CPT code 21081: Mandibular prosthesis, impression and custom preparation2026 Medicare rate & RVUs in Tennessee
Reports impression-taking and custom preparation of a prosthesis for a patient with a mandibular resection, rather than an obturator or other facial prosthesis.
In Tennessee, Medicare pays $1,481.75 for 21081 in the office and $1,003.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 21081 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 21081 covers
A maxillofacial prosthodontist or other qualified clinician uses this service to take an impression and custom-prepare a prosthesis for a patient with a surgically resected portion of the mandible. The work is associated with reconstruction or prosthetic management after jaw resection and may be performed in a hospital-based service or a clinical prosthetics setting. The clinical record should identify the mandibular defect and the prosthesis being prepared.
Select this code for the mandibular resection prosthesis, not an obturator for a palatal or maxillary defect. Document the resection site, impression work, and customization performed. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Tennessee compares for 21081
Across 109 of 109 payment localities, the office rate for 21081 runs from $1,441.85 in Arkansas to $1,973.42 in Alaska. Tennessee pays $1,481.75. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$1,481.75
- Los Angeles, CA · California$1,731.47+$249.72
- Washington, DC area · District of Columbia$1,777.54+$295.79
- Miami, FL · Florida$1,760.19+$278.44
- Chicago, IL · Illinois$1,717.14+$235.39
- Manhattan, NY · New York$1,815.19+$333.44
- Alaska · Alaska$1,973.42+$491.67
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $1,458.55 | $997.96 |
| ArkansasArkansas | $1,441.85 | $989.68 |
| ArizonaArizona | $1,555.82 | $1,045.74 |
| Bakersfield, CACalifornia | $1,644.18 | $1,067.25 |
| Chico, CACalifornia | $1,636.16 | $1,059.22 |
| El Centro, CACalifornia | $1,636.60 | $1,059.67 |
| Fresno, CACalifornia | $1,636.16 | $1,059.22 |
| Hanford, CACalifornia | $1,636.16 | $1,059.22 |
| Madera, CACalifornia | $1,636.16 | $1,059.22 |
| Merced, CACalifornia | $1,636.16 | $1,059.22 |
| Modesto, CACalifornia | $1,636.16 | $1,059.22 |
| Napa, CACalifornia | $1,836.28 | $1,142.48 |
| Oxnard, CACalifornia | $1,717.36 | $1,095.16 |
| Redding, CACalifornia | $1,636.16 | $1,059.22 |
| Rest of CaliforniaCalifornia | $1,636.16 | $1,059.22 |
| Riverside, CACalifornia | $1,665.28 | $1,088.34 |
| Sacramento, CACalifornia | $1,701.12 | $1,088.92 |
| Salinas, CACalifornia | $1,694.36 | $1,084.27 |
| San Diego, CACalifornia | $1,722.22 | $1,092.65 |
| Marin County, CACalifornia | $1,925.49 | $1,183.27 |
| San Francisco, CACalifornia | $1,922.45 | $1,180.22 |
| San Benito County, CACalifornia | $1,967.82 | $1,208.75 |
| Santa Clara County, CACalifornia | $1,955.37 | $1,196.31 |
| San Luis Obispo, CACalifornia | $1,668.77 | $1,069.21 |
| Santa Cruz, CACalifornia | $1,729.40 | $1,089.82 |
| Santa Maria, CACalifornia | $1,697.44 | $1,083.66 |
| Santa Rosa, CACalifornia | $1,745.96 | $1,099.54 |
| Stockton, CACalifornia | $1,636.16 | $1,059.22 |
| Vallejo, CACalifornia | $1,831.89 | $1,138.10 |
| Visalia, CACalifornia | $1,636.16 | $1,059.22 |
| Yuba City, CACalifornia | $1,636.16 | $1,059.22 |
| ColoradoColorado | $1,630.09 | $1,070.01 |
| ConnecticutConnecticut | $1,684.31 | $1,117.38 |
| DelawareDelaware | $1,577.80 | $1,057.72 |
| Fort Lauderdale, FLFlorida | $1,674.41 | $1,141.17 |
| Rest of FloridaFlorida | $1,603.87 | $1,100.63 |
| Atlanta, GAGeorgia | $1,624.58 | $1,089.76 |
| Rest of GeorgiaGeorgia | $1,527.49 | $1,057.94 |
| Hawaii, Guam, HIHawaii | $1,658.45 | $1,059.94 |
| IowaIowa | $1,473.77 | $992.11 |
| IdahoIdaho | $1,484.36 | $1,000.08 |
| East St. Louis, ILIllinois | $1,622.31 | $1,138.02 |
| Rest of IllinoisIllinois | $1,576.63 | $1,096.02 |
| Suburban Chicago, ILIllinois | $1,687.02 | $1,146.40 |
| IndianaIndiana | $1,490.84 | $1,002.87 |
| KansasKansas | $1,475.00 | $999.14 |
| KentuckyKentucky | $1,500.41 | $1,032.45 |
| New Orleans, LALouisiana | $1,559.64 | $1,064.30 |
| Rest of LouisianaLouisiana | $1,501.23 | $1,035.37 |
| Metropolitan Boston, MAMassachusetts | $1,760.04 | $1,131.52 |
| Rest of MassachusettsMassachusetts | $1,626.16 | $1,071.86 |
| Baltimore area, MDMaryland | $1,680.72 | $1,115.89 |
| Rest of MarylandMaryland | $1,601.42 | $1,068.71 |
| Rest of MaineMaine | $1,497.70 | $1,013.42 |
| Southern Maine, MEMaine | $1,552.36 | $1,030.70 |
| Detroit, MIMichigan | $1,627.08 | $1,119.10 |
| Rest of MichiganMichigan | $1,537.78 | $1,057.17 |
| MinnesotaMinnesota | $1,551.20 | $1,009.54 |
| Metropolitan Kansas City, MOMissouri | $1,543.89 | $1,049.60 |
| Metropolitan St. Louis, MOMissouri | $1,555.99 | $1,054.86 |
| Rest of MissouriMissouri | $1,485.22 | $1,031.46 |
| MississippiMississippi | $1,463.42 | $1,010.19 |
| MontanaMontana | $1,592.04 | $1,065.64 |
| North CarolinaNorth Carolina | $1,509.08 | $1,017.95 |
| North DakotaNorth Dakota | $1,539.05 | $1,012.65 |
| NebraskaNebraska | $1,478.14 | $992.27 |
| New HampshireNew Hampshire | $1,612.13 | $1,064.15 |
| Northern New JerseyNew Jersey | $1,766.56 | $1,155.93 |
| Rest of New JerseyNew Jersey | $1,700.46 | $1,125.63 |
| New MexicoNew Mexico | $1,547.25 | $1,064.55 |
| NevadaNevada | $1,578.03 | $1,051.11 |
| NYC suburbs and Long Island, NYNew York | $1,859.92 | $1,234.04 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $1,716.57 | $1,140.16 |
| Queens, NYNew York | $1,817.47 | $1,195.26 |
| Rest of New YorkNew York | $1,527.71 | $1,027.63 |
| OhioOhio | $1,526.94 | $1,046.34 |
| OklahomaOklahoma | $1,491.10 | $1,021.02 |
| Portland, OROregon | $1,665.41 | $1,080.58 |
| Rest of OregonOregon | $1,562.60 | $1,038.31 |
| Metropolitan Philadelphia, PAPennsylvania | $1,653.99 | $1,106.01 |
| Rest of PennsylvaniaPennsylvania | $1,525.10 | $1,041.86 |
| Puerto RicoPuerto Rico | $1,599.22 | $1,067.03 |
| Rhode IslandRhode Island | $1,621.72 | $1,077.95 |
| South CarolinaSouth Carolina | $1,521.15 | $1,034.75 |
| South DakotaSouth Dakota | $1,532.78 | $1,006.39 |
| Austin, TXTexas | $1,627.50 | $1,070.57 |
| Beaumont, TXTexas | $1,517.60 | $1,038.57 |
| Brazoria, TXTexas | $1,571.65 | $1,049.99 |
| Dallas, TXTexas | $1,583.17 | $1,058.88 |
| Fort Worth, TXTexas | $1,576.75 | $1,057.72 |
| Galveston, TXTexas | $1,577.47 | $1,054.75 |
| Houston, TXTexas | $1,626.52 | $1,103.81 |
| Rest of TexasTexas | $1,544.85 | $1,045.30 |
| UtahUtah | $1,537.58 | $1,042.76 |
| VirginiaVirginia | $1,553.01 | $1,035.56 |
| Virgin Islands, VIUnited States Virgin Islands | $1,599.22 | $1,067.03 |
| VermontVermont | $1,540.42 | $1,019.28 |
| Rest of WashingtonWashington | $1,620.70 | $1,066.41 |
| King County, WAWashington | $1,785.24 | $1,139.35 |
| WisconsinWisconsin | $1,498.42 | $994.13 |
| West VirginiaWest Virginia | $1,531.43 | $1,073.99 |
| WyomingWyoming | $1,568.95 | $1,042.55 |
21081 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.
$1,441.85
$1,973.42
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 | $1,973.42 | 1 |
| AL | $1,458.55 | 1 |
| AR | $1,441.85 | 1 |
| AZ | $1,555.82 | 1 |
| CA | $1,636.16–$1,967.82 | 29 |
| CO | $1,630.09 | 1 |
| CT | $1,684.31 | 1 |
| DC | $1,777.54 | 1 |
| DE | $1,577.80 | 1 |
| FL | $1,603.87–$1,760.19 | 3 |
| GA | $1,527.49–$1,624.58 | 2 |
| GU | $1,658.45 | 1 |
| HI | $1,658.45 | 1 |
| IA | $1,473.77 | 1 |
| ID | $1,484.36 | 1 |
| IL | $1,576.63–$1,717.14 | 4 |
| IN | $1,490.84 | 1 |
| KS | $1,475.00 | 1 |
| KY | $1,500.41 | 1 |
| LA | $1,501.23–$1,559.64 | 2 |
| MA | $1,626.16–$1,760.04 | 2 |
| MD | $1,601.42–$1,777.54 | 3 |
| ME | $1,497.70–$1,552.36 | 2 |
| MI | $1,537.78–$1,627.08 | 2 |
| MN | $1,551.20 | 1 |
| MO | $1,485.22–$1,555.99 | 3 |
| MS | $1,463.42 | 1 |
| MT | $1,592.04 | 1 |
| NC | $1,509.08 | 1 |
| ND | $1,539.05 | 1 |
| NE | $1,478.14 | 1 |
| NH | $1,612.13 | 1 |
| NJ | $1,700.46–$1,766.56 | 2 |
| NM | $1,547.25 | 1 |
| NV | $1,578.03 | 1 |
| NY | $1,527.71–$1,859.92 | 5 |
| OH | $1,526.94 | 1 |
| OK | $1,491.10 | 1 |
| OR | $1,562.60–$1,665.41 | 2 |
| PA | $1,525.10–$1,653.99 | 2 |
| PR | $1,599.22 | 1 |
| RI | $1,621.72 | 1 |
| SC | $1,521.15 | 1 |
| SD | $1,532.78 | 1 |
| TN | $1,481.75 | 1 |
| TX | $1,517.60–$1,627.50 | 8 |
| UT | $1,537.58 | 1 |
| VA | $1,553.01–$1,777.54 | 2 |
| VI | $1,599.22 | 1 |
| VT | $1,540.42 | 1 |
| WA | $1,620.70–$1,785.24 | 2 |
| WI | $1,498.42 | 1 |
| WV | $1,531.43 | 1 |
| WY | $1,568.95 | 1 |
How the 21081 rate is calculated
Each of 21081’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 · 21081
RVUs × geographic indexes × conversion factor
Work22.28
22.28 RVUs× 1.000 GPCI
Practice expense22.71
22.71 RVUs× 1.000 GPCI
Malpractice2.68
2.68 RVUs× 1.000 GPCI
Adjusted RVUs
47.6700
Conversion factor
$33.4009
Medicare rate
$1,592.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Tennessee inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,865
- Code
- 21081
- Physician work
- 22.28
- Practice expense
- 22.71
- Malpractice
- 2.68
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.28 | × 1.000 | 22.2800 |
| Practice expense | 22.71 | × 0.909 | 20.6434 |
| Malpractice | 2.68 | × 0.537 | 1.4392 |
| Total RVUs | 44.3625 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$1481.75
Office: (22.28 × 1 + 22.71 × 0.909 + 2.68 × 0.537) × $33.4009 = $1481.75
Facility: (22.28 × 1 + 6.95 × 0.909 + 2.68 × 0.537) × $33.4009 = $1003.25
Payment rules and modifiers for 21081
21081 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21081
Mandibular prosthesis, impression and custom preparation
| 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) | 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) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 21081
Mandibular prosthesis, impression and custom preparation
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
21081 without 51 · national office
$1,592.22
Mandibular prosthesis, impression and custom preparation
21081-51 · Second procedure: 50%
$796.11
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 21081 has changed in Tennessee
21081 · Office / nonfacility
$1481.75
Effective 2026-10-01
The base rate is $73.02 higher than on 2025-10-01, moving from $1408.73 to $1481.75 (5.2%).
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
$1408.73changed to$1481.75
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 22.85 changed to 22.28
- Practice expense RVU 21.75 changed to 22.71
- Malpractice RVU 2.23 changed to 2.68
- Practice expense GPCI 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1423.64changed to$1408.73
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 20.87 changed to 21.75
- Malpractice RVU 2.24 changed to 2.23
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1400.41changed to$1423.64
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1438.74changed to$1400.41
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 20.68 changed to 20.87
- Malpractice RVU 2.16 changed to 2.24
- Practice expense GPCI 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$1451.40changed to$1438.74
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 20.26 changed to 20.68
- Malpractice RVU 2.07 changed to 2.16
- Practice expense GPCI 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1470.63changed to$1451.40
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 20.53 changed to 20.26
- Malpractice RVU 2.00 changed to 2.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1539.54changed to$1470.63
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 20.96 changed to 20.53
- Malpractice RVU 1.98 changed to 2.00
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1605.19changed to$1539.54
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 21.82 changed to 20.96
- Malpractice RVU 3.86 changed to 1.98
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$1641.84changed to$1605.19
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 23.01 changed to 21.82
- Malpractice RVU 3.85 changed to 3.86
Held through RVU19B, RVU19C, RVU19D.
April 1, 2018
RVU18B
No ratechanged to$1641.84
Held through RVU18C, RVU18D.
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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,481.75 | $1,003.25 | RVU26D |
| 2026-07-01 | $1,481.75 | $1,003.25 | RVU26C |
| 2026-04-01 | $1,481.75 | $1,003.25 | RVU26B |
| 2026-01-01 | $1,481.75 | $1,003.25 | RVU26A |
| 2025-10-01 | $1,408.73 | $1,116.87 | RVU25D |
| 2025-07-01 | $1,408.73 | $1,116.87 | RVU25C |
| 2025-04-01 | $1,408.73 | $1,116.87 | RVU25B |
| 2025-01-01 | $1,408.73 | $1,116.87 | RVU25A |
| 2024-10-01 | $1,423.64 | $1,129.56 | RVU24D |
| 2024-07-01 | $1,423.64 | $1,129.56 | RVU24C |
| 2024-04-01 | $1,423.64 | $1,129.56 | RVU24B |
| 2024-03-09 | $1,423.64 | $1,129.56 | RVU24AR |
| 2024-01-01 | $1,400.41 | $1,111.13 | RVU24A |
| 2023-10-01 | $1,438.74 | $1,146.70 | RVU23D |
| 2023-07-01 | $1,438.74 | $1,146.70 | RVU23C |
| 2023-04-01 | $1,438.74 | $1,146.70 | RVU23B |
| 2023-01-01 | $1,438.74 | $1,146.70 | RVU23A |
| 2022-10-01 | $1,451.40 | $1,159.69 | RVU22D |
| 2022-07-01 | $1,451.40 | $1,159.69 | RVU22C |
| 2022-04-01 | $1,451.40 | $1,159.69 | RVU22B |
| 2022-01-01 | $1,451.40 | $1,159.69 | RVU22A |
| 2021-10-01 | $1,470.63 | $1,182.11 | RVU21D |
| 2021-07-01 | $1,470.63 | $1,182.11 | RVU21C |
| 2021-04-01 | $1,470.63 | $1,182.11 | RVU21B |
| 2021-01-01 | $1,470.63 | $1,182.11 | RVU21A |
| 2020-10-01 | $1,539.54 | $1,255.31 | RVU20D |
| 2020-07-01 | $1,539.54 | $1,255.31 | RVU20C |
| 2020-04-01 | $1,539.54 | $1,255.31 | RVU20B |
| 2020-01-01 | $1,539.54 | $1,255.31 | RVU20A |
| 2019-10-01 | $1,605.19 | $1,321.71 | RVU19D |
| 2019-07-01 | $1,605.19 | $1,321.71 | RVU19C |
| 2019-04-01 | $1,605.19 | $1,321.71 | RVU19B |
| 2019-01-01 | $1,605.19 | $1,321.71 | RVU19A |
| 2018-10-01 | $1,641.84 | $1,357.05 | RVU18D |
| 2018-07-01 | $1,641.84 | $1,357.05 | RVU18C |
| 2018-04-01 | $1,641.84 | $1,357.05 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | 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 Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
21081 billing questions
When should I choose 21081 instead of an obturator code?
Use 21081 for impression and custom preparation of a prosthesis for a mandibular resection. Obturator codes describe prostheses for defects requiring an obturator, not a mandibular resection prosthesis.
What documentation supports 21081?
Document the mandibular resection defect, the planned mandibular prosthesis, and the impression and custom preparation performed.
Does 21081 have a global period?
Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
Can I append modifier 50?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor and anatomy.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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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