CPT code 21087: Nasal prosthesis, impression and custom preparation2026 Medicare rate & RVUs in Santa Clara County, CA

Captures the nasal defect and custom-prepares a nasal prosthesis, typically for a patient with acquired nasal loss or deformity after cancer, trauma, or surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality63 Medicare services in 2024

In Santa Clara County, CA, Medicare pays $1,981.20 for 21087 in the office and $1,259.22 when it’s performed in a hospital or facility.

$1,981.20Office (non-facility)

$1,259.22Hospital or facility

+21.7%vs the national office rate ($1,627.29)

Check a contract rate as a % of Medicare · 21087 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 Santa Clara County, CA
What 21087 covers
Compared with other areas
Rate map
How it’s calculated
Payment rules
Related codes
Rate history
Where it applies
Billing questions
Sources

What 21087 covers

This service covers taking an impression of the nasal area and custom-preparing a prosthesis to replace or restore the external nose. It is used for acquired defects, such as after tumor removal or trauma, when a patient needs a prosthetic rather than surgical reconstruction. A maxillofacial prosthodontist, oral and maxillofacial surgeon, or another clinician with relevant prosthetic expertise may perform the work in an office or facility setting.

Report the code for the nasal prosthetic service, not for surgical repair of the nose. Documentation should identify the defect and clinical need and support the impression and custom preparation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are reduced to 50%. Report the nasal service without modifier 50. 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 Santa Clara County, CA compares for 21087

Across 109 of 109 payment localities, the office rate for 21087 runs from $1,480.38 in Arkansas to $2,038.17 in Alaska. Santa Clara County, CA pays $1,981.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

21087 in Santa Clara County, CA vs other payment areas

Santa Clara County, CA · this page$1,981.20
Bakersfield, CA · California$1,676.22−$304.98
Chico, CA · California$1,667.87−$313.33
El Centro, CA · California$1,668.33−$312.87
Fresno, CA · California$1,667.87−$313.33
Hanford, CA · California$1,667.87−$313.33
Los Angeles, CA · California$1,762.18−$219.02

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

Every other payment area

21087 in every other Medicare payment locality
Payment locality	Office	Facility
Madera, CACalifornia	$1,667.87	$1,119.13
Merced, CACalifornia	$1,667.87	$1,119.13
Modesto, CACalifornia	$1,667.87	$1,119.13
Napa, CACalifornia	$1,863.47	$1,203.58
Oxnard, CACalifornia	$1,747.14	$1,155.34
Redding, CACalifornia	$1,667.87	$1,119.13
Rest of CaliforniaCalifornia	$1,667.87	$1,119.13
Riverside, CACalifornia	$1,697.91	$1,149.16
Sacramento, CACalifornia	$1,731.83	$1,149.54
Salinas, CACalifornia	$1,724.88	$1,144.59
San Diego, CACalifornia	$1,751.44	$1,152.63
Marin County, CACalifornia	$1,951.57	$1,245.61
San Francisco, CACalifornia	$1,948.43	$1,242.47
San Benito County, CACalifornia	$1,994.01	$1,272.03
San Luis Obispo, CACalifornia	$1,699.04	$1,128.77
Santa Cruz, CACalifornia	$1,757.37	$1,149.04
Santa Maria, CACalifornia	$1,727.52	$1,143.73
Santa Rosa, CACalifornia	$1,774.08	$1,159.25
Stockton, CACalifornia	$1,667.87	$1,119.13
Vallejo, CACalifornia	$1,858.95	$1,199.06
Visalia, CACalifornia	$1,667.87	$1,119.13
Yuba City, CACalifornia	$1,667.87	$1,119.13
Washington, DC areaDistrict of Columbia	$1,810.48	$1,220.68
Miami, FLFlorida	$1,797.96	$1,276.75
Chicago, ILIllinois	$1,755.97	$1,252.79
Manhattan, NYNew York	$1,850.59	$1,268.80
AlaskaAlaska	$2,038.17	$1,504.94
AlabamaAlabama	$1,496.68	$1,058.59
ArkansasArkansas	$1,480.38	$1,050.30
ArizonaArizona	$1,591.55	$1,106.39
ColoradoColorado	$1,663.21	$1,130.49
ConnecticutConnecticut	$1,718.67	$1,179.43
DelawareDelaware	$1,613.33	$1,118.66
Fort Lauderdale, FLFlorida	$1,711.20	$1,204.01
Rest of FloridaFlorida	$1,641.77	$1,163.12
Atlanta, GAGeorgia	$1,659.85	$1,151.16
Rest of GeorgiaGeorgia	$1,566.71	$1,120.11
Hawaii, Guam, HIHawaii	$1,687.78	$1,118.51
IowaIowa	$1,510.10	$1,051.97
IdahoIdaho	$1,520.73	$1,060.10
East St. Louis, ILIllinois	$1,662.78	$1,202.16
Rest of IllinoisIllinois	$1,616.14	$1,159.01
Suburban Chicago, ILIllinois	$1,723.70	$1,209.50
IndianaIndiana	$1,527.00	$1,062.87
KansasKansas	$1,511.99	$1,059.37
KentuckyKentucky	$1,539.00	$1,093.90
New Orleans, LALouisiana	$1,597.07	$1,125.93
Rest of LouisianaLouisiana	$1,540.07	$1,096.97
Metropolitan Boston, MAMassachusetts	$1,790.98	$1,193.17
Rest of MassachusettsMassachusetts	$1,659.96	$1,132.74
Baltimore area, MDMaryland	$1,715.02	$1,177.79
Rest of MarylandMaryland	$1,636.53	$1,129.85
Rest of MaineMaine	$1,534.46	$1,073.84
Southern Maine, MEMaine	$1,586.75	$1,090.58
Detroit, MIMichigan	$1,665.16	$1,182.01
Rest of MichiganMichigan	$1,576.13	$1,119.01
MinnesotaMinnesota	$1,583.41	$1,068.21
Metropolitan Kansas City, MOMissouri	$1,580.96	$1,110.82
Metropolitan St. Louis, MOMissouri	$1,592.69	$1,116.04
Rest of MissouriMissouri	$1,524.87	$1,093.29
MississippiMississippi	$1,502.48	$1,071.40
MontanaMontana	$1,627.11	$1,126.43
North CarolinaNorth Carolina	$1,545.45	$1,078.32
North DakotaNorth Dakota	$1,572.53	$1,071.85
NebraskaNebraska	$1,514.14	$1,052.02
New HampshireNew Hampshire	$1,645.49	$1,124.28
Northern New JerseyNew Jersey	$1,800.58	$1,219.79
Rest of New JerseyNew Jersey	$1,735.33	$1,188.59
New MexicoNew Mexico	$1,585.66	$1,126.54
NevadaNevada	$1,612.62	$1,111.44
NYC suburbs and Long Island, NYNew York	$1,895.14	$1,299.83
Poughkeepsie and northern NYC suburbs, NYNew York	$1,751.97	$1,203.73
Queens, NYNew York	$1,851.81	$1,260.01
Rest of New YorkNew York	$1,563.67	$1,088.03
OhioOhio	$1,564.97	$1,107.85
OklahomaOklahoma	$1,529.18	$1,082.07
Portland, OROregon	$1,697.11	$1,140.85
Rest of OregonOregon	$1,597.01	$1,098.34
Metropolitan Philadelphia, PAPennsylvania	$1,689.39	$1,168.18
Rest of PennsylvaniaPennsylvania	$1,562.79	$1,103.16
Puerto RicoPuerto Rico	$1,633.88	$1,127.69
Rhode IslandRhode Island	$1,656.65	$1,139.45
South CarolinaSouth Carolina	$1,558.38	$1,095.75
South DakotaSouth Dakota	$1,566.08	$1,065.40
TennesseeTennessee	$1,518.65	$1,063.54
Austin, TXTexas	$1,660.44	$1,130.72
Beaumont, TXTexas	$1,555.51	$1,099.90
Brazoria, TXTexas	$1,606.97	$1,110.80
Dallas, TXTexas	$1,618.59	$1,119.92
Fort Worth, TXTexas	$1,612.55	$1,118.88
Galveston, TXTexas	$1,612.84	$1,115.67
Houston, TXTexas	$1,663.36	$1,166.19
Rest of TexasTexas	$1,581.38	$1,106.24
UtahUtah	$1,574.40	$1,103.76
VirginiaVirginia	$1,587.87	$1,095.70
Virgin Islands, VIUnited States Virgin Islands	$1,633.88	$1,127.69
VermontVermont	$1,574.50	$1,078.83
Rest of WashingtonWashington	$1,654.21	$1,126.99
King County, WAWashington	$1,815.47	$1,201.13
WisconsinWisconsin	$1,533.06	$1,053.41
West VirginiaWest Virginia	$1,572.08	$1,136.99
WyomingWyoming	$1,603.32	$1,102.64

21087 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.

$1,480.38

$2,038.17

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

View every state and territory as a table

21087 office rate range by state
State / territory	Office rate range	Localities
AK	$2,038.17	1
AL	$1,496.68	1
AR	$1,480.38	1
AZ	$1,591.55	1
CA	$1,667.87–$1,994.01	29
CO	$1,663.21	1
CT	$1,718.67	1
DC	$1,810.48	1
DE	$1,613.33	1
FL	$1,641.77–$1,797.96	3
GA	$1,566.71–$1,659.85	2
GU	$1,687.78	1
HI	$1,687.78	1
IA	$1,510.10	1
ID	$1,520.73	1
IL	$1,616.14–$1,755.97	4
IN	$1,527.00	1
KS	$1,511.99	1
KY	$1,539.00	1
LA	$1,540.07–$1,597.07	2
MA	$1,659.96–$1,790.98	2
MD	$1,636.53–$1,810.48	3
ME	$1,534.46–$1,586.75	2
MI	$1,576.13–$1,665.16	2
MN	$1,583.41	1
MO	$1,524.87–$1,592.69	3
MS	$1,502.48	1
MT	$1,627.11	1
NC	$1,545.45	1
ND	$1,572.53	1
NE	$1,514.14	1
NH	$1,645.49	1
NJ	$1,735.33–$1,800.58	2
NM	$1,585.66	1
NV	$1,612.62	1
NY	$1,563.67–$1,895.14	5
OH	$1,564.97	1
OK	$1,529.18	1
OR	$1,597.01–$1,697.11	2
PA	$1,562.79–$1,689.39	2
PR	$1,633.88	1
RI	$1,656.65	1
SC	$1,558.38	1
SD	$1,566.08	1
TN	$1,518.65	1
TX	$1,555.51–$1,663.36	8
UT	$1,574.40	1
VA	$1,587.87–$1,810.48	2
VI	$1,633.88	1
VT	$1,574.50	1
WA	$1,654.21–$1,815.47	2
WI	$1,533.06	1
WV	$1,572.08	1
WY	$1,603.32	1

See 21087 in every payment locality

How the 21087 rate is calculated

Each of 21087’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 · 21087

RVUs × geographic indexes × conversion factor

Office or facility?

Your ZIP

Work24.26

24.26 RVUs× 1.000 GPCI

Practice expense21.70

21.70 RVUs× 1.000 GPCI

Malpractice2.76

2.76 RVUs× 1.000 GPCI

Adjusted RVUs

48.7200

Conversion factor

$33.4009

Medicare rate

$1,627.29

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

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,871

Code: 21087
Physician work: 24.26
Practice expense: 21.70
Malpractice: 2.76

GPCI2026.csv

Locality: Santa Clara County, CA
Physician work: 1.110
Practice expense: 1.442
Malpractice: 0.397

Office calculation for 21087 in Santa Clara County, CA
Component	RVU	Locality factor	Adjusted
Physician work	24.26	× 1.110	26.9286
Practice expense	21.70	× 1.442	31.2914
Malpractice	2.76	× 0.397	1.0957
Total RVUs			59.3157
Conversion factor			× 33.4009

Office rate, Santa Clara County, CA$1981.20

Office: (24.26 × 1.11 + 21.7 × 1.442 + 2.76 × 0.397) × $33.4009 = $1981.20

Facility: (24.26 × 1.11 + 6.71 × 1.442 + 2.76 × 0.397) × $33.4009 = $1259.22

Open 21087 in the RVU calculator

Payment rules and modifiers for 21087

21087 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21087

Nasal 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 · 21087

Nasal prosthesis, impression and custom preparation

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

21087 without 51 · national office

$1,627.29

Nasal prosthesis, impression and custom preparation

21087-51 · Second procedure: 50%

$813.65

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 21087

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

Codes related to 21087
Code	How it relates	Office range, Santa Clara County, CA
Same family
21086	Auricular prosthesis, impression and preparationCustom prosthesis service for the ear rather than the nose.	$1,981.20
21088	Facial prosthesis, impression and preparationCustom prosthesis service for a facial area other than the nose.	No office rate
21077	Orbital prosthesis, impression and custom preparationCustom prosthesis service for the orbit rather than the nose.	$2,668.14
Used instead
21089	Unlisted prosthesis, maxillofacial procedureUnlisted maxillofacial prosthetic service when no specific code describes the work.	No office rate

How 21087 has changed in Santa Clara County, CA

21087 · Office / nonfacility

$1981.20

Effective 2026-10-01

Compare with release effective

The base rate is $97.20 higher than on 2025-10-01, moving from $1884.00 to $1981.20 (5.2%).

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
$1884.00changed to$1981.20
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 24.88 changed to 24.26
- Practice expense RVU 20.82 changed to 21.70
- Malpractice RVU 2.38 changed to 2.76
- Work GPCI 1.100 changed to 1.110
- Practice expense GPCI 1.435 changed to 1.442
- Malpractice GPCI 0.420 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$1893.09changed to$1884.00
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 19.86 changed to 20.82
- Malpractice RVU 2.39 changed to 2.38
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$1862.19changed to$1893.09
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$1894.31changed to$1862.19
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 19.59 changed to 19.86
- Malpractice RVU 2.35 changed to 2.39
- Work GPCI 1.098 changed to 1.100
- Practice expense GPCI 1.409 changed to 1.435
- Malpractice GPCI 0.417 changed to 0.420
January 1, 2023
RVU23A
$1890.27changed to$1894.31
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 19.12 changed to 19.59
- Malpractice RVU 2.20 changed to 2.35
- Work GPCI 1.096 changed to 1.098
- Practice expense GPCI 1.383 changed to 1.409
- Malpractice GPCI 0.414 changed to 0.417
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$1921.96changed to$1890.27
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 19.47 changed to 19.12
- Malpractice RVU 2.14 changed to 2.20
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$2028.40changed to$1921.96
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 20.64 changed to 19.47
- Malpractice RVU 2.13 changed to 2.14
- Work GPCI 1.089 changed to 1.096
- Practice expense GPCI 1.369 changed to 1.383
- Malpractice GPCI 0.401 changed to 0.414
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$2103.27changed to$2028.40
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 21.99 changed to 20.64
- Malpractice RVU 4.23 changed to 2.13
- Work GPCI 1.083 changed to 1.089
- Practice expense GPCI 1.354 changed to 1.369
- Malpractice GPCI 0.388 changed to 0.401
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$2186.96changed to$2103.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 23.76 changed to 21.99
- Malpractice RVU 4.21 changed to 4.23
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$2217.28changed to$2186.96
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 24.49 changed to 23.76
- Malpractice RVU 4.17 changed to 4.21
- Work GPCI 1.086 changed to 1.083
- Practice expense GPCI 1.351 changed to 1.354
- Malpractice GPCI 0.402 changed to 0.388
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$2241.92changed to$2217.28
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 25.08 changed to 24.49
- Malpractice RVU 4.24 changed to 4.17
- Work GPCI 1.088 changed to 1.086
- Practice expense GPCI 1.347 changed to 1.351
- Malpractice GPCI 0.416 changed to 0.402
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$2255.74changed to$2241.92
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 25.22 changed to 25.08
- Malpractice RVU 4.17 changed to 4.24
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$2244.52changed to$2255.74
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$2243.18changed to$2244.52
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 25.52 changed to 25.22
- Malpractice RVU 3.06 changed to 4.17
- Work GPCI 1.083 changed to 1.088
- Practice expense GPCI 1.342 changed to 1.347
- Malpractice GPCI 0.466 changed to 0.416
Held through RVU15B.
January 1, 2014
RVU14A
$2172.85changed to$2243.18
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 26.49 changed to 25.52
- Malpractice RVU 3.20 changed to 3.06
- Work GPCI 1.077 changed to 1.083
- Practice expense GPCI 1.337 changed to 1.342
- Malpractice GPCI 0.516 changed to 0.466
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$2172.85
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.

Rates in every CMS release
Effective from	Office	Facility	CMS release
2026-10-01	$1,981.20	$1,259.22	RVU26D
2026-07-01	$1,981.20	$1,259.22	RVU26C
2026-04-01	$1,981.20	$1,259.22	RVU26B
2026-01-01	$1,981.20	$1,259.22	RVU26A
2025-10-01	$1,884.00	$1,462.53	RVU25D
2025-07-01	$1,884.00	$1,462.53	RVU25C
2025-04-01	$1,884.00	$1,462.53	RVU25B
2025-01-01	$1,884.00	$1,462.53	RVU25A
2024-10-01	$1,893.09	$1,466.53	RVU24D
2024-07-01	$1,893.09	$1,466.53	RVU24C
2024-04-01	$1,893.09	$1,466.53	RVU24B
2024-03-09	$1,893.09	$1,466.53	RVU24AR
2024-01-01	$1,862.19	$1,442.59	RVU24A
2023-10-01	$1,894.31	$1,476.52	RVU23D
2023-07-01	$1,894.31	$1,476.52	RVU23C
2023-04-01	$1,894.31	$1,476.52	RVU23B
2023-01-01	$1,894.31	$1,476.52	RVU23A
2022-10-01	$1,890.27	$1,479.63	RVU22D
2022-07-01	$1,890.27	$1,479.63	RVU22C
2022-04-01	$1,890.27	$1,479.63	RVU22B
2022-01-01	$1,890.27	$1,479.63	RVU22A
2021-10-01	$1,921.96	$1,512.26	RVU21D
2021-07-01	$1,921.96	$1,512.26	RVU21C
2021-04-01	$1,921.96	$1,512.26	RVU21B
2021-01-01	$1,921.96	$1,512.26	RVU21A
2020-10-01	$2,028.40	$1,621.79	RVU20D
2020-07-01	$2,028.40	$1,621.79	RVU20C
2020-04-01	$2,028.40	$1,621.79	RVU20B
2020-01-01	$2,028.40	$1,621.79	RVU20A
2019-10-01	$2,103.27	$1,696.79	RVU19D
2019-07-01	$2,103.27	$1,696.79	RVU19C
2019-04-01	$2,103.27	$1,696.79	RVU19B
2019-01-01	$2,103.27	$1,696.79	RVU19A
2018-10-01	$2,186.96	$1,755.58	RVU18D
2018-07-01	$2,186.96	$1,755.58	RVU18C
2018-04-01	$2,186.96	$1,755.58	RVU18B
2018-01-01	$2,186.96	$1,755.58	RVU18AR1
2017-10-01	$2,217.28	$1,795.45	RVU17D
2017-07-01	$2,217.28	$1,795.45	RVU17C
2017-04-01	$2,217.28	$1,795.45	RVU17B
2017-01-01	$2,217.28	$1,795.45	RVU17A
2016-10-01	$2,241.92	$1,818.48	RVU16D
2016-07-01	$2,241.92	$1,818.48	RVU16C
2016-04-01	$2,241.92	$1,818.48	RVU16B
2016-01-01	$2,241.92	$1,818.48	RVU16A
2015-10-01	$2,255.74	$1,828.83	RVU15D
2015-07-01	$2,255.74	$1,828.83	RVU15C
2015-04-01	$2,244.52	$1,819.73	RVU15B
2015-01-01	$2,244.52	$1,819.73	RVU15A
2014-10-01	$2,243.18	$1,823.01	RVU14D
2014-07-01	$2,243.18	$1,823.01	RVU14C
2014-04-01	$2,243.18	$1,823.01	RVU14B
2014-01-01	$2,243.18	$1,823.01	RVU14A
2013-10-01	$2,172.85	$1,719.78	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 21087 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

San Jose
Santa Clara
Sunnyvale
Alum Rock
Burbank
Cambrian Park
Campbell
Cupertino

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21087 billing questions

When is 21087 appropriate instead of a facial prosthesis code?

Use 21087 when the custom prosthesis is for the nose. A prosthesis replacing a broader facial area is represented by 21088.

Does this code describe surgical reconstruction of the nose?

No. It covers impression work and custom preparation of a nasal prosthesis, rather than operative repair or reconstruction.

What documentation supports reporting 21087?

Document the nasal defect, the reason a prosthesis is needed, and the impression and custom-preparation work performed.

Should modifier 50 be appended for a nasal prosthesis?

No. Report the nasal prosthetic service without modifier 50.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard multiple-procedure reduction.

What is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 21087PPRRVU2026_Oct_nonQPP.csv, line 1,871 (RVU26D)

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

1,87021086,,[CPT descriptor omitted],A,,24.26,21.70,,6.71,,2.76,48.72,33.73,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,87121087,,[CPT descriptor omitted],A,,24.26,21.70,,6.71,,2.76,48.72,33.73,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,87221088,,[CPT descriptor omitted],C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

1,87321089,,[CPT descriptor omitted],C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00

1,87421100,,[CPT descriptor omitted],A,,4.61,13.77,,4.83,,0.51,18.89,9.95,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00

Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459

2601112,CA,65,SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY),1.110,1.442,0.536

2701182,CA,73,SAN LUIS OBISPO-PASO ROBLES,1.017,1.139,0.536

2801112,CA,09,SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY),1.110,1.442,0.397

2901112,CA,66,SANTA CRUZ-WATSONVILLE,1.021,1.215,0.536

3001182,CA,74,SANTA MARIA-SANTA BARBARA,1.028,1.166,0.536

3101112,CA,67,SANTA ROSA-PETALUMA,1.030,1.228,0.536

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What 21087 covers

How Santa Clara County, CA compares for 21087

Every other payment area

21087 rates by state

How the 21087 rate is calculated

Payment rules and modifiers for 21087

What modifiers do to the payment

Codes related to 21087

How 21087 has changed in Santa Clara County, CA

Where the Santa Clara County, CA rate applies

21087 billing questions

When is 21087 appropriate instead of a facial prosthesis code?

Does this code describe surgical reconstruction of the nose?

What documentation supports reporting 21087?

Should modifier 50 be appended for a nasal prosthesis?

How are other procedures in the same session paid?

What is included in the global period?

Where these rates come from

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