No office rate
This code represents the extraoral approach. Use 21049 when the complex maxillary lesion operation is performed through an intraoral approach.
On this page
CMS RVU26D · Effective 2026-10-01
21048 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$869.44
Base rate per service
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.
Oral and maxillofacial surgery
About 21048: Complex maxillary cyst or tumor excision
Reports removal of a complex benign cyst or tumor from the maxilla when an extraoral approach, osteotomy, and partial maxillectomy are performed.
This service removes a complex benign cyst or tumor from the upper jaw through an external approach, with bone division and partial removal of the maxilla. Oral and maxillofacial surgeons commonly perform it for extensive maxillary lesions, including an odontogenic cyst when its extent requires this operation. The operative report should identify the lesion and site and describe the external approach, osteotomy, and partial maxillectomy performed.
Choose this code based on the documented approach and extent of bone removal, not simply the presence of a cyst or tumor. A less extensive lesion treated by enucleation and curettage may fit 21040; an intraoral operation of this extent is represented by 21049. The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate for this service. Assistant-at-surgery payment requires documented medical necessity, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 21048
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.34 · 53%
- Practice expense (office) RVU11.05 · 41%
- Malpractice RVU1.76 · 6%
789
Medicare services in 2024 · #3161 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.
21048 compared with similar codes
Office rates for Beaumont, from the same CMS release.
$451.55
21040 describes enucleation and curettage of a benign maxillary or zygomatic lesion. Use 21048 when the documented operation includes an extraoral approach, osteotomy, and partial maxillectomy.
No office rate
21046 is the corresponding complex benign lesion operation on the mandible. This code is for the maxilla.
$447.90
21030 describes excision of a benign maxillary or zygomatic tumor without the specific complex extraoral osteotomy and partial maxillectomy represented by 21048.
The same code, a different location
How does Beaumont compare?
21048 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 21048
Office
Unavailable
Facility
$882.31
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 21048
Office
Unavailable
Facility
$974.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21048
Office
Unavailable
Facility
$1005.04
No comparable office rate is available.
Miami
Florida · 21048
Office
Unavailable
Facility
$1011.85
No comparable office rate is available.
Chicago
Illinois · 21048
Office
Unavailable
Facility
$988.16
No comparable office rate is available.
Manhattan
New York · 21048
Office
Unavailable
Facility
$1031.73
No comparable office rate is available.
Alaska*
Alaska · 21048
Office
Unavailable
Facility
$1143.91
No comparable office rate is available.
Alabama
Alabama · 21048
Office
Unavailable
Facility
$835.19
No comparable office rate is available.
Arkansas
Arkansas · 21048
Office
Unavailable
Facility
$826.28
No comparable office rate is available.
Arizona
Arizona · 21048
Office
Unavailable
Facility
$886.93
No comparable office rate is available.
Bakersfield
California · 21048
Office
Unavailable
Facility
$928.38
No comparable office rate is available.
Chico
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
El Centro
California · 21048
Office
Unavailable
Facility
$923.43
No comparable office rate is available.
Fresno
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Hanford-Corcoran
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Madera
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Merced
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Modesto
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Napa
California · 21048
Office
Unavailable
Facility
$1025.45
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21048
Office
Unavailable
Facility
$965.26
No comparable office rate is available.
Redding
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Rest Of California
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21048
Office
Unavailable
Facility
$942.25
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21048
Office
Unavailable
Facility
$956.96
No comparable office rate is available.
Salinas
California · 21048
Office
Unavailable
Facility
$953.09
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21048
Office
Unavailable
Facility
$966.62
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21048
Office
Unavailable
Facility
$1071.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21048
Office
Unavailable
Facility
$1069.86
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21048
Office
Unavailable
Facility
$1095.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21048
Office
Unavailable
Facility
$1087.21
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21048
Office
Unavailable
Facility
$939.00
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21048
Office
Unavailable
Facility
$968.97
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21048
Office
Unavailable
Facility
$954.24
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21048
Office
Unavailable
Facility
$978.08
No comparable office rate is available.
Stockton
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Vallejo
California · 21048
Office
Unavailable
Facility
$1022.57
No comparable office rate is available.
Visalia
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Yuba City
California · 21048
Office
Unavailable
Facility
$923.13
No comparable office rate is available.
Colorado
Colorado · 21048
Office
Unavailable
Facility
$923.33
No comparable office rate is available.
Connecticut
Connecticut · 21048
Office
Unavailable
Facility
$957.18
No comparable office rate is available.
Delaware
Delaware · 21048
Office
Unavailable
Facility
$898.86
No comparable office rate is available.
Fort Lauderdale
Florida · 21048
Office
Unavailable
Facility
$959.13
No comparable office rate is available.
Rest Of Florida
Florida · 21048
Office
Unavailable
Facility
$920.16
No comparable office rate is available.
Atlanta
Georgia · 21048
Office
Unavailable
Facility
$925.99
No comparable office rate is available.
Rest Of Georgia
Georgia · 21048
Office
Unavailable
Facility
$878.26
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21048
Office
Unavailable
Facility
$932.65
No comparable office rate is available.
Iowa
Iowa · 21048
Office
Unavailable
Facility
$840.01
No comparable office rate is available.
Idaho
Idaho · 21048
Office
Unavailable
Facility
$846.33
No comparable office rate is available.
East St. Louis
Illinois · 21048
Office
Unavailable
Facility
$936.92
No comparable office rate is available.
Rest Of Illinois
Illinois · 21048
Office
Unavailable
Facility
$907.82
No comparable office rate is available.
Suburban Chicago
Illinois · 21048
Office
Unavailable
Facility
$965.53
No comparable office rate is available.
Indiana
Indiana · 21048
Office
Unavailable
Facility
$849.68
No comparable office rate is available.
Kansas
Kansas · 21048
Office
Unavailable
Facility
$842.25
No comparable office rate is available.
Kentucky
Kentucky · 21048
Office
Unavailable
Facility
$860.87
No comparable office rate is available.
New Orleans
Louisiana · 21048
Office
Unavailable
Facility
$893.05
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21048
Office
Unavailable
Facility
$861.92
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21048
Office
Unavailable
Facility
$991.61
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21048
Office
Unavailable
Facility
$922.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21048
Office
Unavailable
Facility
$955.37
No comparable office rate is available.
Rest Of Maryland
Maryland · 21048
Office
Unavailable
Facility
$911.23
No comparable office rate is available.
Rest Of Maine
Maine · 21048
Office
Unavailable
Facility
$855.09
No comparable office rate is available.
Southern Maine
Maine · 21048
Office
Unavailable
Facility
$881.82
No comparable office rate is available.
Detroit
Michigan · 21048
Office
Unavailable
Facility
$934.24
No comparable office rate is available.
Rest Of Michigan
Michigan · 21048
Office
Unavailable
Facility
$882.31
No comparable office rate is available.
Minnesota
Minnesota · 21048
Office
Unavailable
Facility
$876.15
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21048
Office
Unavailable
Facility
$882.97
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21048
Office
Unavailable
Facility
$889.24
No comparable office rate is available.
Rest Of Missouri
Missouri · 21048
Office
Unavailable
Facility
$854.37
No comparable office rate is available.
Mississippi
Mississippi · 21048
Office
Unavailable
Facility
$840.19
No comparable office rate is available.
Montana**
Montana · 21048
Office
Unavailable
Facility
$906.72
No comparable office rate is available.
North Carolina
North Carolina · 21048
Office
Unavailable
Facility
$860.88
No comparable office rate is available.
North Dakota**
North Dakota · 21048
Office
Unavailable
Facility
$871.92
No comparable office rate is available.
Nebraska
Nebraska · 21048
Office
Unavailable
Facility
$841.85
No comparable office rate is available.
New Hampshire
New Hampshire · 21048
Office
Unavailable
Facility
$914.62
No comparable office rate is available.
Northern Nj
New Jersey · 21048
Office
Unavailable
Facility
$1000.06
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21048
Office
Unavailable
Facility
$965.65
No comparable office rate is available.
New Mexico
New Mexico · 21048
Office
Unavailable
Facility
$888.02
No comparable office rate is available.
Nevada**
Nevada · 21048
Office
Unavailable
Facility
$897.39
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21048
Office
Unavailable
Facility
$1057.62
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21048
Office
Unavailable
Facility
$975.80
No comparable office rate is available.
Queens
New York · 21048
Office
Unavailable
Facility
$1030.64
No comparable office rate is available.
Rest Of New York
New York · 21048
Office
Unavailable
Facility
$870.92
No comparable office rate is available.
Ohio
Ohio · 21048
Office
Unavailable
Facility
$875.19
No comparable office rate is available.
Oklahoma
Oklahoma · 21048
Office
Unavailable
Facility
$854.23
No comparable office rate is available.
Portland
Oregon · 21048
Office
Unavailable
Facility
$940.42
No comparable office rate is available.
Rest Of Oregon
Oregon · 21048
Office
Unavailable
Facility
$887.90
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21048
Office
Unavailable
Facility
$941.93
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21048
Office
Unavailable
Facility
$873.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21048
Office
Unavailable
Facility
$910.01
No comparable office rate is available.
Rhode Island
Rhode Island · 21048
Office
Unavailable
Facility
$921.77
No comparable office rate is available.
South Carolina
South Carolina · 21048
Office
Unavailable
Facility
$869.97
No comparable office rate is available.
South Dakota**
South Dakota · 21048
Office
Unavailable
Facility
$867.80
No comparable office rate is available.
Tennessee
Tennessee · 21048
Office
Unavailable
Facility
$846.03
No comparable office rate is available.
Utah
Utah · 21048
Office
Unavailable
Facility
$878.69
No comparable office rate is available.
Virginia
Virginia · 21048
Office
Unavailable
Facility
$883.28
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21048
Office
Unavailable
Facility
$910.01
No comparable office rate is available.
Vermont
Vermont · 21048
Office
Unavailable
Facility
$874.10
No comparable office rate is available.
Rest Of Washington
Washington · 21048
Office
Unavailable
Facility
$918.57
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21048
Office
Unavailable
Facility
$1003.81
No comparable office rate is available.
Wisconsin
Wisconsin · 21048
Office
Unavailable
Facility
$850.65
No comparable office rate is available.
West Virginia
West Virginia · 21048
Office
Unavailable
Facility
$883.82
No comparable office rate is available.
Wyoming**
Wyoming · 21048
Office
Unavailable
Facility
$891.55
No comparable office rate is available.
See how rates vary across the country
21048 · 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 21048 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$956.38
$869.44 × 110% = $956.38
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 21048 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
1,855
- Code
- 21048
- Physician work
- 14.34
- Practice expense
- 11.05
- Malpractice
- 1.76
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.34 | × 1.000 | 14.3400 |
| Practice expense | 11.05 | × 0.910 | 10.0555 |
| Malpractice | 1.76 | × 0.929 | 1.6350 |
| Total RVUs | 26.0305 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$869.44
Open 21048 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.34 | 1 |
| Practice expense | 11.05 | 0.91 |
| Malpractice | 1.76 | 0.929 |
(14.34 × 1 + 11.05 × 0.91 + 1.76 × 0.929) × $33.4009 = $869.44
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
21048 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $869.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $869.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $869.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $869.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $929.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $929.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $929.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $929.52 | RVU25A |
21048 billing questions
How is 21048 distinguished from 21049?
Both represent complex maxillary lesion removal with osteotomy and partial maxillectomy. Choose 21048 for the extraoral approach and 21049 for the intraoral approach.
When would 21040 be more appropriate?
Use 21040 for a maxillary or zygomatic benign lesion treated by enucleation and curettage, rather than the more extensive osteotomy and partial maxillectomy represented by 21048.
What operative details support 21048?
Document the maxillary lesion and its location, the extraoral approach, the osteotomy, and the partial maxillectomy performed. The report should make the extent of the operation clear.
Are related postoperative visits included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other same-session procedures handled?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures in the same session are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity, while co-surgeon payment requires supporting documentation. Team surgery is not permitted.
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.
1,85221045,,Extensive jaw surgery,A,,17.91,11.15,NA,11.15,,2.71,31.77,31.77,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85321046,,Remove mandible cyst complex,A,,13.85,11.32,NA,11.32,,1.76,26.93,26.93,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85421047,,Excise lwr jaw cyst w/repair,A,,19.57,10.05,NA,10.05,,2.61,32.23,32.23,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85521048,,Remove maxilla cyst complex,A,,14.34,11.05,NA,11.05,,1.76,27.15,27.15,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85621049,,Excis uppr jaw cyst w/repair,A,,18.84,9.27,NA,9.27,,2.46,30.57,30.57,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85721050,,Removal of jaw joint,A,,11.47,10.70,NA,10.70,,1.66,23.83,23.83,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85821060,,Remove jaw joint cartilage,A,,10.79,9.13,NA,9.13,,1.56,21.48,21.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871