CPT code 21740: Sternal reconstruction, open reconstruction2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $904.16 for 21740 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 21740 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 21740 covers

This service involves surgically reconstructing the sternum to correct a congenital or acquired deformity. It is typically performed by a thoracic surgeon in an operating room. Open reconstruction may be selected for a chest-wall deformity such as pectus excavatum or carinatum; the operative approach and extent of reconstruction distinguish it from minimally invasive repair techniques.

Report the code when the surgeon’s work reconstructs the sternum, not simply closes a separated median sternotomy. The operative report should identify the deformity, the anatomic problem addressed, and the reconstruction performed. This major surgery has a 90-day global period, including 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 others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons are paid only with 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 North Dakota compares for 21740

Across 109 of 109 payment localities, the facility rate for 21740 runs from $878.56 in Wisconsin to $1,228.89 in Alaska. North Dakota pays $904.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

21740 rates by state

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

See 21740 in every payment locality

How the 21740 rate is calculated

Each of 21740’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 21740

21740 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 21740

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

How 21740 has changed in North Dakota

Price 21740 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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