No office rate
21141 describes a LeFort I midface reconstruction approach. Use 21206 when the documented operation is a segmental osteotomy of the maxilla.
On this page
CMS RVU26D · Effective 2026-10-01
21206 Maxillary osteotomy Medicare reimbursement rates
Reports a segmental osteotomy of the maxilla to reposition upper-jaw segments, commonly to correct dentofacial deformity and improve occlusion. Compare 21206 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 21206?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 21206 pays more and less
Facial bone surgery
About 21206: Segmental maxillary osteotomy
Reports a segmental osteotomy of the maxilla to reposition upper-jaw segments, commonly to correct dentofacial deformity and improve occlusion.
This service involves surgically dividing the maxilla into segments and repositioning them to correct upper-jaw alignment, dental-arch relationships, or occlusion. Oral and maxillofacial surgeons and other surgeons with appropriate facial-surgery expertise perform it, typically in an operating room. It is distinct from simply reshaping facial bone or adding bone or an implant to the maxilla.
Report 21206 when the operative work is a segmental maxillary osteotomy; the operative note should support the indication, the portions of the maxilla treated, and the osteotomy and repositioning performed. CMS assigns 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 other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 21206
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU15.20 · 58%
- Practice expense (office) RVU9.19 · 35%
- Malpractice RVU1.76 · 7%
233
Medicare services in 2024 · #4190 by national volume
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.
21206 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$1,460.74–$2,226.36
21208 covers augmentation of facial bone with graft or implant material; 21206 covers segmenting and repositioning the maxilla.
$714.08–$1,043.78
21209 is for reducing or contouring facial bone. 21206 is for a segmental maxillary osteotomy with repositioning.
$1,579.02–$2,419.45
21210 describes bone grafting to nasal, maxillary, or malar areas. It does not represent the segmental maxillary osteotomy itself.
See how rates vary across the country
21206 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 21206 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $809.55 |
| Alaska* | Office Unavailable | Facility $1120.84 |
| Arizona | Office Unavailable | Facility $855.45 |
| Arkansas | Office Unavailable | Facility $801.64 |
| Atlanta | Office Unavailable | Facility $891.68 |
| Austin | Office Unavailable | Facility $885.55 |
| Bakersfield | Office Unavailable | Facility $889.56 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $917.90 |
| Beaumont | Office Unavailable | Facility $841.63 |
| Brazoria | Office Unavailable | Facility $861.80 |
| Chicago | Office Unavailable | Facility $954.65 |
| Chico | Office Unavailable | Facility $884.26 |
| Colorado | Office Unavailable | Facility $886.30 |
| Connecticut | Office Unavailable | Facility $919.57 |
| Dallas | Office Unavailable | Facility $868.43 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $962.13 |
| Delaware | Office Unavailable | Facility $866.35 |
| Detroit | Office Unavailable | Facility $903.02 |
| East St. Louis | Office Unavailable | Facility $908.49 |
| El Centro | Office Unavailable | Facility $884.55 |
| Fort Lauderdale | Office Unavailable | Facility $924.92 |
| Fort Worth | Office Unavailable | Facility $866.12 |
| Fresno | Office Unavailable | Facility $884.26 |
| Galveston | Office Unavailable | Facility $865.24 |
| Hanford-Corcoran | Office Unavailable | Facility $884.26 |
| Hawaii, Guam | Office Unavailable | Facility $890.74 |
| Houston | Office Unavailable | Facility $897.45 |
| Idaho | Office Unavailable | Facility $817.90 |
| Indiana | Office Unavailable | Facility $820.81 |
| Iowa | Office Unavailable | Facility $811.89 |
| Kansas | Office Unavailable | Facility $814.81 |
| Kentucky | Office Unavailable | Facility $834.36 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $930.67 |
| Madera | Office Unavailable | Facility $884.26 |
| Manhattan | Office Unavailable | Facility $990.10 |
| Merced | Office Unavailable | Facility $884.26 |
| Metropolitan Boston | Office Unavailable | Facility $947.33 |
| Metropolitan Kansas City | Office Unavailable | Facility $853.36 |
| Metropolitan Philadelphia | Office Unavailable | Facility $906.50 |
| Metropolitan St. Louis | Office Unavailable | Facility $858.82 |
| Miami | Office Unavailable | Facility $975.90 |
| Minnesota | Office Unavailable | Facility $840.95 |
| Mississippi | Office Unavailable | Facility $815.42 |
| Modesto | Office Unavailable | Facility $884.26 |
| Montana** | Office Unavailable | Facility $873.32 |
| Napa | Office Unavailable | Facility $974.11 |
| Nebraska | Office Unavailable | Facility $813.23 |
| Nevada** | Office Unavailable | Facility $863.92 |
| New Hampshire | Office Unavailable | Facility $878.67 |
| New Mexico | Office Unavailable | Facility $859.77 |
| New Orleans | Office Unavailable | Facility $863.32 |
| North Carolina | Office Unavailable | Facility $831.65 |
| North Dakota** | Office Unavailable | Facility $838.51 |
| Northern Nj | Office Unavailable | Facility $958.53 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1014.32 |
| Ohio | Office Unavailable | Facility $847.20 |
| Oklahoma | Office Unavailable | Facility $827.48 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $921.35 |
| Portland | Office Unavailable | Facility $900.58 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $937.79 |
| Puerto Rico | Office Unavailable | Facility $875.93 |
| Queens | Office Unavailable | Facility $987.77 |
| Redding | Office Unavailable | Facility $884.26 |
| Rest Of California | Office Unavailable | Facility $884.26 |
| Rest Of Florida | Office Unavailable | Facility $889.50 |
| Rest Of Georgia | Office Unavailable | Facility $851.57 |
| Rest Of Illinois | Office Unavailable | Facility $879.82 |
| Rest Of Louisiana | Office Unavailable | Facility $835.66 |
| Rest Of Maine | Office Unavailable | Facility $826.66 |
| Rest Of Maryland | Office Unavailable | Facility $877.37 |
| Rest Of Massachusetts | Office Unavailable | Facility $885.89 |
| Rest Of Michigan | Office Unavailable | Facility $854.31 |
| Rest Of Missouri | Office Unavailable | Facility $829.55 |
| Rest Of New Jersey | Office Unavailable | Facility $927.68 |
| Rest Of New York | Office Unavailable | Facility $840.63 |
| Rest Of Oregon | Office Unavailable | Facility $854.75 |
| Rest Of Pennsylvania | Office Unavailable | Facility $845.03 |
| Rest Of Texas | Office Unavailable | Facility $852.08 |
| Rest Of Washington | Office Unavailable | Facility $882.25 |
| Rhode Island | Office Unavailable | Facility $886.86 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $903.40 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $914.47 |
| Salinas | Office Unavailable | Facility $910.70 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $921.90 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1015.71 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1013.71 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1037.68 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1029.51 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $897.45 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $922.81 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $911.33 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $931.37 |
| Seattle (King Cnty) | Office Unavailable | Facility $957.74 |
| South Carolina | Office Unavailable | Facility $841.29 |
| South Dakota** | Office Unavailable | Facility $834.40 |
| Southern Maine | Office Unavailable | Facility $848.98 |
| Stockton | Office Unavailable | Facility $884.26 |
| Suburban Chicago | Office Unavailable | Facility $930.66 |
| Tennessee | Office Unavailable | Facility $818.28 |
| Utah | Office Unavailable | Facility $849.02 |
| Vallejo | Office Unavailable | Facility $971.23 |
| Vermont | Office Unavailable | Facility $841.32 |
| Virgin Islands | Office Unavailable | Facility $875.93 |
| Virginia | Office Unavailable | Facility $850.93 |
| Visalia | Office Unavailable | Facility $884.26 |
| West Virginia | Office Unavailable | Facility $858.56 |
| Wisconsin | Office Unavailable | Facility $819.86 |
| Wyoming** | Office Unavailable | Facility $858.15 |
| Yuba City | Office Unavailable | Facility $884.26 |
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21206 billing questions
How is 21206 different from 21208?
21206 represents a segmental osteotomy that repositions portions of the maxilla. 21208 is for facial-bone augmentation, such as adding bone or implant material, rather than dividing and repositioning the upper jaw.
When should 21209 be considered instead?
Use 21209 for reduction or contouring of facial bone. Choose 21206 when the documented service is a segmental maxillary osteotomy with repositioning, not simply bone reduction.
Does 21206 include a separate bone graft?
The code describes the segmental maxillary osteotomy, not bone grafting as a separate service. Code 21210 describes grafting to nasal, maxillary, or malar areas; separate reporting depends on the work documented and applicable coding edits.
Can modifier 50 be reported?
No. CMS identifies modifier 50 as inappropriate for this code's descriptor or anatomy.
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.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,91021196,,Reconst lwr jaw w/fixation,A,,20.31,15.56,NA,15.56,,2.95,38.82,38.82,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91121198,,Reconstr lwr jaw segment,A,,15.32,9.88,NA,9.88,,2.01,27.21,27.21,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91221199,,Reconstr lwr jaw w/advance,A,,16.31,8.45,NA,8.45,,2.37,27.13,27.13,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91321206,,Reconstruct upper jaw bone,A,,15.20,9.19,NA,9.19,,1.76,26.15,26.15,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91421208,,Augmentation of facial bones,A,,11.13,37.17,,7.64,,1.31,49.61,20.08,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91521209,,Reduction of facial bones,A,,7.62,15.46,,8.02,,0.93,24.01,16.57,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91621210,,Face bone graft,A,,11.40,40.96,,8.01,,1.34,53.70,20.75,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00