CPT code 21089: Unlisted prosthesis, maxillofacial procedure2026 Medicare rate & RVUs in Vermont

CMS doesn’t publish a rate for 21089 in Vermont.

Check a contract rate as a % of Medicare · 21089 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 21089 covers

Code 21089 identifies an unlisted maxillofacial prosthetic procedure. It is used when the prosthetic work is not described by a more specific listed CPT service. Nearby listed services cover impression and preparation for a surgical obturator, mandibular resection prosthesis, oral surgical splint, nasal prosthesis, and facial prosthesis. Those listed codes apply when the service performed is the corresponding impression-and-preparation service; 21089 is not a general substitute for them. The code identifies neither a named prosthesis nor a fixed unit of service.

Medicare assigns 21089 physician fee schedule status C: CMS publishes no national payment amount, and the Medicare Administrative Contractor prices each claim. The contractor also sets the global period. Report the code for maxillofacial prosthetic work that lacks a more specific listed CPT code.

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 21089

Every other payment area

21089 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 21089 in every payment locality

How the 21089 rate is calculated

Each of 21089’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.

Payment rules and modifiers for 21089

The CMS indicators that decide how 21089 is paid alongside other services.

How 21089 has changed in Vermont

Price 21089 for an earlier date of service

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

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates