CPT code 21188: Midface reconstruction2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,414.84 for 21188 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21188 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 21188 covers

This major reconstructive operation addresses the bony framework of the midface, such as the maxillary and cheek-region structures. It may be performed for a congenital craniofacial deformity, significant facial trauma, or a defect after removal of diseased tissue. Craniofacial, oral and maxillofacial, and plastic surgeons commonly perform this work in an operating room. The operative report should identify the reconstructed anatomy and describe the surgical approach and any grafting or other reconstruction performed.

Report 21188 when the documented midface reconstruction matches this procedure rather than a separately defined LeFort reconstruction or a lower-jaw procedure. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be allowed; 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 21188

Across 109 of 109 payment localities, the facility rate for 21188 runs from $1,296.14 in Arkansas to $1,793.56 in Alaska. Delaware pays $1,414.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21188 rates by state

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

See 21188 in every payment locality

How the 21188 rate is calculated

Each of 21188’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 21188

21188 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 21188

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

How 21188 has changed in Delaware

Price 21188 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