CPT code 21600: Rib excision, partial rib removal2026 Medicare rate & RVUs in Oxnard, CA

A surgeon removes a portion of a rib for a localized chest-wall problem when the operation is not a first-rib or tumor-resection service.

CMS RVU26DEffective Oct 1, 2026One payment locality494 Medicare services in 2024

In Oxnard, CA, Medicare pays $603.37 for 21600 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$603.37Hospital or facility

Check a contract rate as a % of Medicare · 21600 nationwide

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

We’ll open 21600 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oxnard, CA
  2. What 21600 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 21600 covers

This service covers surgical removal of part of a rib, rather than an entire rib or a broader chest-wall tumor resection. It may be performed by a thoracic or other surgeon for a localized rib problem, with the operative report identifying the rib and the portion removed. The procedure is generally performed in an operating room; Medicare recorded facility services for this code in 2024.

Report 21600 when the procedure is a partial rib excision and the operative work supports that extent. A first or cervical rib operation, or an operation removing a chest-wall tumor with ribs, may fit a more specific code instead. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is 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 Oxnard, CA compares for 21600

Across 109 of 109 payment localities, the facility rate for 21600 runs from $501.79 in Arkansas to $689.44 in San Benito County, CA. Oxnard, CA pays $603.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

21600 in Oxnard, CA vs other payment areas
  1. Oxnard, CA · this page$603.37
  2. Bakersfield, CA · California$576.79−$26.58
  3. Chico, CA · California$572.22−$31.15
  4. El Centro, CA · California$572.50−$30.87
  5. Fresno, CA · California$572.22−$31.15
  6. Hanford, CA · California$572.22−$31.15
  7. Los Angeles, CA · California$609.02+$5.65

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

Every other payment area

21600 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia—$572.22
Merced, CACalifornia—$572.22
Modesto, CACalifornia—$572.22
Napa, CACalifornia—$642.63
Redding, CACalifornia—$572.22
Rest of CaliforniaCalifornia—$572.22
Riverside, CACalifornia—$590.24
Sacramento, CACalifornia—$595.15

21600 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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21600 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 21600 in every payment locality

How the 21600 rate is calculated

Each of 21600’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 · 21600

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.08

7.08 RVUs× 1.000 GPCI

Practice expense8.24

8.24 RVUs× 1.000 GPCI

Malpractice1.68

1.68 RVUs× 1.000 GPCI

Adjusted RVUs

17.0000

Conversion factor

$33.4009

Medicare rate

$567.82

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

The exact Oxnard, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

2,008

Code
21600
Physician work
7.08
Practice expense
8.24
Malpractice
1.68

GPCI2026.csv

18

Locality
Oxnard, CA
Physician work
1.028
Practice expense
1.182
Malpractice
0.623
Facility calculation for 21600 in Oxnard, CA
ComponentRVULocality factorAdjusted
Physician work7.08× 1.0287.2782
Practice expense8.24× 1.1829.7397
Malpractice1.68× 0.6231.0466
Total RVUs18.0646
Conversion factor× 33.4009

Facility rate, Oxnard, CA$603.37

Facility: (7.08 × 1.028 + 8.24 × 1.182 + 1.68 × 0.623) × $33.4009 = $603.37

Open 21600 in the RVU calculator

Payment rules and modifiers for 21600

21600 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 21600

Rib excision, partial rib removal

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 21600

Rib excision, partial rib removal

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

21600 without 51 · national facility

$567.82

Rib excision, partial rib removal

21600-51 · Second procedure: 50%

$283.91

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

How 21600 has changed in Oxnard, CA

21600 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$603.37RVU26D
2026-07-01Not available in this setting$603.37RVU26C
2026-04-01Not available in this setting$603.37RVU26B
2026-01-01Not available in this setting$603.37RVU26A
2025-10-01Not available in this setting$603.15RVU25D
2025-07-01Not available in this setting$603.15RVU25C
2025-04-01Not available in this setting$603.15RVU25B
2025-01-01Not available in this setting$603.15RVU25A
2024-10-01Not available in this setting$608.84RVU24D
2024-07-01Not available in this setting$608.84RVU24C
2024-04-01Not available in this setting$608.84RVU24B
2024-03-09Not available in this setting$608.84RVU24AR
2024-01-01Not available in this setting$598.90RVU24A
2023-10-01Not available in this setting$614.82RVU23D
2023-07-01Not available in this setting$614.82RVU23C
2023-04-01Not available in this setting$614.82RVU23B
2023-01-01Not available in this setting$614.82RVU23A
2022-10-01Not available in this setting$616.00RVU22D
2022-07-01Not available in this setting$616.00RVU22C
2022-04-01Not available in this setting$616.00RVU22B
2022-01-01Not available in this setting$616.00RVU22A
2021-10-01Not available in this setting$612.18RVU21D
2021-07-01Not available in this setting$612.18RVU21C
2021-04-01Not available in this setting$612.18RVU21B
2021-01-01Not available in this setting$612.18RVU21A
2020-10-01Not available in this setting$610.76RVU20D
2020-07-01Not available in this setting$610.76RVU20C
2020-04-01Not available in this setting$610.76RVU20B
2020-01-01Not available in this setting$610.76RVU20A
2019-10-01Not available in this setting$603.89RVU19D
2019-07-01Not available in this setting$603.89RVU19C
2019-04-01Not available in this setting$603.89RVU19B
2019-01-01Not available in this setting$603.89RVU19A
2018-10-01Not available in this setting$605.34RVU18D
2018-07-01Not available in this setting$605.34RVU18C
2018-04-01Not available in this setting$605.34RVU18B
2018-01-01Not available in this setting$605.34RVU18AR1
2017-10-01Not available in this setting$612.93RVU17D
2017-07-01Not available in this setting$612.93RVU17C
2017-04-01Not available in this setting$612.93RVU17B
2017-01-01Not available in this setting$612.93RVU17A
2016-10-01Not available in this setting$621.72RVU16D
2016-07-01Not available in this setting$621.72RVU16C
2016-04-01Not available in this setting$621.72RVU16B
2016-01-01Not available in this setting$621.72RVU16A
2015-10-01Not available in this setting$622.69RVU15D
2015-07-01Not available in this setting$622.69RVU15C
2015-04-01Not available in this setting$619.59RVU15B
2015-01-01Not available in this setting$619.59RVU15A
2014-10-01Not available in this setting$617.49RVU14D
2014-07-01Not available in this setting$617.49RVU14C
2014-04-01Not available in this setting$617.49RVU14B
2014-01-01Not available in this setting$617.49RVU14A
2013-10-01Not available in this setting$616.50RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 21600 for an earlier date of service

Where the Oxnard, CA rate applies

Oxnard, CA is a Medicare payment area, not a city. Our Census mapping connects it to 26 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Oxnard
  • Thousand Oaks
  • Bell Canyon
  • Camarillo
  • Casa Conejo
  • Channel Islands Beach
  • El Rio
  • Fillmore

Browse all communities in California

21600 billing questions

When should 21600 be selected instead of a chest-wall tumor code?

Use 21600 for partial rib removal when the operation is not a chest-wall tumor resection. When the procedure removes a chest-wall tumor with ribs, compare the operative work with 21601.

Can modifier 50 be used when portions of ribs on both sides are removed?

CMS identifies bilateral adjustment as inappropriate for 21600. Modifier 50 should not be used for this code.

What postoperative care is included?

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

How are other procedures in the same session paid?

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

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

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 21600PPRRVU2026_Oct_nonQPP.csv, line 2,008 (RVU26D)
Geographic factors for Oxnard, CAGPCI2026.csv, line 18 (RVU26D)

Open CMS sourceHow we calculate rates

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