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CMS RVU26D · Effective 2026-10-01

21084 in Beaumont

Office / nonfacility

$1533.12

Base rate per service

Facility setting

$1029.17

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.

Maxillofacial prosthetics

About 21084: Custom speech aid prosthesis preparation

Reported for an impression and custom preparation of a speech aid prosthesis that helps address velopharyngeal insufficiency affecting speech.

A maxillofacial prosthodontist or other qualified dental or medical professional takes an impression and custom-prepares an intraoral speech aid prosthesis. A common design uses a speech bulb extending toward the nasopharynx to help improve closure when the soft palate cannot adequately separate the oral and nasal passages. The service may be provided in an outpatient clinic or hospital setting for congenital or acquired velopharyngeal dysfunction.

Select this code when the documented service is custom preparation of a speech aid prosthesis, rather than a palatal lift, palatal augmentation prosthesis, or obturator. The record should identify the speech-related functional problem, relevant anatomy and findings, and the impression and custom preparation performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 21084

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 RVU21.92 · 45%
  • Practice expense (office) RVU23.80 · 49%
  • Malpractice RVU2.50 · 5%

32

Medicare services in 2024 · #5610 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.

21084 compared with similar codes

Office rates for Beaumont, from the same CMS release.

21083

Palatal lift prosthesis

Impression and custom preparation

$1,342.33

Choose 21084 for custom preparation of a speech aid prosthesis, commonly using a speech bulb. Choose 21083 when the appliance is a palatal lift that raises the soft palate.

21082

Palatal prosthesis

Augmentation for tongue contact

$1,426.12

Code 21082 is for a palatal augmentation prosthesis. It is selected for its palatal contour and oral-function purpose, not for a speech aid prosthesis.

21080

Obturator prosthesis

Definitive obturator

$1,649.43

Code 21080 describes definitive obturator preparation for a maxillary defect. Use 21084 when the prepared appliance is a speech aid prosthesis rather than an obturator.

21079

Obturator prosthesis

Interim obturator

$1,451.79

Code 21079 is for interim obturator preparation. It is not the speech aid prosthesis service represented by 21084.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 21084 is $1648.64—$115.52 higher than the $1533.12 rate in Beaumont. Both use the same code, release and participation basis.

21084 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $1533.12

  2. Austin

    $1648.64

    $115.52 higher than Beaumont

  3. Brazoria

    $1590.92

    $57.80 higher than Beaumont

  4. Dallas

    $1602.14

    $69.02 higher than Beaumont

  5. Fort Worth

    $1595.28

    $62.16 higher than Beaumont

  6. Galveston

    $1596.52

    $63.40 higher than Beaumont

  7. Houston

    $1642.28

    $109.16 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 21084 ranges from $1458.01 in Arkansas to $2003.75 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 21084

    Office

    $1561.95

    Facility

    $1036.41

    $28.83 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 21084

    Office

    $1758.03

    Facility

    $1102.90

    $224.91 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21084

    Office

    $1801.06

    Facility

    $1148.70

    $267.94 higher than Beaumont for the office setting.

  • Miami

    Florida · 21084

    Office

    $1770.86

    Facility

    $1194.37

    $237.74 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 21084

    Office

    $1727.83

    Facility

    $1171.27

    $194.71 higher than Beaumont for the office setting.

  • Manhattan

    New York · 21084

    Office

    $1835.16

    Facility

    $1191.66

    $302.04 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 21084

    Office

    $1990.84

    Facility

    $1401.06

    $457.72 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 21084

    Office

    $1474.98

    Facility

    $990.42

    $58.14 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 21084

    Office

    $1458.01

    Facility

    $982.30

    $75.11 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 21084

    Office

    $1573.92

    Facility

    $1037.30

    $40.80 higher than Beaumont for the office setting.

  • Bakersfield

    California · 21084

    Office

    $1668.17

    Facility

    $1061.22

    $135.05 higher than Beaumont for the office setting.

  • Chico

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • El Centro

    California · 21084

    Office

    $1661.02

    Facility

    $1054.07

    $127.90 higher than Beaumont for the office setting.

  • Fresno

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Madera

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Merced

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Modesto

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Napa

    California · 21084

    Office

    $1868.42

    Facility

    $1138.53

    $335.30 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21084

    Office

    $1744.29

    Facility

    $1089.71

    $211.17 higher than Beaumont for the office setting.

  • Redding

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Rest Of California

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21084

    Office

    $1687.81

    Facility

    $1080.86

    $154.69 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21084

    Office

    $1727.78

    Facility

    $1083.72

    $194.66 higher than Beaumont for the office setting.

  • Salinas

    California · 21084

    Office

    $1720.94

    Facility

    $1079.10

    $187.82 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21084

    Office

    $1750.12

    Facility

    $1087.79

    $217.00 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21084

    Office

    $1960.90

    Facility

    $1180.06

    $427.78 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 21084

    Office

    $1958.06

    Facility

    $1177.22

    $424.94 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 21084

    Office

    $2003.75

    Facility

    $1205.19

    $470.63 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 21084

    Office

    $1992.14

    Facility

    $1193.58

    $459.02 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21084

    Office

    $1694.79

    Facility

    $1064.03

    $161.67 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 21084

    Office

    $1758.13

    Facility

    $1085.28

    $225.01 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 21084

    Office

    $1724.31

    Facility

    $1078.59

    $191.19 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 21084

    Office

    $1775.06

    Facility

    $1095.01

    $241.94 higher than Beaumont for the office setting.

  • Stockton

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Vallejo

    California · 21084

    Office

    $1864.33

    Facility

    $1134.44

    $331.21 higher than Beaumont for the office setting.

  • Visalia

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Yuba City

    California · 21084

    Office

    $1660.61

    Facility

    $1053.66

    $127.49 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 21084

    Office

    $1651.97

    Facility

    $1062.74

    $118.85 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 21084

    Office

    $1703.98

    Facility

    $1107.55

    $170.86 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 21084

    Office

    $1596.28

    Facility

    $1049.14

    $63.16 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 21084

    Office

    $1688.40

    Facility

    $1127.41

    $155.28 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 21084

    Office

    $1617.62

    Facility

    $1088.20

    $84.50 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 21084

    Office

    $1642.29

    Facility

    $1079.64

    $109.17 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 21084

    Office

    $1540.77

    Facility

    $1046.79

    $7.65 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 21084

    Office

    $1684.34

    Facility

    $1054.69

    $151.22 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 21084

    Office

    $1492.67

    Facility

    $985.95

    $40.45 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 21084

    Office

    $1502.99

    Facility

    $993.51

    $30.13 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 21084

    Office

    $1631.67

    Facility

    $1122.18

    $98.55 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 21084

    Office

    $1588.44

    Facility

    $1082.84

    $55.32 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 21084

    Office

    $1701.64

    Facility

    $1132.90

    $168.52 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 21084

    Office

    $1509.64

    Facility

    $996.28

    $23.48 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 21084

    Office

    $1492.86

    Facility

    $992.24

    $40.26 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 21084

    Office

    $1515.26

    Facility

    $1022.94

    $17.86 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 21084

    Office

    $1575.05

    Facility

    $1053.93

    $41.93 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 21084

    Office

    $1515.67

    Facility

    $1025.56

    $17.45 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 21084

    Office

    $1785.64

    Facility

    $1124.42

    $252.52 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21084

    Office

    $1647.49

    Facility

    $1064.35

    $114.37 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21084

    Office

    $1700.13

    Facility

    $1105.91

    $167.01 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 21084

    Office

    $1620.60

    Facility

    $1060.17

    $87.48 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 21084

    Office

    $1515.43

    Facility

    $1005.95

    $17.69 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 21084

    Office

    $1572.62

    Facility

    $1023.82

    $39.50 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 21084

    Office

    $1640.05

    Facility

    $1105.65

    $106.93 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 21084

    Office

    $1552.20

    Facility

    $1046.60

    $19.08 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 21084

    Office

    $1574.86

    Facility

    $1005.01

    $41.74 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 21084

    Office

    $1560.18

    Facility

    $1040.17

    $27.06 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 21084

    Office

    $1572.60

    Facility

    $1045.40

    $39.48 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 21084

    Office

    $1498.72

    Facility

    $1021.35

    $34.40 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 21084

    Office

    $1478.30

    Facility

    $1001.49

    $54.82 lower than Beaumont for the office setting.

  • Montana**

    Montana · 21084

    Office

    $1610.42

    Facility

    $1056.64

    $77.30 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 21084

    Office

    $1527.19

    Facility

    $1010.50

    $5.93 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 21084

    Office

    $1560.99

    Facility

    $1007.20

    $27.87 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 21084

    Office

    $1497.44

    Facility

    $986.30

    $35.68 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 21084

    Office

    $1632.75

    Facility

    $1056.25

    $99.63 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 21084

    Office

    $1789.59

    Facility

    $1147.19

    $256.47 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 21084

    Office

    $1721.11

    Facility

    $1116.38

    $187.99 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 21084

    Office

    $1561.40

    Facility

    $1053.57

    $28.28 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 21084

    Office

    $1597.44

    Facility

    $1043.10

    $64.32 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21084

    Office

    $1879.25

    Facility

    $1220.80

    $346.13 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21084

    Office

    $1736.59

    Facility

    $1130.20

    $203.47 higher than Beaumont for the office setting.

  • Queens

    New York · 21084

    Office

    $1839.04

    Facility

    $1184.46

    $305.92 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 21084

    Office

    $1546.04

    Facility

    $1019.95

    $12.92 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 21084

    Office

    $1542.10

    Facility

    $1036.49

    $8.98 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 21084

    Office

    $1506.91

    Facility

    $1012.38

    $26.21 lower than Beaumont for the office setting.

  • Portland

    Oregon · 21084

    Office

    $1689.17

    Facility

    $1073.91

    $156.05 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 21084

    Office

    $1582.61

    Facility

    $1031.04

    $49.49 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21084

    Office

    $1672.48

    Facility

    $1095.99

    $139.36 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21084

    Office

    $1540.81

    Facility

    $1032.44

    $7.69 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 21084

    Office

    $1618.08

    Facility

    $1058.20

    $84.96 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 21084

    Office

    $1641.72

    Facility

    $1069.66

    $108.60 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 21084

    Office

    $1537.65

    Facility

    $1025.95

    $4.53 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 21084

    Office

    $1555.15

    Facility

    $1001.36

    $22.03 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 21084

    Office

    $1499.59

    Facility

    $996.20

    $33.53 lower than Beaumont for the office setting.

  • Utah

    Utah · 21084

    Office

    $1554.38

    Facility

    $1033.82

    $21.26 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 21084

    Office

    $1572.53

    Facility

    $1028.16

    $39.41 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21084

    Office

    $1618.08

    Facility

    $1058.20

    $84.96 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 21084

    Office

    $1561.39

    Facility

    $1013.14

    $28.27 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 21084

    Office

    $1642.28

    Facility

    $1059.15

    $109.16 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 21084

    Office

    $1812.37

    Facility

    $1132.87

    $279.25 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 21084

    Office

    $1519.42

    Facility

    $988.89

    $13.70 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 21084

    Office

    $1542.44

    Facility

    $1061.20

    $9.32 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 21084

    Office

    $1588.88

    Facility

    $1035.09

    $55.76 higher than Beaumont for the office setting.

See how rates vary across the country

21084 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$1,458.01

$1,990.84

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,990.841
AL$1,474.981
AR$1,458.011
AZ$1,573.921
CA$1,660.61–$2,003.7529
CO$1,651.971
CT$1,703.981
DC$1,801.061
DE$1,596.281
FL$1,617.62–$1,770.863
GA$1,540.77–$1,642.292
GU$1,684.341
HI$1,684.341
IA$1,492.671
ID$1,502.991
IL$1,588.44–$1,727.834
IN$1,509.641
KS$1,492.861
KY$1,515.261
LA$1,515.67–$1,575.052
MA$1,647.49–$1,785.642
MD$1,620.60–$1,801.063
ME$1,515.43–$1,572.622
MI$1,552.20–$1,640.052
MN$1,574.861
MO$1,498.72–$1,572.603
MS$1,478.301
MT$1,610.421
NC$1,527.191
ND$1,560.991
NE$1,497.441
NH$1,632.751
NJ$1,721.11–$1,789.592
NM$1,561.401
NV$1,597.441
NY$1,546.04–$1,879.255
OH$1,542.101
OK$1,506.911
OR$1,582.61–$1,689.172
PA$1,540.81–$1,672.482
PR$1,618.081
RI$1,641.721
SC$1,537.651
SD$1,555.151
TN$1,499.591
TX$1,533.12–$1,648.648
UT$1,554.381
VA$1,572.53–$1,801.062
VI$1,618.081
VT$1,561.391
WA$1,642.28–$1,812.372
WI$1,519.421
WV$1,542.441
WY$1,588.881

Explore 21084 on the national rate map →

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.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 21084 in Beaumont, the physician’s office rate is $1533.12 and the facility-setting rate is $1029.17: a difference of $503.95.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

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What is a percentage of Medicare worth?

Turn a percentage into dollars for 21084 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1686.43

$1533.12 × 110% = $1686.43

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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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 21084 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

1,868

Code
21084
Physician work
21.92
Practice expense
23.80
Malpractice
2.50

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 21084 in Beaumont
ComponentRVULocality factorAdjusted
Physician work21.92× 1.00021.9200
Practice expense23.80× 0.91021.6580
Malpractice2.50× 0.9292.3225
Total RVUs45.9005
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$1533.12

Open 21084 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work21.921
Practice expense23.80.91
Malpractice2.50.929

(21.92 × 1 + 23.8 × 0.91 + 2.5 × 0.929) × $33.4009 = $1533.12

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work21.921
Practice expense7.220.91
Malpractice2.50.929

(21.92 × 1 + 7.22 × 0.91 + 2.5 × 0.929) × $33.4009 = $1029.17

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

21084 · Office / nonfacility

$1533.12

Effective 2026-10-01

The base rate is $69.20 higher than on 2025-10-01, moving from $1463.92 to $1533.12 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $1463.92changed to$1533.12

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 22.48 changed to 21.92
    • Practice expense RVU 22.98 changed to 23.80
    • Malpractice RVU 2.14 changed to 2.50
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1463.92

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$1533.12$1029.17RVU26D
2026-07-01$1533.12$1029.17RVU26C
2026-04-01$1533.12$1029.17RVU26B
2026-01-01$1533.12$1029.17RVU26A
2025-10-01$1463.92$1135.61RVU25D
2025-07-01$1463.92$1135.61RVU25C
2025-04-01$1463.92$1135.61RVU25B
2025-01-01$1463.92$1135.61RVU25A

21084 billing questions

How is this different from a palatal lift prosthesis?

A speech aid prosthesis commonly uses a bulb to help close the velopharyngeal gap. A palatal lift raises a mobile but weak soft palate; select based on the prosthesis designed and the patient's functional problem.

When would an obturator code be more appropriate?

Use an obturator code when the prosthesis is designed to close an oral or palatal defect, such as a defect after maxillary surgery. Code 21084 describes custom preparation of a speech aid prosthesis for a speech-related functional problem.

What should the documentation establish?

Document the speech-related dysfunction, pertinent palate and velopharyngeal findings, the impression taken, and the custom prosthesis preparation performed.

How does the 90-day global period affect related care?

The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Assistant-at-surgery payment requires documentation of medical necessity.

Can modifier 50 or co-surgeon billing be used?

The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate. Co-surgeons and team surgery are 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.

RVUs for 21084PPRRVU2026_Oct_nonQPP.csv, line 1,868 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet