Billing code 21210: Facial bone graftMedicare rate & RVUs
Reports bone grafting to a nasal, upper-jaw, or cheekbone area to fill or rebuild a facial skeletal defect during reconstructive surgery.
Medicare pays $1,793.63 for 21210 nationally in the office and $693.07 in a hospital or facility. Local office rates run $1,579.02–$2,419.45.
Medicare rate · 21210
Facial bone graft
Swap in your local Medicare rate.
- Work RVUs
- 11.4
- Total RVUs
- 53.70
- Global days
- 090
National rate · 2026
$1,793.63
Office setting, before claim adjustments.
See every locality for 21210 → · 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 21210 covers
This service places bone graft material in a defect of the nasal, maxillary, or malar skeleton. Oral and maxillofacial surgeons, plastic surgeons, and otolaryngologists may perform it when rebuilding facial bone after trauma, congenital deficiency, or prior surgery. The graft is used to restore skeletal contour or provide support in the specified facial region; the code includes obtaining the graft. Procedures are commonly performed in an operating room, though Medicare records services in both office and facility settings.
Choose the code based on the grafted facial site and the operative work, not merely the diagnosis. The record should identify the defect, treated bone, graft placement, and reconstructive purpose. CMS assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Report the service for the treated anatomy rather than appending modifier 50. CMS does not pay an assistant at surgery and does not permit co-surgeon or team-surgery payment for this code.
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 21210 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
$1579.02 to $2419.45
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $1,603.19 | $640.20 |
| Alaska* | $2,052.84 | $880.75 |
| Arizona | $1,744.77 | $678.33 |
| Arkansas | $1,579.02 | $633.64 |
| Atlanta | $1,825.66 | $707.49 |
| Austin | $1,868.64 | $704.25 |
| Bakersfield | $1,914.70 | $708.49 |
| Baltimore/Surr. Cntys | $1,910.20 | $729.30 |
| Beaumont | $1,667.32 | $665.81 |
| Brazoria | $1,774.51 | $683.86 |
| Chicago | $1,861.09 | $755.03 |
| Chico | $1,910.67 | $704.46 |
| Colorado | $1,875.95 | $704.96 |
| Connecticut | $1,915.99 | $730.68 |
| Dallas | $1,785.23 | $689.07 |
| Dc + Md/Va Suburbs | $2,062.77 | $766.31 |
| Delaware | $1,774.59 | $687.24 |
| Detroit | $1,776.45 | $714.41 |
| East St. Louis | $1,729.56 | $717.05 |
| El Centro | $1,910.90 | $704.68 |
| Fort Lauderdale | $1,847.58 | $732.71 |
| Fort Worth | $1,772.13 | $686.98 |
| Fresno | $1,910.67 | $704.46 |
| Galveston | $1,779.40 | $686.54 |
| Hanford-Corcoran | $1,910.67 | $704.46 |
| Hawaii, Guam | $1,962.22 | $710.88 |
| Houston | $1,803.93 | $711.07 |
| Idaho | $1,660.59 | $648.08 |
| Indiana | $1,670.75 | $650.53 |
| Iowa | $1,650.35 | $643.34 |
| Kansas | $1,640.09 | $645.19 |
| Kentucky | $1,637.96 | $659.57 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $2,044.56 | $742.60 |
| Madera | $1,910.67 | $704.46 |
| Manhattan | $2,065.86 | $787.01 |
| Merced | $1,910.67 | $704.46 |
| Metropolitan Boston | $2,069.73 | $755.66 |
| Metropolitan Kansas City | $1,709.14 | $675.72 |
| Metropolitan Philadelphia | $1,865.21 | $719.53 |
| Metropolitan St. Louis | $1,728.05 | $680.32 |
| Miami | $1,918.15 | $772.47 |
| Minnesota | $1,801.79 | $669.32 |
| Mississippi | $1,591.78 | $644.20 |
| Modesto | $1,910.67 | $704.46 |
| Montana** | $1,793.54 | $692.98 |
| Napa | $2,230.65 | $780.11 |
| Nebraska | $1,660.45 | $644.63 |
| Nevada** | $1,787.52 | $685.86 |
| New Hampshire | $1,844.13 | $698.44 |
| New Mexico | $1,689.07 | $679.86 |
| New Orleans | $1,719.00 | $683.37 |
| North Carolina | $1,685.81 | $658.99 |
| North Dakota** | $1,767.04 | $666.48 |
| Northern Nj | $2,039.56 | $762.91 |
| Nyc Suburbs/Long Island | $2,114.93 | $806.36 |
| Ohio | $1,674.96 | $670.15 |
| Oklahoma | $1,637.26 | $654.46 |
| Oxnard-Thousand Oaks-Ventura | $2,036.41 | $735.55 |
| Portland | $1,940.12 | $717.40 |
| Poughkpsie/N Nyc Suburbs | $1,950.13 | $745.02 |
| Puerto Rico | $1,808.01 | $695.34 |
| Queens | $2,086.77 | $785.91 |
| Redding | $1,910.67 | $704.46 |
| Rest Of California | $1,910.67 | $704.46 |
| Rest Of Florida | $1,755.94 | $703.81 |
| Rest Of Georgia | $1,654.47 | $672.77 |
| Rest Of Illinois | $1,699.80 | $694.99 |
| Rest Of Louisiana | $1,634.42 | $660.42 |
| Rest Of Maine | $1,667.26 | $654.75 |
| Rest Of Maryland | $1,810.18 | $696.42 |
| Rest Of Massachusetts | $1,863.14 | $704.25 |
| Rest Of Michigan | $1,680.38 | $675.57 |
| Rest Of Missouri | $1,603.67 | $654.98 |
| Rest Of New Jersey | $1,939.07 | $737.25 |
| Rest Of New York | $1,711.93 | $666.40 |
| Rest Of Oregon | $1,774.86 | $678.71 |
| Rest Of Pennsylvania | $1,678.98 | $668.67 |
| Rest Of Texas | $1,719.51 | $675.08 |
| Rest Of Washington | $1,860.39 | $701.50 |
| Rhode Island | $1,841.18 | $704.30 |
| Riverside-San Bernardino-Ontario | $1,925.24 | $719.03 |
| Sacramento-Roseville-Folsom | $2,009.57 | $729.62 |
| Salinas | $2,002.19 | $726.64 |
| San Diego-Chula Vista-Carlsbad | $2,052.70 | $736.43 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $2,366.51 | $814.72 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $2,364.99 | $813.20 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $2,419.45 | $832.44 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $2,413.23 | $826.22 |
| San Luis Obispo-Paso Robles | $1,969.50 | $715.96 |
| Santa Cruz-Watsonville | $2,075.00 | $737.82 |
| Santa Maria-Santa Barbara | $2,010.63 | $727.37 |
| Santa Rosa-Petaluma | $2,096.21 | $744.72 |
| Seattle (King Cnty) | $2,115.04 | $764.65 |
| South Carolina | $1,682.94 | $666.02 |
| South Dakota** | $1,763.91 | $663.35 |
| Southern Maine | $1,764.80 | $674.15 |
| Stockton | $1,910.67 | $704.46 |
| Suburban Chicago | $1,867.79 | $737.51 |
| Tennessee | $1,648.41 | $648.00 |
| Utah | $1,706.98 | $672.45 |
| Vallejo | $2,228.46 | $777.92 |
| Vermont | $1,757.84 | $668.28 |
| Virgin Islands | $1,808.01 | $695.34 |
| Virginia | $1,757.21 | $675.36 |
| Visalia | $1,910.67 | $704.46 |
| West Virginia | $1,633.70 | $677.31 |
| Wisconsin | $1,705.20 | $650.86 |
| Wyoming** | $1,781.99 | $681.43 |
| Yuba City | $1,910.67 | $704.46 |
21210 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.
$1,579.02
$2,165.06
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 | $2,052.84 | 1 |
| AL | $1,603.19 | 1 |
| AR | $1,579.02 | 1 |
| AZ | $1,744.77 | 1 |
| CA | $1,910.67–$2,419.45 | 29 |
| CO | $1,875.95 | 1 |
| CT | $1,915.99 | 1 |
| DC | $2,062.77 | 1 |
| DE | $1,774.59 | 1 |
| FL | $1,755.94–$1,918.15 | 3 |
| GA | $1,654.47–$1,825.66 | 2 |
| GU | $1,962.22 | 1 |
| HI | $1,962.22 | 1 |
| IA | $1,650.35 | 1 |
| ID | $1,660.59 | 1 |
| IL | $1,699.80–$1,867.79 | 4 |
| IN | $1,670.75 | 1 |
| KS | $1,640.09 | 1 |
| KY | $1,637.96 | 1 |
| LA | $1,634.42–$1,719.00 | 2 |
| MA | $1,863.14–$2,069.73 | 2 |
| MD | $1,810.18–$2,062.77 | 3 |
| ME | $1,667.26–$1,764.80 | 2 |
| MI | $1,680.38–$1,776.45 | 2 |
| MN | $1,801.79 | 1 |
| MO | $1,603.67–$1,728.05 | 3 |
| MS | $1,591.78 | 1 |
| MT | $1,793.54 | 1 |
| NC | $1,685.81 | 1 |
| ND | $1,767.04 | 1 |
| NE | $1,660.45 | 1 |
| NH | $1,844.13 | 1 |
| NJ | $1,939.07–$2,039.56 | 2 |
| NM | $1,689.07 | 1 |
| NV | $1,787.52 | 1 |
| NY | $1,711.93–$2,114.93 | 5 |
| OH | $1,674.96 | 1 |
| OK | $1,637.26 | 1 |
| OR | $1,774.86–$1,940.12 | 2 |
| PA | $1,678.98–$1,865.21 | 2 |
| PR | $1,808.01 | 1 |
| RI | $1,841.18 | 1 |
| SC | $1,682.94 | 1 |
| SD | $1,763.91 | 1 |
| TN | $1,648.41 | 1 |
| TX | $1,667.32–$1,868.64 | 8 |
| UT | $1,706.98 | 1 |
| VA | $1,757.21–$2,062.77 | 2 |
| VI | $1,808.01 | 1 |
| VT | $1,757.84 | 1 |
| WA | $1,860.39–$2,115.04 | 2 |
| WI | $1,705.20 | 1 |
| WV | $1,633.70 | 1 |
| WY | $1,781.99 | 1 |
How the 21210 rate is calculated
Each of 21210’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 · 21210
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.40Practice expense 40.96Malpractice 1.34
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 21210
21210 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 21210
Facial bone graft
| 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 · 21210
Facial bone graft
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
21210 without 51 · national office
$1,793.63
Facial bone graft
21210-51 · Second procedure: 50%
$896.82
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%).
21210 compared with similar codes
Compare codes
21210 vs 21215 vs 21208 vs 21206: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 21215Bone graft
- Use 21210 for grafting the nasal, maxillary, or malar area; use 21215 when the graft is placed in the lower jaw.
- 21208Bone augmentation
- Code 21208 describes facial-bone augmentation. Select 21210 when the documented work is a bone graft to the nasal, maxillary, or malar region.
- 21206Maxillary osteotomy
- Code 21206 is for reconstruction of the upper jaw. This code describes graft placement at the specified nasal, maxillary, or malar facial sites.
21210 billing questions
How is this code distinguished from 21215?
This code is for grafting the nasal, maxillary, or malar area. Code 21215 is the corresponding bone-graft service for the lower jaw.
Is graft harvest separately reported?
Obtaining the graft is included in this service. Document the graft placement and the facial site treated rather than separately reporting routine graft acquisition.
Should modifier 50 be used when grafting both sides?
No. Report the grafting service for the treated anatomy without modifier 50; CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting this service?
The operative report should identify the nasal, maxillary, or malar defect, explain why reconstruction was performed, and describe graft placement and the resulting repair.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
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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