GPCI 0.984 changed to 0.917
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1945.97changed to$1831.72
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 23.50 changed to 22.61
- Malpractice RVU 4.17 changed to 2.17
- Practice expense GPCI 1.045 changed to 1.042
- Malpractice GPCI 1.050 changed to 0.984
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1993.50changed to$1945.97
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 24.78 changed to 23.50
- Malpractice RVU 4.21 changed to 4.17
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2009.11changed to$1993.50
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 25.58 changed to 24.78
- Malpractice RVU 4.17 changed to 4.21
- Practice expense GPCI 1.052 changed to 1.045
- Malpractice GPCI 0.962 changed to 1.050
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$2008.58changed to$2009.11
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 25.88 changed to 25.58
- Malpractice RVU 4.19 changed to 4.17
- Practice expense GPCI 1.058 changed to 1.052
- Malpractice GPCI 0.873 changed to 0.962
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$2010.35changed to$2008.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 25.81 changed to 25.88
- Malpractice RVU 4.10 changed to 4.19
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$2000.34changed to$2010.35
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1972.96changed to$2000.34
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 26.01 changed to 25.81
- Malpractice RVU 3.09 changed to 4.10
- Practice expense GPCI 1.051 changed to 1.058
- Malpractice GPCI 0.867 changed to 0.873
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$1972.96
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,751.17	$1,161.11	RVU26D
2026-07-01	$1,751.17	$1,161.11	RVU26C
2026-04-01	$1,751.17	$1,161.11	RVU26B
2026-01-01	$1,751.17	$1,161.11	RVU26A
2025-10-01	$1,661.91	$1,303.03	RVU25D
2025-07-01	$1,661.91	$1,303.03	RVU25C
2025-04-01	$1,661.91	$1,303.03	RVU25B
2025-01-01	$1,661.91	$1,303.03	RVU25A
2024-10-01	$1,670.29	$1,314.05	RVU24D
2024-07-01	$1,670.29	$1,314.05	RVU24C
2024-04-01	$1,670.29	$1,314.05	RVU24B
2024-03-09	$1,670.29	$1,314.05	RVU24AR
2024-01-01	$1,643.03	$1,292.60	RVU24A
2023-10-01	$1,698.85	$1,341.81	RVU23D
2023-07-01	$1,698.85	$1,341.81	RVU23C
2023-04-01	$1,698.85	$1,341.81	RVU23B
2023-01-01	$1,698.85	$1,341.81	RVU23A
2022-10-01	$1,725.67	$1,363.58	RVU22D
2022-07-01	$1,725.67	$1,363.58	RVU22C
2022-04-01	$1,725.67	$1,363.58	RVU22B
2022-01-01	$1,725.67	$1,363.58	RVU22A
2021-10-01	$1,742.64	$1,387.33	RVU21D
2021-07-01	$1,742.64	$1,387.33	RVU21C
2021-04-01	$1,742.64	$1,387.33	RVU21B
2021-01-01	$1,742.64	$1,387.33	RVU21A
2020-10-01	$1,831.72	$1,479.74	RVU20D
2020-07-01	$1,831.72	$1,479.74	RVU20C
2020-04-01	$1,831.72	$1,479.74	RVU20B
2020-01-01	$1,831.72	$1,479.74	RVU20A
2019-10-01	$1,945.97	$1,593.84	RVU19D
2019-07-01	$1,945.97	$1,593.84	RVU19C
2019-04-01	$1,945.97	$1,593.84	RVU19B
2019-01-01	$1,945.97	$1,593.84	RVU19A
2018-10-01	$1,993.50	$1,640.63	RVU18D
2018-07-01	$1,993.50	$1,640.63	RVU18C
2018-04-01	$1,993.50	$1,640.63	RVU18B
2018-01-01	$1,993.50	$1,640.63	RVU18AR1
2017-10-01	$2,009.11	$1,648.93	RVU17D
2017-07-01	$2,009.11	$1,648.93	RVU17C
2017-04-01	$2,009.11	$1,648.93	RVU17B
2017-01-01	$2,009.11	$1,648.93	RVU17A
2016-10-01	$2,008.58	$1,644.17	RVU16D
2016-07-01	$2,008.58	$1,644.17	RVU16C
2016-04-01	$2,008.58	$1,644.17	RVU16B
2016-01-01	$2,008.58	$1,644.17	RVU16A
2015-10-01	$2,010.35	$1,641.95	RVU15D
2015-07-01	$2,010.35	$1,641.95	RVU15C
2015-04-01	$2,000.34	$1,633.78	RVU15B
2015-01-01	$2,000.34	$1,633.78	RVU15A
2014-10-01	$1,972.96	$1,614.91	RVU14D
2014-07-01	$1,972.96	$1,614.91	RVU14C
2014-04-01	$1,972.96	$1,614.91	RVU14B
2014-01-01	$1,972.96	$1,614.91	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

Price 21080 for an earlier date of service

Where the New Hampshire rate applies

New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.

Alton
Amherst
Antrim
Ashland
Bartlett
Belmont
Bennington
Berlin

Browse all communities in New Hampshire

21080 billing questions

When should this code be chosen over 21079?

Use 21080 for the definitive obturator stage. Code 21079 describes an interim obturator used during the healing period.

How does 21080 differ from 21076?

21080 is for a definitive obturator; 21076 is for a surgical obturator used in the surgical stage.

What documentation supports reporting 21080?

Document the acquired maxillary or palatal defect, its clinical stage, and the impression and preparation work for the definitive appliance.

Can modifier 50 be used for bilateral obturator work?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the global period affect related care?

The 90-day major-surgery global includes the day-before preoperative visit and related postoperative care through day 90.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedure is paid at 50%.

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 21080PPRRVU2026_Oct_nonQPP.csv, line 1,864 (RVU26D)

1,86121076,,[CPT descriptor omitted],A,,13.07,12.80,,4.07,,1.67,27.54,18.81,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86221077,,[CPT descriptor omitted],A,,32.86,29.07,,9.15,,3.75,65.68,45.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86321079,,[CPT descriptor omitted],A,,21.75,21.26,,6.72,,2.55,45.56,31.02,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86421080,,[CPT descriptor omitted],A,,24.43,24.45,,7.48,,2.91,51.79,34.82,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86521081,,[CPT descriptor omitted],A,,22.28,22.71,,6.95,,2.68,47.67,31.91,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86621082,,[CPT descriptor omitted],A,,20.32,22.14,,7.02,,2.40,44.86,29.74,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86721083,,[CPT descriptor omitted],A,,18.79,21.33,,6.49,,2.14,42.26,27.42,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for New HampshireGPCI2026.csv, line 74 (RVU26D)

7103202,MT,01,MONTANA**,1.000,1.000,0.998

7205402,NE,00,NEBRASKA,1.000,0.923,0.378

7301312,NV,00,NEVADA**,1.000,1.001,0.833

7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875

7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068

7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097

7704212,NM,05,NEW MEXICO,1.000,0.917,1.201

Open CMS source How we calculate rates

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What 21080 covers

How New Hampshire compares for 21080

Every other payment area

21080 rates by state

How the 21080 rate is calculated

Payment rules and modifiers for 21080

What modifiers do to the payment

Codes related to 21080

How 21080 has changed in New Hampshire

Where the New Hampshire rate applies

21080 billing questions

When should this code be chosen over 21079?

How does 21080 differ from 21076?

What documentation supports reporting 21080?

Can modifier 50 be used for bilateral obturator work?

How does the global period affect related care?

What happens when another procedure is performed in the same session?

Where these rates come from

Did this answer your question about what 21080 pays in New Hampshire?

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