CPT code 21080: Obturator prosthesis, definitive obturator2026 Medicare rate & RVUs in Virgin Islands, VI

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 Virgin Islands, VI, Medicare pays $1,737.36 for 21080 in the office and $1,164.31 when it’s performed in a hospital or facility.

$1,737.36Office (non-facility)

$1,164.31Hospital or facility

+0.4%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 Virgin Islands, VI
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 Virgin Islands, VI 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. Virgin Islands, VI pays $1,737.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

21080 in Virgin Islands, VI vs other payment areas

Virgin Islands, VI · this page$1,737.36
Los Angeles, CA · California$1,880.08+$142.72
Washington, DC area · District of Columbia$1,930.24+$192.88
Miami, FL · Florida$1,911.93+$174.57
Chicago, IL · Illinois$1,865.50+$128.14
Manhattan, NY · New York$1,971.31+$233.95
Alaska · Alaska$2,147.27+$409.91

Other areas in United States Virgin Islands 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
New HampshireNew Hampshire	$1,751.17	$1,161.11
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
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 Virgin Islands, VI 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

107

Locality: Virgin Islands, VI
Physician work: 1.000
Practice expense: 1.011
Malpractice: 0.985

Office calculation for 21080 in Virgin Islands, VI
Component	RVU	Locality factor	Adjusted
Physician work	24.43	× 1.000	24.4300
Practice expense	24.45	× 1.011	24.7189
Malpractice	2.91	× 0.985	2.8664
Total RVUs			52.0153
Conversion factor			× 33.4009

Office rate, Virgin Islands, VI$1737.36

Office: (24.43 × 1 + 24.45 × 1.011 + 2.91 × 0.985) × $33.4009 = $1737.36

Facility: (24.43 × 1 + 7.48 × 1.011 + 2.91 × 0.985) × $33.4009 = $1164.31

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, Virgin Islands, VI
Same family
21076	Obturator prosthesis, surgical obturatorSurgical obturator prosthesis service for the surgical stage.	$923.73
21079	Obturator prosthesis, interim obturatorInterim obturator prosthesis service during healing.	$1,528.28
Used instead
21081	Mandibular prosthesis, impression and custom preparationMandibular resection prosthesis service for a lower-jaw defect instead of a maxillary defect.	$1,599.22

How 21080 has changed in Virgin Islands, VI

21080 · Office / nonfacility

$1737.36

Effective 2026-10-01

Compare with release effective

The base rate is $89.30 higher than on 2025-10-01, moving from $1648.06 to $1737.36 (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
$1648.06changed to$1737.36
- 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 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1657.11changed to$1648.06
- 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
$1630.06changed to$1657.11
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1684.14changed to$1630.06
- 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 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$1679.45changed to$1684.14
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$1708.29changed to$1679.45
- 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 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$1724.94changed to$1708.29
- 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
$1804.29changed to$1724.94
- 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
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1904.77changed to$1804.29
- 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 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1950.51changed to$1904.77
- 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
$1971.52changed to$1950.51
- 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 1.006 changed to 1.007
- Malpractice GPCI 0.993 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1936.23changed to$1971.52
- 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 0.960 changed to 1.006
- Malpractice GPCI 0.996 changed to 0.993
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1937.58changed to$1936.23
- 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
$1927.94changed to$1937.58
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1944.22changed to$1927.94
- 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 1.004 changed to 0.960
- Malpractice GPCI 1.003 changed to 0.996
Held through RVU15B.
January 1, 2014
RVU14A
$1911.00changed to$1944.22
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 27.79 changed to 26.01
- Malpractice RVU 3.23 changed to 3.09
- Practice expense GPCI 1.002 changed to 1.004
- Malpractice GPCI 1.010 changed to 1.003
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1911.00
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,737.36	$1,164.31	RVU26D
2026-07-01	$1,737.36	$1,164.31	RVU26C
2026-04-01	$1,737.36	$1,164.31	RVU26B
2026-01-01	$1,737.36	$1,164.31	RVU26A
2025-10-01	$1,648.06	$1,298.55	RVU25D
2025-07-01	$1,648.06	$1,298.55	RVU25C
2025-04-01	$1,648.06	$1,298.55	RVU25B
2025-01-01	$1,648.06	$1,298.55	RVU25A
2024-10-01	$1,657.11	$1,310.17	RVU24D
2024-07-01	$1,657.11	$1,310.17	RVU24C
2024-04-01	$1,657.11	$1,310.17	RVU24B
2024-03-09	$1,657.11	$1,310.17	RVU24AR
2024-01-01	$1,630.06	$1,288.79	RVU24A
2023-10-01	$1,684.14	$1,336.75	RVU23D
2023-07-01	$1,679.45	$1,334.82	RVU23C
2023-04-01	$1,679.45	$1,334.82	RVU23B
2023-01-01	$1,679.45	$1,334.82	RVU23A
2022-10-01	$1,708.29	$1,356.67	RVU22D
2022-07-01	$1,708.29	$1,356.67	RVU22C
2022-04-01	$1,708.29	$1,356.67	RVU22B
2022-01-01	$1,708.29	$1,356.67	RVU22A
2021-10-01	$1,724.94	$1,379.90	RVU21D
2021-07-01	$1,724.94	$1,379.90	RVU21C
2021-04-01	$1,724.94	$1,379.90	RVU21B
2021-01-01	$1,724.94	$1,379.90	RVU21A
2020-10-01	$1,804.29	$1,463.79	RVU20D
2020-07-01	$1,804.29	$1,463.79	RVU20C
2020-04-01	$1,804.29	$1,463.79	RVU20B
2020-01-01	$1,804.29	$1,463.79	RVU20A
2019-10-01	$1,904.77	$1,565.44	RVU19D
2019-07-01	$1,904.77	$1,565.44	RVU19C
2019-04-01	$1,904.77	$1,565.44	RVU19B
2019-01-01	$1,904.77	$1,565.44	RVU19A
2018-10-01	$1,950.51	$1,610.47	RVU18D
2018-07-01	$1,950.51	$1,610.47	RVU18C
2018-04-01	$1,950.51	$1,610.47	RVU18B
2018-01-01	$1,950.51	$1,610.47	RVU18AR1
2017-10-01	$1,971.52	$1,627.09	RVU17D
2017-07-01	$1,971.52	$1,627.09	RVU17C
2017-04-01	$1,971.52	$1,627.09	RVU17B
2017-01-01	$1,971.52	$1,627.09	RVU17A
2016-10-01	$1,936.23	$1,605.57	RVU16D
2016-07-01	$1,936.23	$1,605.57	RVU16C
2016-04-01	$1,936.23	$1,605.57	RVU16B
2016-01-01	$1,936.23	$1,605.57	RVU16A
2015-10-01	$1,937.58	$1,603.31	RVU15D
2015-07-01	$1,937.58	$1,603.31	RVU15C
2015-04-01	$1,927.94	$1,595.33	RVU15B
2015-01-01	$1,927.94	$1,595.33	RVU15A
2014-10-01	$1,944.22	$1,602.18	RVU14D
2014-07-01	$1,944.22	$1,602.18	RVU14C
2014-04-01	$1,944.22	$1,602.18	RVU14B
2014-01-01	$1,944.22	$1,602.18	RVU14A
2013-10-01	$1,911.00	$1,552.36	RVU13D
2013-07-01	$1,911.00	$1,552.36	RVU13C
2013-04-01	$1,911.00	$1,552.36	RVU13B
2013-01-01	$1,911.00	$1,552.36	RVU13AR

Price 21080 for an earlier date of service

Where the Virgin Islands, VI rate applies

Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.

Charlotte Amalie
Charlotte Amalie East
Charlotte Amalie West
Christiansted
Coral Bay
Cruz Bay
Frederiksted
Frederiksted Southeast

Browse all communities in United States Virgin Islands

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 Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

10403502,UT,09,UTAH,1.000,0.940,0.898

10514512,VT,50,VERMONT,1.000,0.990,0.506

10611302,VA,00,VIRGINIA,1.000,0.983,0.706

10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985

10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817

10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761

11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431

Open CMS source How we calculate rates

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What 21080 covers

How Virgin Islands, VI 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 Virgin Islands, VI

Where the Virgin Islands, VI 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 Virgin Islands, VI?

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