CPT code 21151: Midface reconstruction, leFort II with bone graft2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $1,542.45 for 21151 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21151 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 21151 covers

This operation reconstructs the central midface by repositioning the LeFort II segment and using bone graft to support the skeletal repair. Craniofacial and oral and maxillofacial surgeons may perform it for substantial midface hypoplasia, including deficiency associated with craniofacial syndromes. It is generally performed in an operating room, with the operative report identifying the osteotomy, graft use, and reconstructed anatomy.

Report 21151 when the documented reconstruction is a LeFort II procedure with bone graft; the surgical approach and grafting must support that selection rather than a different LeFort level or configuration. The code includes obtaining an autograft, so do not separately report the harvest as an independent service. The day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 New Mexico compares for 21151

Across 109 of 109 payment localities, the facility rate for 21151 runs from $1,420.50 in Arkansas to $1,994.94 in Alaska. New Mexico pays $1,542.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21151 rates by state

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

See 21151 in every payment locality

How the 21151 rate is calculated

Each of 21151’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 21151

21151 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 21151

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

How 21151 has changed in New Mexico

Price 21151 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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