$920.25–$1,292.33
Both use an endosteal implant approach. The distinction is the documented extent: complete for 21249 and partial for 21248.
On this page
CMS RVU26D · Effective 2026-10-01
21249 Jaw reconstruction Medicare reimbursement rates
Reports complete reconstruction of the mandible or maxilla using endosteal implants, when the operative service addresses the full jaw rather than a partial extent. Compare 21249 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 21249?
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
$1266.11–$1752.47
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $486.36 per service.
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 21249 pays more and less
109 payment localities
$1266.11 to $1752.47
Oral and maxillofacial surgery
About 21249: Complete endosteal jaw reconstruction
Reports complete reconstruction of the mandible or maxilla using endosteal implants, when the operative service addresses the full jaw rather than a partial extent.
This service reconstructs the mandible or maxilla with implants placed within the jawbone to support dental restoration. Oral and maxillofacial surgeons commonly perform it for patients who need complete jaw rehabilitation, such as extensive tooth loss or loss of jaw support. The operative report should identify the jaw treated, the endosteal implant approach, and the full extent of reconstruction. The complete level is distinguished from the partial service by the extent treated, not simply by the number of implants.
Report the code when the documented procedure is complete endosteal implant reconstruction, rather than partial reconstruction or a different implant method. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 21249
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU18.30 · 44%
- Practice expense (office) RVU21.44 · 51%
- Malpractice RVU2.31 · 5%
87
Medicare services in 2024 · #4979 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.
21249 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Both represent complete jaw reconstruction, but 21246 uses a subperiosteal implant approach; 21249 uses endosteal implants.
$3,579.02–$5,766.19
21215 addresses bone grafting of the mandible. This code describes complete endosteal implant-based jaw reconstruction, not bone grafting alone.
See how rates vary across the country
21249 · 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.
$1,266.11
$1,722.03
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $1,722.03 | 1 |
| AL | $1,281.51 | 1 |
| AR | $1,266.11 | 1 |
| AZ | $1,371.20 | 1 |
| CA | $1,447.85–$1,752.47 | 29 |
| CO | $1,440.78 | 1 |
| CT | $1,488.08 | 1 |
| DC | $1,573.70 | 1 |
| DE | $1,391.18 | 1 |
| FL | $1,411.81–$1,551.84 | 3 |
| GA | $1,341.98–$1,433.31 | 2 |
| GU | $1,470.13 | 1 |
| HI | $1,470.13 | 1 |
| IA | $1,297.11 | 1 |
| ID | $1,306.56 | 1 |
| IL | $1,385.64–$1,512.28 | 4 |
| IN | $1,312.57 | 1 |
| KS | $1,297.49 | 1 |
| KY | $1,318.46 | 1 |
| LA | $1,318.91–$1,372.75 | 2 |
| MA | $1,436.58–$1,560.01 | 2 |
| MD | $1,412.89–$1,573.70 | 3 |
| ME | $1,318.05–$1,369.59 | 2 |
| MI | $1,352.16–$1,432.37 | 2 |
| MN | $1,370.96 | 1 |
| MO | $1,303.68–$1,370.29 | 3 |
| MS | $1,284.83 | 1 |
| MT | $1,404.35 | 1 |
| NC | $1,328.67 | 1 |
| ND | $1,358.68 | 1 |
| NE | $1,301.38 | 1 |
| NH | $1,424.22 | 1 |
| NJ | $1,502.32–$1,562.84 | 2 |
| NM | $1,360.58 | 1 |
| NV | $1,392.34 | 1 |
| NY | $1,345.79–$1,645.10 | 5 |
| OH | $1,342.82 | 1 |
| OK | $1,310.68 | 1 |
| OR | $1,378.73–$1,474.02 | 2 |
| PA | $1,341.54–$1,459.76 | 2 |
| PR | $1,411.23 | 1 |
| RI | $1,431.42 | 1 |
| SC | $1,338.51 | 1 |
| SD | $1,353.28 | 1 |
| TN | $1,303.62 | 1 |
| TX | $1,334.58–$1,438.47 | 8 |
| UT | $1,353.67 | 1 |
| VA | $1,369.65–$1,573.70 | 2 |
| VI | $1,411.23 | 1 |
| VT | $1,359.23 | 1 |
| WA | $1,431.97–$1,583.51 | 2 |
| WI | $1,321.04 | 1 |
| WV | $1,343.95 | 1 |
| WY | $1,384.45 | 1 |
Compare 21249 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 $1281.51 | Facility $936.64 |
| Alaska* | Office $1722.03 | Facility $1302.28 |
| Arizona | Office $1371.20 | Facility $989.29 |
| Arkansas | Office $1266.11 | Facility $927.56 |
| Atlanta | Office $1433.31 | Facility $1032.87 |
| Austin | Office $1438.47 | Facility $1021.48 |
| Bakersfield | Office $1454.70 | Facility $1022.73 |
| Baltimore/Surr. Cntys | Office $1484.85 | Facility $1061.95 |
| Beaumont | Office $1334.58 | Facility $975.92 |
| Brazoria | Office $1385.98 | Facility $995.39 |
| Chicago | Office $1512.28 | Facility $1116.18 |
| Chico | Office $1447.85 | Facility $1015.88 |
| Colorado | Office $1440.78 | Facility $1021.42 |
| Connecticut | Office $1488.08 | Facility $1063.60 |
| Dallas | Office $1396.19 | Facility $1003.63 |
| Dc + Md/Va Suburbs | Office $1573.70 | Facility $1109.42 |
| Delaware | Office $1391.18 | Facility $1001.78 |
| Detroit | Office $1432.37 | Facility $1052.04 |
| East St. Louis | Office $1425.45 | Facility $1062.85 |
| El Centro | Office $1448.23 | Facility $1016.26 |
| Fort Lauderdale | Office $1476.16 | Facility $1076.91 |
| Fort Worth | Office $1390.03 | Facility $1001.42 |
| Fresno | Office $1447.85 | Facility $1015.88 |
| Galveston | Office $1391.11 | Facility $999.74 |
| Hanford-Corcoran | Office $1447.85 | Facility $1015.88 |
| Hawaii, Guam | Office $1470.13 | Facility $1022.01 |
| Houston | Office $1433.40 | Facility $1042.02 |
| Idaho | Office $1306.56 | Facility $943.96 |
| Indiana | Office $1312.57 | Facility $947.21 |
| Iowa | Office $1297.11 | Facility $936.48 |
| Kansas | Office $1297.49 | Facility $941.20 |
| Kentucky | Office $1318.46 | Facility $968.08 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $1534.69 | Facility $1068.44 |
| Madera | Office $1447.85 | Facility $1015.88 |
| Manhattan | Office $1604.85 | Facility $1146.87 |
| Merced | Office $1447.85 | Facility $1015.88 |
| Metropolitan Boston | Office $1560.01 | Facility $1089.42 |
| Metropolitan Kansas City | Office $1359.05 | Facility $988.96 |
| Metropolitan Philadelphia | Office $1459.76 | Facility $1049.47 |
| Metropolitan St. Louis | Office $1370.29 | Facility $995.08 |
| Miami | Office $1551.84 | Facility $1141.55 |
| Minnesota | Office $1370.96 | Facility $965.40 |
| Mississippi | Office $1284.83 | Facility $945.48 |
| Modesto | Office $1447.85 | Facility $1015.88 |
| Montana** | Office $1404.35 | Facility $1010.22 |
| Napa | Office $1632.78 | Facility $1113.32 |
| Nebraska | Office $1301.38 | Facility $937.59 |
| Nevada** | Office $1392.34 | Facility $997.81 |
| New Hampshire | Office $1424.22 | Facility $1013.93 |
| New Mexico | Office $1360.58 | Facility $999.16 |
| New Orleans | Office $1372.75 | Facility $1001.87 |
| North Carolina | Office $1328.67 | Facility $960.95 |
| North Dakota** | Office $1358.68 | Facility $964.55 |
| Northern Nj | Office $1562.84 | Facility $1105.65 |
| Nyc Suburbs/Long Island | Office $1645.10 | Facility $1176.47 |
| Ohio | Office $1342.82 | Facility $982.98 |
| Oklahoma | Office $1310.68 | Facility $958.72 |
| Oxnard-Thousand Oaks-Ventura | Office $1522.87 | Facility $1057.01 |
| Portland | Office $1474.02 | Facility $1036.15 |
| Poughkpsie/N Nyc Suburbs | Office $1516.25 | Facility $1084.67 |
| Puerto Rico | Office $1411.23 | Facility $1012.76 |
| Queens | Office $1608.06 | Facility $1142.20 |
| Redding | Office $1447.85 | Facility $1015.88 |
| Rest Of California | Office $1447.85 | Facility $1015.88 |
| Rest Of Florida | Office $1411.81 | Facility $1035.02 |
| Rest Of Georgia | Office $1341.98 | Facility $990.42 |
| Rest Of Illinois | Office $1385.64 | Facility $1025.80 |
| Rest Of Louisiana | Office $1318.91 | Facility $970.11 |
| Rest Of Maine | Office $1318.05 | Facility $955.45 |
| Rest Of Maryland | Office $1412.89 | Facility $1014.03 |
| Rest Of Massachusetts | Office $1436.58 | Facility $1021.56 |
| Rest Of Michigan | Office $1352.16 | Facility $992.32 |
| Rest Of Missouri | Office $1303.68 | Facility $963.94 |
| Rest Of New Jersey | Office $1502.32 | Facility $1071.93 |
| Rest Of New York | Office $1345.79 | Facility $971.36 |
| Rest Of Oregon | Office $1378.73 | Facility $986.17 |
| Rest Of Pennsylvania | Office $1341.54 | Facility $979.73 |
| Rest Of Texas | Office $1360.50 | Facility $986.47 |
| Rest Of Washington | Office $1431.97 | Facility $1016.95 |
| Rhode Island | Office $1431.42 | Facility $1024.28 |
| Riverside-San Bernardino-Ontario | Office $1472.92 | Facility $1040.95 |
| Sacramento-Roseville-Folsom | Office $1507.44 | Facility $1049.06 |
| Salinas | Office $1501.52 | Facility $1044.72 |
| San Diego-Chula Vista-Carlsbad | Office $1527.87 | Facility $1056.49 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $1714.44 | Facility $1158.72 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $1711.82 | Facility $1156.09 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $1752.47 | Facility $1184.13 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $1741.74 | Facility $1173.41 |
| San Luis Obispo-Paso Robles | Office $1478.64 | Facility $1029.72 |
| Santa Cruz-Watsonville | Office $1535.51 | Facility $1056.64 |
| Santa Maria-Santa Barbara | Office $1504.70 | Facility $1045.14 |
| Santa Rosa-Petaluma | Office $1550.32 | Facility $1066.33 |
| Seattle (King Cnty) | Office $1583.51 | Facility $1099.91 |
| South Carolina | Office $1338.51 | Facility $974.33 |
| South Dakota** | Office $1353.28 | Facility $959.15 |
| Southern Maine | Office $1369.59 | Facility $979.01 |
| Stockton | Office $1447.85 | Facility $1015.88 |
| Suburban Chicago | Office $1487.69 | Facility $1082.91 |
| Tennessee | Office $1303.62 | Facility $945.35 |
| Utah | Office $1353.67 | Facility $983.19 |
| Vallejo | Office $1629.00 | Facility $1109.53 |
| Vermont | Office $1359.23 | Facility $969.04 |
| Virgin Islands | Office $1411.23 | Facility $1012.76 |
| Virginia | Office $1369.65 | Facility $982.22 |
| Visalia | Office $1447.85 | Facility $1015.88 |
| West Virginia | Office $1343.95 | Facility $1001.45 |
| Wisconsin | Office $1321.04 | Facility $943.46 |
| Wyoming** | Office $1384.45 | Facility $990.32 |
| Yuba City | Office $1447.85 | Facility $1015.88 |
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21249 billing questions
How does this code differ from 21248?
Both describe endosteal implant reconstruction of the mandible or maxilla. Use 21249 when the documented reconstruction is complete; 21248 represents the partial extent.
How is this different from subperiosteal implant reconstruction?
This code is for an endosteal approach, with implants placed within the jawbone. Codes 21245 and 21246 describe subperiosteal implant reconstruction, with partial and complete extents, respectively.
Does the 90-day global include postoperative visits?
Related postoperative care through the 90-day global period is included, as is the day-before preoperative visit.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
When is an assistant-at-surgery claim payable?
CMS allows assistant-at-surgery payment only when medical necessity is documented.
Can this code be reported with another procedure performed in the same session?
When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.
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.
1,92521246,,Reconstruction of jaw,A,,12.60,8.56,NA,8.56,,1.83,22.99,22.99,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,92621247,,Reconstruct lower jaw bone,A,,23.76,15.28,NA,15.28,,3.45,42.49,42.49,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,92721248,,Reconstruction of jaw,A,,12.42,16.71,,7.79,,1.51,30.64,21.72,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,92821249,,Reconstruction of jaw,A,,18.30,21.44,,9.64,,2.31,42.05,30.25,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,92921255,,Reconstruct lower jaw bone,A,,18.00,15.95,NA,15.95,,2.61,36.56,36.56,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,93021256,,Reconstruction of orbit,A,,17.22,12.97,NA,12.97,,3.19,33.38,33.38,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,93121260,,Revise eye sockets,A,,17.45,16.80,NA,16.80,,3.23,37.48,37.48,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00