CPT code 21705: Neck muscle surgery, muscle resection2026 Medicare rate & RVUs in New Mexico
Reports resection of sternocleidomastoid muscle, typically to address congenital muscular torticollis when muscle excision is performed.
In New Mexico, Medicare pays $503.64 for 21705 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 21705 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 21705 covers
This open operation removes sternocleidomastoid muscle tissue to release persistent restriction, most commonly in a patient with congenital muscular torticollis. The surgeon works through the neck to resect the involved muscle; the operative report should identify the muscle treated and describe the excision. The service is generally performed in an operating room rather than an office setting.
Select this code when the documented procedure is muscle resection, not simply division or release, and distinguish it from repair or reconstruction of a congenital muscle abnormality. The operative note should support the indication, side, extent of resection, and work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For bilateral reporting with modifier 50, payment is at 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. 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 21705
Across 109 of 109 payment localities, the facility rate for 21705 runs from $433.29 in Wisconsin to $624.62 in Miami, FL. New Mexico pays $503.64. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$503.64
- Los Angeles, CA · California$495.94−$7.70
- Washington, DC area · District of Columbia$536.89+$33.25
- Miami, FL · Florida$624.62+$120.98
- Chicago, IL · Illinois$604.31+$100.67
- Manhattan, NY · New York$577.88+$74.24
- Alaska · Alaska$624.39+$120.75
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $447.32 |
| ArkansasArkansas | — | $441.68 |
| ArizonaArizona | — | $479.66 |
| Bakersfield, CACalifornia | — | $476.58 |
| Chico, CACalifornia | — | $469.89 |
| El Centro, CACalifornia | — | $470.30 |
| Fresno, CACalifornia | — | $469.89 |
| Hanford, CACalifornia | — | $469.89 |
| Madera, CACalifornia | — | $469.89 |
| Merced, CACalifornia | — | $469.89 |
| Modesto, CACalifornia | — | $469.89 |
| Napa, CACalifornia | — | $502.07 |
| Oxnard, CACalifornia | — | $488.26 |
| Redding, CACalifornia | — | $469.89 |
| Rest of CaliforniaCalifornia | — | $469.89 |
| Riverside, CACalifornia | — | $496.47 |
| Sacramento, CACalifornia | — | $481.95 |
| Salinas, CACalifornia | — | $479.98 |
| San Diego, CACalifornia | — | $483.43 |
| Marin County, CACalifornia | — | $516.49 |
| San Francisco, CACalifornia | — | $513.68 |
| San Benito County, CACalifornia | — | $530.55 |
| Santa Clara County, CACalifornia | — | $519.04 |
| San Luis Obispo, CACalifornia | — | $473.69 |
| Santa Cruz, CACalifornia | — | $481.71 |
| Santa Maria, CACalifornia | — | $479.63 |
| Santa Rosa, CACalifornia | — | $485.77 |
| Stockton, CACalifornia | — | $469.89 |
| Vallejo, CACalifornia | — | $498.02 |
| Visalia, CACalifornia | — | $469.89 |
| Yuba City, CACalifornia | — | $469.89 |
| ColoradoColorado | — | $485.73 |
| ConnecticutConnecticut | — | $525.00 |
| DelawareDelaware | — | $486.52 |
| Fort Lauderdale, FLFlorida | — | $562.41 |
| Rest of FloridaFlorida | — | $532.10 |
| Atlanta, GAGeorgia | — | $513.37 |
| Rest of GeorgiaGeorgia | — | $500.68 |
| Hawaii, Guam, HIHawaii | — | $471.59 |
| IowaIowa | — | $436.86 |
| IdahoIdaho | — | $443.60 |
| East St. Louis, ILIllinois | — | $571.25 |
| Rest of IllinoisIllinois | — | $533.27 |
| Suburban Chicago, ILIllinois | — | $562.93 |
| IndianaIndiana | — | $445.30 |
| KansasKansas | — | $444.75 |
| KentuckyKentucky | — | $477.47 |
| New Orleans, LALouisiana | — | $500.38 |
| Rest of LouisianaLouisiana | — | $480.68 |
| Metropolitan Boston, MAMassachusetts | — | $515.64 |
| Rest of MassachusettsMassachusetts | — | $487.38 |
| Baltimore area, MDMaryland | — | $525.59 |
| Rest of MarylandMaryland | — | $491.83 |
| Rest of MaineMaine | — | $455.94 |
| Southern Maine, MEMaine | — | $462.97 |
| Detroit, MIMichigan | — | $548.06 |
| Rest of MichiganMichigan | — | $497.32 |
| MinnesotaMinnesota | — | $438.58 |
| Metropolitan Kansas City, MOMissouri | — | $487.03 |
| Metropolitan St. Louis, MOMissouri | — | $490.25 |
| Rest of MissouriMissouri | — | $479.96 |
| MississippiMississippi | — | $460.41 |
| MontanaMontana | — | $494.17 |
| North CarolinaNorth Carolina | — | $458.50 |
| North DakotaNorth Dakota | — | $445.13 |
| NebraskaNebraska | — | $435.99 |
| New HampshireNew Hampshire | — | $487.61 |
| Northern New JerseyNew Jersey | — | $534.48 |
| Rest of New JerseyNew Jersey | — | $523.43 |
| NevadaNevada | — | $480.59 |
| NYC suburbs and Long Island, NYNew York | — | $602.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $534.67 |
| Queens, NYNew York | — | $567.73 |
| Rest of New YorkNew York | — | $465.31 |
| OhioOhio | — | $487.30 |
| OklahomaOklahoma | — | $466.39 |
| Portland, OROregon | — | $488.12 |
| Rest of OregonOregon | — | $469.38 |
| Metropolitan Philadelphia, PAPennsylvania | — | $519.76 |
| Rest of PennsylvaniaPennsylvania | — | $482.52 |
| Puerto RicoPuerto Rico | — | $494.06 |
| Rhode IslandRhode Island | — | $494.44 |
| South CarolinaSouth Carolina | — | $475.18 |
| South DakotaSouth Dakota | — | $439.33 |
| TennesseeTennessee | — | $447.93 |
| Austin, TXTexas | — | $490.67 |
| Beaumont, TXTexas | — | $480.49 |
| Brazoria, TXTexas | — | $477.90 |
| Dallas, TXTexas | — | $485.12 |
| Fort Worth, TXTexas | — | $485.32 |
| Galveston, TXTexas | — | $482.05 |
| Houston, TXTexas | — | $527.44 |
| Rest of TexasTexas | — | $481.78 |
| UtahUtah | — | $480.57 |
| VirginiaVirginia | — | $468.48 |
| Virgin Islands, VIUnited States Virgin Islands | — | $494.06 |
| VermontVermont | — | $452.53 |
| Rest of WashingtonWashington | — | $483.43 |
| King County, WAWashington | — | $515.42 |
| WisconsinWisconsin | — | $433.29 |
| West VirginiaWest Virginia | — | $518.44 |
| WyomingWyoming | — | $472.80 |
21705 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 21705 rate is calculated
Each of 21705’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 · 21705
RVUs × geographic indexes × conversion factor
Work9.67
9.67 RVUs× 1.000 GPCI
Practice expense2.65
2.65 RVUs× 1.000 GPCI
Malpractice2.48
2.48 RVUs× 1.000 GPCI
Adjusted RVUs
14.8000
Conversion factor
$33.4009
Medicare rate
$494.33
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,020
- Code
- 21705
- Physician work
- 9.67
- Practice expense
- 2.65
- Malpractice
- 2.48
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.67 | × 1.000 | 9.6700 |
| Practice expense | 2.65 | × 0.917 | 2.4301 |
| Malpractice | 2.48 | × 1.201 | 2.9785 |
| Total RVUs | 15.0785 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$503.64
Facility: (9.67 × 1 + 2.65 × 0.917 + 2.48 × 1.201) × $33.4009 = $503.64
Payment rules and modifiers for 21705
21705 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21705
Neck muscle surgery, muscle resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.69/0.21 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 21705
Neck muscle surgery, muscle resection
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
21705 without 50 · national facility
$494.33
Neck muscle surgery, muscle resection
21705-50 · Bilateral: 150%
$741.50
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
How 21705 has changed in New Mexico
21705 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $503.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $503.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $503.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $503.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $517.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $517.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $517.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $517.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $531.06 | RVU24D |
| 2024-07-01 | Not available in this setting | $531.06 | RVU24C |
| 2024-04-01 | Not available in this setting | $531.06 | RVU24B |
| 2024-03-09 | Not available in this setting | $531.06 | RVU24AR |
| 2024-01-01 | Not available in this setting | $522.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $536.47 | RVU23D |
| 2023-07-01 | Not available in this setting | $536.47 | RVU23C |
| 2023-04-01 | Not available in this setting | $536.47 | RVU23B |
| 2023-01-01 | Not available in this setting | $536.47 | RVU23A |
| 2022-10-01 | Not available in this setting | $548.79 | RVU22D |
| 2022-07-01 | Not available in this setting | $548.79 | RVU22C |
| 2022-04-01 | Not available in this setting | $548.79 | RVU22B |
| 2022-01-01 | Not available in this setting | $548.79 | RVU22A |
| 2021-10-01 | Not available in this setting | $546.96 | RVU21D |
| 2021-07-01 | Not available in this setting | $546.96 | RVU21C |
| 2021-04-01 | Not available in this setting | $546.96 | RVU21B |
| 2021-01-01 | Not available in this setting | $546.96 | RVU21A |
| 2020-10-01 | Not available in this setting | $567.75 | RVU20D |
| 2020-07-01 | Not available in this setting | $567.75 | RVU20C |
| 2020-04-01 | Not available in this setting | $567.75 | RVU20B |
| 2020-01-01 | Not available in this setting | $567.75 | RVU20A |
| 2019-10-01 | Not available in this setting | $567.63 | RVU19D |
| 2019-07-01 | Not available in this setting | $567.63 | RVU19C |
| 2019-04-01 | Not available in this setting | $565.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $565.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $569.88 | RVU18D |
| 2018-07-01 | Not available in this setting | $569.88 | RVU18C |
| 2018-04-01 | Not available in this setting | $569.88 | RVU18B |
| 2018-01-01 | Not available in this setting | $569.88 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $578.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $578.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $578.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $578.10 | RVU17A |
| 2016-10-01 | Not available in this setting | $575.65 | RVU16D |
| 2016-07-01 | Not available in this setting | $575.65 | RVU16C |
| 2016-04-01 | Not available in this setting | $575.65 | RVU16B |
| 2016-01-01 | Not available in this setting | $575.65 | RVU16A |
| 2015-10-01 | Not available in this setting | $572.63 | RVU15D |
| 2015-07-01 | Not available in this setting | $572.63 | RVU15C |
| 2015-04-01 | Not available in this setting | $569.79 | RVU15B |
| 2015-01-01 | Not available in this setting | $569.79 | RVU15A |
| 2014-10-01 | Not available in this setting | $566.58 | RVU14D |
| 2014-07-01 | Not available in this setting | $566.58 | RVU14C |
| 2014-04-01 | Not available in this setting | $566.58 | RVU14B |
| 2014-01-01 | Not available in this setting | $566.58 | RVU14A |
| 2013-10-01 | Not available in this setting | $550.58 | RVU13D |
| 2013-07-01 | Not available in this setting | $550.58 | RVU13C |
| 2013-04-01 | Not available in this setting | $550.58 | RVU13B |
| 2013-01-01 | Not available in this setting | $550.58 | RVU13AR |
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
21705 billing questions
How does 21705 differ from 21700?
Use 21705 for resection of sternocleidomastoid muscle tissue. Code 21700 describes division of the muscle, so the operative technique documented determines the choice.
What documentation supports reporting 21705?
The operative report should identify the sternocleidomastoid muscle, the side, the reason for surgery, and the resection performed. A diagnosis of torticollis alone does not establish that muscle resection occurred.
Can 21705 be reported bilaterally?
CMS identifies this as a bilateral procedure; report modifier 50 when the procedure is performed bilaterally. Payment is at 150%.
Are postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for 21705?
CMS indicates that an assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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
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