Billing code 21025: Bone excisionMedicare rate & RVUs
Reports surgical removal of mandibular bone, such as devitalized bone in osteomyelitis, when the operation is an excision rather than a lesion-specific procedure.
Medicare pays $840.03 for 21025 nationally in the office and $613.57 in a hospital or facility. Local office rates run $752.60–$1,063.23.
Medicare rate · 21025
Bone excision
Swap in your local Medicare rate.
- Work RVUs
- 9.78
- Total RVUs
- 25.15
- Global days
- 090
National rate · 2026
$840.03
Office setting, before claim adjustments.
See every locality for 21025 → · Billed by an NP, PA or therapist? →
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 10 sections
What 21025 covers
An oral and maxillofacial surgeon or another qualified surgeon may use this service to remove a defined portion of the mandible, including devitalized bone associated with osteomyelitis. The operation may take place in a hospital or ambulatory surgical setting. The operative report should identify the mandibular site, the bone removed, and the clinical reason for excision; a diagnosis alone does not establish which procedure code describes the work.
Select 21025 for mandibular bone excision, distinguishing it from codes for a specified lesion, exostosis, or more extensive jaw operation. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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.
Where 21025 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$752.60 to $1063.23
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $762.34 | $564.19 |
| Alaska* | $1,014.24 | $773.06 |
| Arizona | $819.17 | $599.74 |
| Arkansas | $752.60 | $558.07 |
| Atlanta | $857.32 | $627.24 |
| Austin | $862.94 | $623.34 |
| Bakersfield | $874.21 | $626.02 |
| Baltimore/Surr. Cntys | $889.91 | $646.92 |
| Beaumont | $794.66 | $588.58 |
| Brazoria | $828.79 | $604.37 |
| Chicago | $901.33 | $673.74 |
| Chico | $870.37 | $622.17 |
| Colorado | $864.43 | $623.47 |
| Connecticut | $891.91 | $648.02 |
| Dallas | $834.88 | $609.33 |
| Dc + Md/Va Suburbs | $946.21 | $679.44 |
| Delaware | $831.61 | $607.87 |
| Detroit | $853.61 | $635.08 |
| East St. Louis | $846.83 | $638.49 |
| El Centro | $870.59 | $622.39 |
| Fort Lauderdale | $881.49 | $652.09 |
| Fort Worth | $830.75 | $607.47 |
| Fresno | $870.37 | $622.17 |
| Galveston | $831.83 | $606.96 |
| Hanford-Corcoran | $870.37 | $622.17 |
| Hawaii, Guam | $885.95 | $628.47 |
| Houston | $855.81 | $630.94 |
| Idaho | $779.40 | $571.06 |
| Indiana | $783.26 | $573.33 |
| Iowa | $773.73 | $566.52 |
| Kansas | $773.25 | $568.53 |
| Kentucky | $784.19 | $582.86 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $924.66 | $656.76 |
| Madera | $870.37 | $622.17 |
| Manhattan | $962.66 | $699.51 |
| Merced | $870.37 | $622.17 |
| Metropolitan Boston | $939.72 | $669.33 |
| Metropolitan Kansas City | $810.38 | $597.74 |
| Metropolitan Philadelphia | $873.61 | $637.87 |
| Metropolitan St. Louis | $817.58 | $601.99 |
| Miami | $926.19 | $690.45 |
| Minnesota | $822.85 | $589.82 |
| Mississippi | $763.34 | $568.36 |
| Modesto | $870.37 | $622.17 |
| Montana** | $839.95 | $613.49 |
| Napa | $988.42 | $689.95 |
| Nebraska | $776.66 | $567.64 |
| Nevada** | $833.20 | $606.51 |
| New Hampshire | $853.82 | $618.07 |
| New Mexico | $809.85 | $602.19 |
| New Orleans | $818.28 | $605.18 |
| North Carolina | $792.77 | $581.49 |
| North Dakota** | $814.04 | $587.58 |
| Northern Nj | $938.73 | $676.03 |
| Nyc Suburbs/Long Island | $987.19 | $717.94 |
| Ohio | $799.53 | $592.77 |
| Oklahoma | $780.03 | $577.80 |
| Oxnard-Thousand Oaks-Ventura | $918.15 | $650.48 |
| Portland | $886.19 | $634.59 |
| Poughkpsie/N Nyc Suburbs | $908.53 | $660.56 |
| Puerto Rico | $844.54 | $615.59 |
| Queens | $965.75 | $698.08 |
| Redding | $870.37 | $622.17 |
| Rest Of California | $870.37 | $622.17 |
| Rest Of Florida | $841.38 | $624.88 |
| Rest Of Georgia | $797.72 | $595.71 |
| Rest Of Illinois | $823.81 | $617.05 |
| Rest Of Louisiana | $784.19 | $583.77 |
| Rest Of Maine | $785.92 | $577.58 |
| Rest Of Maryland | $845.35 | $616.17 |
| Rest Of Massachusetts | $861.27 | $622.81 |
| Rest Of Michigan | $804.82 | $598.06 |
| Rest Of Missouri | $774.09 | $578.88 |
| Rest Of New Jersey | $900.55 | $653.26 |
| Rest Of New York | $803.56 | $588.42 |
| Rest Of Oregon | $825.16 | $599.61 |
| Rest Of Pennsylvania | $799.12 | $591.23 |
| Rest Of Texas | $811.84 | $596.93 |
| Rest Of Washington | $858.71 | $620.25 |
| Rhode Island | $857.01 | $623.08 |
| Riverside-San Bernardino-Ontario | $884.56 | $636.37 |
| Sacramento-Roseville-Folsom | $908.04 | $644.67 |
| Salinas | $904.53 | $642.06 |
| San Diego-Chula Vista-Carlsbad | $921.84 | $650.99 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $1,039.94 | $720.63 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $1,038.45 | $719.14 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $1,063.23 | $736.68 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $1,057.15 | $730.60 |
| San Luis Obispo-Paso Robles | $890.56 | $632.62 |
| Santa Cruz-Watsonville | $927.56 | $652.41 |
| Santa Maria-Santa Barbara | $906.83 | $642.78 |
| Santa Rosa-Petaluma | $936.60 | $658.51 |
| Seattle (King Cnty) | $954.96 | $677.10 |
| South Carolina | $797.78 | $588.53 |
| South Dakota** | $810.98 | $584.52 |
| Southern Maine | $819.66 | $595.24 |
| Stockton | $870.37 | $622.17 |
| Suburban Chicago | $888.78 | $656.21 |
| Tennessee | $777.04 | $571.19 |
| Utah | $807.39 | $594.52 |
| Vallejo | $986.28 | $687.81 |
| Vermont | $813.72 | $589.53 |
| Virgin Islands | $844.54 | $615.59 |
| Virginia | $819.19 | $596.58 |
| Visalia | $870.37 | $622.17 |
| West Virginia | $797.37 | $600.58 |
| Wisconsin | $790.03 | $573.08 |
| Wyoming** | $828.66 | $602.20 |
| Yuba City | $870.37 | $622.17 |
21025 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.
$752.60
$1,014.24
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $1,014.24 | 1 |
| AL | $762.34 | 1 |
| AR | $752.60 | 1 |
| AZ | $819.17 | 1 |
| CA | $870.37–$1,063.23 | 29 |
| CO | $864.43 | 1 |
| CT | $891.91 | 1 |
| DC | $946.21 | 1 |
| DE | $831.61 | 1 |
| FL | $841.38–$926.19 | 3 |
| GA | $797.72–$857.32 | 2 |
| GU | $885.95 | 1 |
| HI | $885.95 | 1 |
| IA | $773.73 | 1 |
| ID | $779.40 | 1 |
| IL | $823.81–$901.33 | 4 |
| IN | $783.26 | 1 |
| KS | $773.25 | 1 |
| KY | $784.19 | 1 |
| LA | $784.19–$818.28 | 2 |
| MA | $861.27–$939.72 | 2 |
| MD | $845.35–$946.21 | 3 |
| ME | $785.92–$819.66 | 2 |
| MI | $804.82–$853.61 | 2 |
| MN | $822.85 | 1 |
| MO | $774.09–$817.58 | 3 |
| MS | $763.34 | 1 |
| MT | $839.95 | 1 |
| NC | $792.77 | 1 |
| ND | $814.04 | 1 |
| NE | $776.66 | 1 |
| NH | $853.82 | 1 |
| NJ | $900.55–$938.73 | 2 |
| NM | $809.85 | 1 |
| NV | $833.20 | 1 |
| NY | $803.56–$987.19 | 5 |
| OH | $799.53 | 1 |
| OK | $780.03 | 1 |
| OR | $825.16–$886.19 | 2 |
| PA | $799.12–$873.61 | 2 |
| PR | $844.54 | 1 |
| RI | $857.01 | 1 |
| SC | $797.78 | 1 |
| SD | $810.98 | 1 |
| TN | $777.04 | 1 |
| TX | $794.66–$862.94 | 8 |
| UT | $807.39 | 1 |
| VA | $819.19–$946.21 | 2 |
| VI | $844.54 | 1 |
| VT | $813.72 | 1 |
| WA | $858.71–$954.96 | 2 |
| WI | $790.03 | 1 |
| WV | $797.37 | 1 |
| WY | $828.66 | 1 |
How the 21025 rate is calculated
Each of 21025’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 · 21025
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.78Practice expense 14.06Malpractice 1.31
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 21025
21025 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21025
Bone excision
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| 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 · 21025
Bone excision
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 51 · payment effect
With and without the modifier
21025 without 51 · national office
$840.03
Bone excision
21025-51 · Second procedure: 50%
$420.02
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%).
21025 compared with similar codes
Compare codes
21025 vs 21026 vs 21031 vs 21040 vs 21045: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 21026Facial bone excision
- 21025 is specific to the mandible; 21026 describes excision of facial bone more generally.
- 21031Exostosis removal
- Choose 21031 when the target is a mandibular exostosis. 21025 describes excision of mandibular bone without that specific target.
- 21040Mandibular lesion excision
- 21040 is for a mandibular lesion procedure. Choose 21025 when the operative work is excision of bone rather than the lesion-specific service.
- 21045Mandible tumor resection
- 21045 describes an extensive jaw operation. Use 21025 for mandibular bone excision when the documented procedure does not meet the extensive-operation criteria.
21025 billing questions
How is 21025 different from removal of a mandibular lesion?
Use 21025 when the documented operation is excision of mandibular bone. If the procedure is directed at a specified lesion and a lesion-specific code describes the work, consider that code instead.
Is modifier 50 appropriate when bone is removed on both sides?
No. The CMS bilateral adjustment does not apply to 21025, and modifier 50 is inappropriate.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be paid for 21025?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
Medicare pays the highest-valued procedure in full and reduces the other procedures to 50% under the standard multiple-procedure rule.
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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