CPT code 21175: Forehead reconstruction, bifrontal orbital rim advancement2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,909.23 for 21175 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21175 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 21175 covers

This major craniofacial operation reshapes and advances the frontal bone and supraorbital rims to reconstruct the lower forehead and brow region. It is commonly performed for craniosynostosis-related deformity by a craniofacial or plastic surgeon, often working with a neurosurgeon, in a hospital operating room. Bone grafting, when performed as part of the reconstruction, is included in the service.

Report the code when the operative work includes the bifrontal forehead and supraorbital rim reconstruction, rather than a more limited superolateral orbital rim procedure or forehead reconstruction alone. The operative report should identify the anatomy reconstructed, advancement performed, and any grafting. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others 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 Delaware compares for 21175

Across 109 of 109 payment localities, the facility rate for 21175 runs from $1,743.75 in Arkansas to $2,428.50 in Alaska. Delaware pays $1,909.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21175 rates by state

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

See 21175 in every payment locality

How the 21175 rate is calculated

Each of 21175’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 21175

21175 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 21175

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

How 21175 has changed in Delaware

Price 21175 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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