CPT code 21082: Palatal prosthesis, augmentation for tongue contact2026 Medicare rate & RVUs in Iowa

Reports custom preparation of a palatal augmentation prosthesis that reshapes the palate to improve tongue contact for speech or swallowing.

CMS RVU26DEffective Oct 1, 2026One payment locality206 Medicare services in 2024

In Iowa, Medicare pays $1,387.17 for 21082 in the office and $925.07 when it’s performed in a hospital or facility.

$1,387.17Office (non-facility)

$925.07Hospital or facility

−7.4%vs the national office rate ($1,498.36)

Check a contract rate as a % of Medicare · 21082 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 Iowa
What 21082 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 21082 covers

A palatal augmentation prosthesis changes the contour of the hard palate so the tongue can make more effective contact during speech or swallowing. It is commonly considered for patients with reduced tongue mobility or tissue loss, such as after glossectomy. A maxillofacial prosthodontist or another clinician experienced in oral prosthetic rehabilitation evaluates the oral anatomy, obtains an impression, and customizes the appliance to the patient’s functional needs. The service may involve fitting and adjustments to establish the intended palatal contour.

Report this code when the service is for a palatal augmentation prosthesis, rather than a device that lifts the soft palate or closes a surgical defect. Documentation should identify the functional problem, relevant oral anatomy, impression and customization work, and the prosthesis’s fit and purpose. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment is inappropriate. 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 Iowa compares for 21082

Across 109 of 109 payment localities, the office rate for 21082 runs from $1,355.22 in Arkansas to $1,862.68 in San Benito County, CA. Iowa pays $1,387.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

21082 in Iowa vs other payment areas

Iowa · this page$1,387.17
Los Angeles, CA · California$1,634.58+$247.41
Washington, DC area · District of Columbia$1,675.70+$288.53
Miami, FL · Florida$1,651.25+$264.08
Chicago, IL · Illinois$1,610.62+$223.45
Manhattan, NY · New York$1,708.57+$321.40
Alaska · Alaska$1,849.79+$462.62

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

Every other payment area

21082 in every other Medicare payment locality
Payment locality	Office	Facility
AlabamaAlabama	$1,371.14	$929.24
ArkansasArkansas	$1,355.22	$921.40
ArizonaArizona	$1,463.90	$974.53
Bakersfield, CACalifornia	$1,550.91	$997.40
Chico, CACalifornia	$1,543.70	$990.20
El Centro, CACalifornia	$1,544.10	$990.60
Fresno, CACalifornia	$1,543.70	$990.20
Hanford, CACalifornia	$1,543.70	$990.20
Madera, CACalifornia	$1,543.70	$990.20
Merced, CACalifornia	$1,543.70	$990.20
Modesto, CACalifornia	$1,543.70	$990.20
Napa, CACalifornia	$1,736.84	$1,071.22
Oxnard, CACalifornia	$1,621.74	$1,024.80
Redding, CACalifornia	$1,543.70	$990.20
Rest of CaliforniaCalifornia	$1,543.70	$990.20
Riverside, CACalifornia	$1,569.79	$1,016.29
Sacramento, CACalifornia	$1,606.14	$1,018.80
Salinas, CACalifornia	$1,599.79	$1,014.47
San Diego, CACalifornia	$1,626.95	$1,022.95
Marin County, CACalifornia	$1,822.67	$1,110.59
San Francisco, CACalifornia	$1,819.94	$1,107.86
San Benito County, CACalifornia	$1,862.68	$1,134.44
Santa Clara County, CACalifornia	$1,851.54	$1,123.30
San Luis Obispo, CACalifornia	$1,575.50	$1,000.28
Santa Cruz, CACalifornia	$1,634.41	$1,020.81
Santa Maria, CACalifornia	$1,602.93	$1,014.07
Santa Rosa, CACalifornia	$1,650.14	$1,029.97
Stockton, CACalifornia	$1,543.70	$990.20
Vallejo, CACalifornia	$1,732.91	$1,067.30
Visalia, CACalifornia	$1,543.70	$990.20
Yuba City, CACalifornia	$1,543.70	$990.20
ColoradoColorado	$1,536.28	$998.94
ConnecticutConnecticut	$1,585.71	$1,041.81
DelawareDelaware	$1,484.79	$985.83
Fort Lauderdale, FLFlorida	$1,572.75	$1,061.16
Rest of FloridaFlorida	$1,506.15	$1,023.35
Atlanta, GAGeorgia	$1,528.35	$1,015.24
Rest of GeorgiaGeorgia	$1,433.89	$983.41
Hawaii, Guam, HIHawaii	$1,565.93	$991.72
IdahoIdaho	$1,396.96	$932.34
East St. Louis, ILIllinois	$1,520.49	$1,055.87
Rest of IllinoisIllinois	$1,479.16	$1,018.07
Suburban Chicago, ILIllinois	$1,584.97	$1,066.31
IndianaIndiana	$1,403.18	$935.02
KansasKansas	$1,387.61	$931.07
KentuckyKentucky	$1,409.47	$960.50
New Orleans, LALouisiana	$1,465.64	$990.41
Rest of LouisianaLouisiana	$1,409.96	$963.01
Metropolitan Boston, MAMassachusetts	$1,660.84	$1,057.84
Rest of MassachusettsMassachusetts	$1,532.14	$1,000.36
Baltimore area, MDMaryland	$1,582.21	$1,040.32
Rest of MarylandMaryland	$1,507.45	$996.37
Rest of MaineMaine	$1,408.90	$944.28
Southern Maine, MEMaine	$1,462.13	$961.65
Detroit, MIMichigan	$1,527.47	$1,040.13
Rest of MichiganMichigan	$1,444.37	$983.28
MinnesotaMinnesota	$1,463.38	$943.71
Metropolitan Kansas City, MOMissouri	$1,451.41	$977.20
Metropolitan St. Louis, MOMissouri	$1,463.03	$982.25
Rest of MissouriMissouri	$1,394.23	$958.90
MississippiMississippi	$1,374.65	$939.83
MontanaMontana	$1,498.20	$993.18
North CarolinaNorth Carolina	$1,419.88	$948.69
North DakotaNorth Dakota	$1,450.75	$945.73
NebraskaNebraska	$1,391.56	$925.43
New HampshireNew Hampshire	$1,518.66	$992.94
Northern New JerseyNew Jersey	$1,664.89	$1,079.07
Rest of New JerseyNew Jersey	$1,601.32	$1,049.84
New MexicoNew Mexico	$1,453.10	$989.99
NevadaNevada	$1,485.72	$980.19
NYC suburbs and Long Island, NYNew York	$1,750.27	$1,149.79
Poughkeepsie and northern NYC suburbs, NYNew York	$1,615.99	$1,062.99
Queens, NYNew York	$1,711.82	$1,114.89
Rest of New YorkNew York	$1,437.58	$957.81
OhioOhio	$1,434.67	$973.58
OklahomaOklahoma	$1,401.36	$950.38
Portland, OROregon	$1,570.79	$1,009.71
Rest of OregonOregon	$1,471.60	$968.60
Metropolitan Philadelphia, PAPennsylvania	$1,556.37	$1,030.64
Rest of PennsylvaniaPennsylvania	$1,433.32	$969.71
Puerto RicoPuerto Rico	$1,505.30	$994.72
Rhode IslandRhode Island	$1,527.01	$1,005.32
South CarolinaSouth Carolina	$1,430.14	$963.50
South DakotaSouth Dakota	$1,445.14	$940.12
TennesseeTennessee	$1,393.96	$934.89
Austin, TXTexas	$1,533.47	$999.16
Beaumont, TXTexas	$1,426.12	$966.55
Brazoria, TXTexas	$1,479.50	$979.03
Dallas, TXTexas	$1,490.13	$987.13
Fort Worth, TXTexas	$1,483.78	$985.83
Galveston, TXTexas	$1,484.83	$983.34
Houston, TXTexas	$1,528.76	$1,027.27
Rest of TexasTexas	$1,452.87	$973.61
UtahUtah	$1,445.82	$971.10
VirginiaVirginia	$1,462.23	$965.79
Virgin Islands, VIUnited States Virgin Islands	$1,505.30	$994.72
VermontVermont	$1,451.37	$951.40
Rest of WashingtonWashington	$1,527.22	$995.43
King County, WAWashington	$1,685.50	$1,065.83
WisconsinWisconsin	$1,411.83	$928.02
West VirginiaWest Virginia	$1,436.04	$997.18
WyomingWyoming	$1,477.52	$972.50

21082 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.

$1,355.22

$1,849.79

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

View every state and territory as a table

21082 office rate range by state
State / territory	Office rate range	Localities
AK	$1,849.79	1
AL	$1,371.14	1
AR	$1,355.22	1
AZ	$1,463.90	1
CA	$1,543.70–$1,862.68	29
CO	$1,536.28	1
CT	$1,585.71	1
DC	$1,675.70	1
DE	$1,484.79	1
FL	$1,506.15–$1,651.25	3
GA	$1,433.89–$1,528.35	2
GU	$1,565.93	1
HI	$1,565.93	1
IA	$1,387.17	1
ID	$1,396.96	1
IL	$1,479.16–$1,610.62	4
IN	$1,403.18	1
KS	$1,387.61	1
KY	$1,409.47	1
LA	$1,409.96–$1,465.64	2
MA	$1,532.14–$1,660.84	2
MD	$1,507.45–$1,675.70	3
ME	$1,408.90–$1,462.13	2
MI	$1,444.37–$1,527.47	2
MN	$1,463.38	1
MO	$1,394.23–$1,463.03	3
MS	$1,374.65	1
MT	$1,498.20	1
NC	$1,419.88	1
ND	$1,450.75	1
NE	$1,391.56	1
NH	$1,518.66	1
NJ	$1,601.32–$1,664.89	2
NM	$1,453.10	1
NV	$1,485.72	1
NY	$1,437.58–$1,750.27	5
OH	$1,434.67	1
OK	$1,401.36	1
OR	$1,471.60–$1,570.79	2
PA	$1,433.32–$1,556.37	2
PR	$1,505.30	1
RI	$1,527.01	1
SC	$1,430.14	1
SD	$1,445.14	1
TN	$1,393.96	1
TX	$1,426.12–$1,533.47	8
UT	$1,445.82	1
VA	$1,462.23–$1,675.70	2
VI	$1,505.30	1
VT	$1,451.37	1
WA	$1,527.22–$1,685.50	2
WI	$1,411.83	1
WV	$1,436.04	1
WY	$1,477.52	1

See 21082 in every payment locality

How the 21082 rate is calculated

Each of 21082’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 · 21082

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work20.32

20.32 RVUs× 1.000 GPCI

Practice expense22.14

22.14 RVUs× 1.000 GPCI

Malpractice2.40

2.40 RVUs× 1.000 GPCI

Adjusted RVUs

44.8600

Conversion factor

$33.4009

Medicare rate

$1,498.36

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,866

Code: 21082
Physician work: 20.32
Practice expense: 22.14
Malpractice: 2.40

GPCI2026.csv

Locality: Iowa
Physician work: 1.000
Practice expense: 0.915
Malpractice: 0.397

Office calculation for 21082 in Iowa
Component	RVU	Locality factor	Adjusted
Physician work	20.32	× 1.000	20.3200
Practice expense	22.14	× 0.915	20.2581
Malpractice	2.40	× 0.397	0.9528
Total RVUs			41.5309
Conversion factor			× 33.4009

Office rate, Iowa$1387.17

Office: (20.32 × 1 + 22.14 × 0.915 + 2.4 × 0.397) × $33.4009 = $1387.17

Facility: (20.32 × 1 + 7.02 × 0.915 + 2.4 × 0.397) × $33.4009 = $925.07

Open 21082 in the RVU calculator

Payment rules and modifiers for 21082

21082 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21082

Palatal prosthesis, augmentation for tongue contact

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 · 21082

Palatal prosthesis, augmentation for tongue contact

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

21082 without 51 · national office

$1,498.36

Palatal prosthesis, augmentation for tongue contact

21082-51 · Second procedure: 50%

$749.18

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 21082

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

Codes related to 21082
Code	How it relates	Office range, Iowa
Same family
21083	Palatal lift prosthesis, impression and custom preparationPalatal prosthesis for elevating the soft palate rather than reshaping the hard palate for tongue contact.	$1,307.86
21084	Speech aid prosthesis, impression and custom preparationSpeech-aid prosthesis for a different oral or palatal functional need.	$1,492.67
21081	Mandibular prosthesis, impression and custom preparationCustom prosthesis associated with mandibular resection rather than palatal augmentation.	$1,473.77
21080	Obturator prosthesis, definitive obturatorDefinitive obturator prosthesis for a palatal defect, not a tongue-contact contour.	$1,601.81
21076	Obturator prosthesis, surgical obturatorSurgical obturator prosthesis used in connection with a surgical defect.	$849.89
21085	Oral splint, surgical useCustom oral surgical splint rather than a palatal augmentation appliance.	$656.13

How 21082 has changed in Iowa

21082 · Office / nonfacility

$1387.17

Effective 2026-10-01

Compare with release effective

The base rate is $56.53 higher than on 2025-10-01, moving from $1330.64 to $1387.17 (4.2%).

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
$1330.64changed to$1387.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 20.84 changed to 20.32
- Practice expense RVU 21.22 changed to 22.14
- Malpractice RVU 2.02 changed to 2.40
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1334.40changed to$1330.64
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 20.07 changed to 21.22
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1312.62changed to$1334.40
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1333.28changed to$1312.62
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 19.38 changed to 20.07
- Malpractice RVU 1.97 changed to 2.02
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$1337.72changed to$1333.28
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 18.78 changed to 19.38
- Malpractice RVU 1.84 changed to 1.97
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1351.55changed to$1337.72
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 18.89 changed to 18.78
- Malpractice RVU 1.79 changed to 1.84
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$1427.14changed to$1351.55
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 19.79 changed to 18.89
- Malpractice RVU 1.78 changed to 1.79
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1491.28changed to$1427.14
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 20.99 changed to 19.79
- Malpractice RVU 3.55 changed to 1.78
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
July 1, 2019
RVU19C
$1490.52changed to$1491.28
- Malpractice RVU 3.50 changed to 3.55
Held through RVU19D.
January 1, 2019
RVU19A
$1537.54changed to$1490.52
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 22.48 changed to 20.99
Held through RVU19B.
January 1, 2018
RVU18AR1
$1560.20changed to$1537.54
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 23.31 changed to 22.48
- Malpractice RVU 3.51 changed to 3.50
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1570.42changed to$1560.20
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 23.74 changed to 23.31
- Malpractice RVU 3.55 changed to 3.51
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1579.39changed to$1570.42
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 23.87 changed to 23.74
- Malpractice RVU 3.50 changed to 3.55
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$1571.53changed to$1579.39
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1559.71changed to$1571.53
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 24.09 changed to 23.87
- Malpractice RVU 2.55 changed to 3.50
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$1523.94changed to$1559.71
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 25.63 changed to 24.09
- Malpractice RVU 2.67 changed to 2.55
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $1523.94
Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,387.17	$925.07	RVU26D
2026-07-01	$1,387.17	$925.07	RVU26C
2026-04-01	$1,387.17	$925.07	RVU26B
2026-01-01	$1,387.17	$925.07	RVU26A
2025-10-01	$1,330.64	$1,035.31	RVU25D
2025-07-01	$1,330.64	$1,035.31	RVU25C
2025-04-01	$1,330.64	$1,035.31	RVU25B
2025-01-01	$1,330.64	$1,035.31	RVU25A
2024-10-01	$1,334.40	$1,041.73	RVU24D
2024-07-01	$1,334.40	$1,041.73	RVU24C
2024-04-01	$1,334.40	$1,041.73	RVU24B
2024-03-09	$1,334.40	$1,041.73	RVU24AR
2024-01-01	$1,312.62	$1,024.73	RVU24A
2023-10-01	$1,333.28	$1,048.96	RVU23D
2023-07-01	$1,333.28	$1,048.96	RVU23C
2023-04-01	$1,333.28	$1,048.96	RVU23B
2023-01-01	$1,333.28	$1,048.96	RVU23A
2022-10-01	$1,337.72	$1,056.80	RVU22D
2022-07-01	$1,337.72	$1,056.80	RVU22C
2022-04-01	$1,337.72	$1,056.80	RVU22B
2022-01-01	$1,337.72	$1,056.80	RVU22A
2021-10-01	$1,351.55	$1,076.21	RVU21D
2021-07-01	$1,351.55	$1,076.21	RVU21C
2021-04-01	$1,351.55	$1,076.21	RVU21B
2021-01-01	$1,351.55	$1,076.21	RVU21A
2020-10-01	$1,427.14	$1,153.16	RVU20D
2020-07-01	$1,427.14	$1,153.16	RVU20C
2020-04-01	$1,427.14	$1,153.16	RVU20B
2020-01-01	$1,427.14	$1,153.16	RVU20A
2019-10-01	$1,491.28	$1,215.40	RVU19D
2019-07-01	$1,491.28	$1,215.40	RVU19C
2019-04-01	$1,490.52	$1,214.64	RVU19B
2019-01-01	$1,490.52	$1,214.64	RVU19A
2018-10-01	$1,537.54	$1,258.04	RVU18D
2018-07-01	$1,537.54	$1,258.04	RVU18C
2018-04-01	$1,537.54	$1,258.04	RVU18B
2018-01-01	$1,537.54	$1,258.04	RVU18AR1
2017-10-01	$1,560.20	$1,274.03	RVU17D
2017-07-01	$1,560.20	$1,274.03	RVU17C
2017-04-01	$1,560.20	$1,274.03	RVU17B
2017-01-01	$1,560.20	$1,274.03	RVU17A
2016-10-01	$1,570.42	$1,286.51	RVU16D
2016-07-01	$1,570.42	$1,286.51	RVU16C
2016-04-01	$1,570.42	$1,286.51	RVU16B
2016-01-01	$1,570.42	$1,286.51	RVU16A
2015-10-01	$1,579.39	$1,293.48	RVU15D
2015-07-01	$1,579.39	$1,293.48	RVU15C
2015-04-01	$1,571.53	$1,287.05	RVU15B
2015-01-01	$1,571.53	$1,287.05	RVU15A
2014-10-01	$1,559.71	$1,278.51	RVU14D
2014-07-01	$1,559.71	$1,278.51	RVU14C
2014-04-01	$1,559.71	$1,278.51	RVU14B
2014-01-01	$1,559.71	$1,278.51	RVU14A
2013-10-01	$1,523.94	$1,232.11	RVU13D
2013-07-01	$1,523.94	$1,232.11	RVU13C
2013-04-01	$1,523.94	$1,232.11	RVU13B
2013-01-01	$1,523.94	$1,232.11	RVU13AR

Price 21082 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

Ackley
Ackworth
Adair
Adel
Afton
Agency
Ainsworth
Akron

Browse all communities in Iowa

21082 billing questions

How is this different from a palatal lift prosthesis?

Use 21082 for a prosthesis that reshapes the palate to improve tongue contact. A palatal lift, reported with 21083, elevates the soft palate to address inadequate closure between the oral and nasal cavities.

What should the record show?

Document the patient’s tongue-related functional limitation, relevant oral anatomy, the impression and custom contouring performed, and how the prosthesis fits and is intended to help.

Is adjustment of the prosthesis included in the global period?

The 90-day global period includes the day-before preoperative visit and related postoperative care. Related postoperative adjustments during that period are included in the global service.

Can this code be reported with another procedure on the same date?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The code’s bilateral adjustment is inappropriate.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is limited to cases with documented 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

Show the CMS file lines behind this rate

RVUs for 21082PPRRVU2026_Oct_nonQPP.csv, line 1,866 (RVU26D)

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

1,86821084,,[CPT descriptor omitted],A,,21.92,23.80,,7.22,,2.50,48.22,31.64,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,86921085,,[CPT descriptor omitted],A,,8.77,11.42,,3.03,,1.07,21.26,12.87,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772

5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563

5208102,IN,00,INDIANA,1.000,0.927,0.486

5305102,IA,00,IOWA,1.000,0.915,0.397

5405202,KS,00,KANSAS,1.000,0.904,0.504

5515102,KY,00,KENTUCKY,1.000,0.889,0.915

5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136

Open CMS source How we calculate rates

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What 21082 covers

How Iowa compares for 21082

Every other payment area

21082 rates by state

How the 21082 rate is calculated

Payment rules and modifiers for 21082

What modifiers do to the payment

Codes related to 21082

How 21082 has changed in Iowa

Where the Iowa rate applies

21082 billing questions

How is this different from a palatal lift prosthesis?

What should the record show?

Is adjustment of the prosthesis included in the global period?

Can this code be reported with another procedure on the same date?

Can an assistant or another surgeon be reported?

Where these rates come from

Did this answer your question about what 21082 pays in Iowa?

Put 21082 and the rest of your codes on one sheet