CPT code 21082: Palatal prosthesis, augmentation for tongue contact2026 Medicare rate & RVUs in Vermont
Reports custom preparation of a palatal augmentation prosthesis that reshapes the palate to improve tongue contact for speech or swallowing.
In Vermont, Medicare pays $1,451.37 for 21082 in the office and $951.40 when it’s performed in a hospital or facility.
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
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 Vermont 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. Vermont pays $1,451.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$1,451.37
- Los Angeles, CA · California$1,634.58+$183.21
- Washington, DC area · District of Columbia$1,675.70+$224.33
- Miami, FL · Florida$1,651.25+$199.88
- Chicago, IL · Illinois$1,610.62+$159.25
- Manhattan, NY · New York$1,708.57+$257.20
- Alaska · Alaska$1,849.79+$398.42
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| 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 |
| IowaIowa | $1,387.17 | $925.07 |
| 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 |
| 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.
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
| 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 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.32 | × 1.000 | 20.3200 |
| Practice expense | 22.14 | × 0.990 | 21.9186 |
| Malpractice | 2.40 | × 0.506 | 1.2144 |
| Total RVUs | 43.4530 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$1451.37
Office: (20.32 × 1 + 22.14 × 0.99 + 2.4 × 0.506) × $33.4009 = $1451.37
Facility: (20.32 × 1 + 7.02 × 0.99 + 2.4 × 0.506) × $33.4009 = $951.40
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
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
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%).
How 21082 has changed in Vermont
21082 · Office / nonfacility
$1451.37
Effective 2026-10-01
The base rate is $61.83 higher than on 2025-10-01, moving from $1389.54 to $1451.37 (4.4%).
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
$1389.54changed to$1451.37
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1391.95changed to$1389.54
- 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
$1369.23changed to$1391.95
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1397.22changed to$1369.23
- 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 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$1407.98changed to$1397.22
- 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 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1422.50changed to$1407.98
- 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
$1509.42changed to$1422.50
- 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
- Practice expense GPCI 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$1594.99changed to$1509.42
- 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
- Practice expense GPCI 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
July 1, 2019
RVU19C
$1593.91changed to$1594.99
- Malpractice RVU 3.50 changed to 3.55
Held through RVU19D.
January 1, 2019
RVU19A
$1646.61changed to$1593.91
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 22.48 changed to 20.99
Held through RVU19B.
January 1, 2018
RVU18AR1
$1673.35changed to$1646.61
- 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 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$1686.24changed to$1673.35
- 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 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$1695.79changed to$1686.24
- 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
$1687.35changed to$1695.79
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$1671.15changed to$1687.35
- 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 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$1671.15
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $1,451.37 | $951.40 | RVU26D |
| 2026-07-01 | $1,451.37 | $951.40 | RVU26C |
| 2026-04-01 | $1,451.37 | $951.40 | RVU26B |
| 2026-01-01 | $1,451.37 | $951.40 | RVU26A |
| 2025-10-01 | $1,389.54 | $1,068.33 | RVU25D |
| 2025-07-01 | $1,389.54 | $1,068.33 | RVU25C |
| 2025-04-01 | $1,389.54 | $1,068.33 | RVU25B |
| 2025-01-01 | $1,389.54 | $1,068.33 | RVU25A |
| 2024-10-01 | $1,391.95 | $1,073.63 | RVU24D |
| 2024-07-01 | $1,391.95 | $1,073.63 | RVU24C |
| 2024-04-01 | $1,391.95 | $1,073.63 | RVU24B |
| 2024-03-09 | $1,391.95 | $1,073.63 | RVU24AR |
| 2024-01-01 | $1,369.23 | $1,056.11 | RVU24A |
| 2023-10-01 | $1,397.22 | $1,085.72 | RVU23D |
| 2023-07-01 | $1,397.22 | $1,085.72 | RVU23C |
| 2023-04-01 | $1,397.22 | $1,085.72 | RVU23B |
| 2023-01-01 | $1,397.22 | $1,085.72 | RVU23A |
| 2022-10-01 | $1,407.98 | $1,097.94 | RVU22D |
| 2022-07-01 | $1,407.98 | $1,097.94 | RVU22C |
| 2022-04-01 | $1,407.98 | $1,097.94 | RVU22B |
| 2022-01-01 | $1,407.98 | $1,097.94 | RVU22A |
| 2021-10-01 | $1,422.50 | $1,118.63 | RVU21D |
| 2021-07-01 | $1,422.50 | $1,118.63 | RVU21C |
| 2021-04-01 | $1,422.50 | $1,118.63 | RVU21B |
| 2021-01-01 | $1,422.50 | $1,118.63 | RVU21A |
| 2020-10-01 | $1,509.42 | $1,204.94 | RVU20D |
| 2020-07-01 | $1,509.42 | $1,204.94 | RVU20C |
| 2020-04-01 | $1,509.42 | $1,204.94 | RVU20B |
| 2020-01-01 | $1,509.42 | $1,204.94 | RVU20A |
| 2019-10-01 | $1,594.99 | $1,286.25 | RVU19D |
| 2019-07-01 | $1,594.99 | $1,286.25 | RVU19C |
| 2019-04-01 | $1,593.91 | $1,285.18 | RVU19B |
| 2019-01-01 | $1,593.91 | $1,285.18 | RVU19A |
| 2018-10-01 | $1,646.61 | $1,333.83 | RVU18D |
| 2018-07-01 | $1,646.61 | $1,333.83 | RVU18C |
| 2018-04-01 | $1,646.61 | $1,333.83 | RVU18B |
| 2018-01-01 | $1,646.61 | $1,333.83 | RVU18AR1 |
| 2017-10-01 | $1,673.35 | $1,352.92 | RVU17D |
| 2017-07-01 | $1,673.35 | $1,352.92 | RVU17C |
| 2017-04-01 | $1,673.35 | $1,352.92 | RVU17B |
| 2017-01-01 | $1,673.35 | $1,352.92 | RVU17A |
| 2016-10-01 | $1,686.24 | $1,368.11 | RVU16D |
| 2016-07-01 | $1,686.24 | $1,368.11 | RVU16C |
| 2016-04-01 | $1,686.24 | $1,368.11 | RVU16B |
| 2016-01-01 | $1,686.24 | $1,368.11 | RVU16A |
| 2015-10-01 | $1,695.79 | $1,375.43 | RVU15D |
| 2015-07-01 | $1,695.79 | $1,375.43 | RVU15C |
| 2015-04-01 | $1,687.35 | $1,368.58 | RVU15B |
| 2015-01-01 | $1,687.35 | $1,368.58 | RVU15A |
| 2014-10-01 | $1,671.15 | $1,354.02 | RVU14D |
| 2014-07-01 | $1,671.15 | $1,354.02 | RVU14C |
| 2014-04-01 | $1,671.15 | $1,354.02 | RVU14B |
| 2014-01-01 | $1,671.15 | $1,354.02 | 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 Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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