21742
No office rateRepair stern/nuss w/o scope
Choose 21742 for minimally invasive pectus repair performed without thoracoscopy. Code 21740 describes open sternal reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
21740 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$954.83
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.
Thoracic surgery
About 21740: Open sternal reconstruction for deformity
Open sternal reconstruction reshapes or rebuilds the sternum to correct a congenital or acquired chest-wall deformity, such as pectus deformity.
This service involves surgically reconstructing the sternum to correct a congenital or acquired deformity. It is typically performed by a thoracic surgeon in an operating room. Open reconstruction may be selected for a chest-wall deformity such as pectus excavatum or carinatum; the operative approach and extent of reconstruction distinguish it from minimally invasive repair techniques.
Report the code when the surgeon’s work reconstructs the sternum, not simply closes a separated median sternotomy. The operative report should identify the deformity, the anatomic problem addressed, and the reconstruction performed. This major surgery has 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 others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
CMS billing rules for 21740
- 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 RVU17.13 · 58%
- Practice expense (office) RVU8.19 · 28%
- Malpractice RVU4.31 · 15%
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.
21740 compared with similar codes
Office rates for Beaumont, from the same CMS release.
21743
No office rateRepair sternum/nuss w/scope
Choose 21743 for minimally invasive pectus repair performed with thoracoscopy. Code 21740 describes open sternal reconstruction.
No office rate
Code 21750 is for closing a separated median sternotomy. Code 21740 is for reconstructing the sternum to correct a congenital or acquired deformity.
The same code, a different location
How does Beaumont compare?
21740 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 · 21740
Office
Unavailable
Facility
$961.75
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 21740
Office
Unavailable
Facility
$1014.82
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21740
Office
Unavailable
Facility
$1085.52
No comparable office rate is available.
Miami
Florida · 21740
Office
Unavailable
Facility
$1221.00
No comparable office rate is available.
Chicago
Illinois · 21740
Office
Unavailable
Facility
$1181.47
No comparable office rate is available.
Manhattan
New York · 21740
Office
Unavailable
Facility
$1154.96
No comparable office rate is available.
Alaska*
Alaska · 21740
Office
Unavailable
Facility
$1228.89
No comparable office rate is available.
Alabama
Alabama · 21740
Office
Unavailable
Facility
$893.00
No comparable office rate is available.
Arkansas
Arkansas · 21740
Office
Unavailable
Facility
$881.28
No comparable office rate is available.
Arizona
Arizona · 21740
Office
Unavailable
Facility
$960.46
No comparable office rate is available.
Bakersfield
California · 21740
Office
Unavailable
Facility
$970.51
No comparable office rate is available.
Chico
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
El Centro
California · 21740
Office
Unavailable
Facility
$959.58
No comparable office rate is available.
Fresno
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Hanford-Corcoran
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Madera
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Merced
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Modesto
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Napa
California · 21740
Office
Unavailable
Facility
$1041.88
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21740
Office
Unavailable
Facility
$1001.20
No comparable office rate is available.
Redding
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Rest Of California
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21740
Office
Unavailable
Facility
$1005.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21740
Office
Unavailable
Facility
$988.06
No comparable office rate is available.
Salinas
California · 21740
Office
Unavailable
Facility
$984.10
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21740
Office
Unavailable
Facility
$994.52
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21740
Office
Unavailable
Facility
$1078.30
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21740
Office
Unavailable
Facility
$1073.40
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21740
Office
Unavailable
Facility
$1106.72
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21740
Office
Unavailable
Facility
$1086.71
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21740
Office
Unavailable
Facility
$970.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21740
Office
Unavailable
Facility
$993.70
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21740
Office
Unavailable
Facility
$984.30
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21740
Office
Unavailable
Facility
$1002.41
No comparable office rate is available.
Stockton
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Vallejo
California · 21740
Office
Unavailable
Facility
$1034.82
No comparable office rate is available.
Visalia
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Yuba City
California · 21740
Office
Unavailable
Facility
$958.86
No comparable office rate is available.
Colorado
Colorado · 21740
Office
Unavailable
Facility
$982.52
No comparable office rate is available.
Connecticut
Connecticut · 21740
Office
Unavailable
Facility
$1052.41
No comparable office rate is available.
Delaware
Delaware · 21740
Office
Unavailable
Facility
$974.71
No comparable office rate is available.
Fort Lauderdale
Florida · 21740
Office
Unavailable
Facility
$1109.54
No comparable office rate is available.
Rest Of Florida
Florida · 21740
Office
Unavailable
Facility
$1050.04
No comparable office rate is available.
Atlanta
Georgia · 21740
Office
Unavailable
Facility
$1024.70
No comparable office rate is available.
Rest Of Georgia
Georgia · 21740
Office
Unavailable
Facility
$987.76
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21740
Office
Unavailable
Facility
$966.54
No comparable office rate is available.
Iowa
Iowa · 21740
Office
Unavailable
Facility
$879.61
No comparable office rate is available.
Idaho
Idaho · 21740
Office
Unavailable
Facility
$891.92
No comparable office rate is available.
East St. Louis
Illinois · 21740
Office
Unavailable
Facility
$1113.76
No comparable office rate is available.
Rest Of Illinois
Illinois · 21740
Office
Unavailable
Facility
$1046.92
No comparable office rate is available.
Suburban Chicago
Illinois · 21740
Office
Unavailable
Facility
$1112.20
No comparable office rate is available.
Indiana
Indiana · 21740
Office
Unavailable
Facility
$895.70
No comparable office rate is available.
Kansas
Kansas · 21740
Office
Unavailable
Facility
$892.00
No comparable office rate is available.
Kentucky
Kentucky · 21740
Office
Unavailable
Facility
$947.07
No comparable office rate is available.
New Orleans
Louisiana · 21740
Office
Unavailable
Facility
$993.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21740
Office
Unavailable
Facility
$952.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21740
Office
Unavailable
Facility
$1050.36
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21740
Office
Unavailable
Facility
$984.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21740
Office
Unavailable
Facility
$1052.91
No comparable office rate is available.
Rest Of Maryland
Maryland · 21740
Office
Unavailable
Facility
$986.87
No comparable office rate is available.
Rest Of Maine
Maine · 21740
Office
Unavailable
Facility
$913.37
No comparable office rate is available.
Southern Maine
Maine · 21740
Office
Unavailable
Facility
$934.09
No comparable office rate is available.
Detroit
Michigan · 21740
Office
Unavailable
Facility
$1078.85
No comparable office rate is available.
Rest Of Michigan
Michigan · 21740
Office
Unavailable
Facility
$984.44
No comparable office rate is available.
Minnesota
Minnesota · 21740
Office
Unavailable
Facility
$896.26
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21740
Office
Unavailable
Facility
$969.67
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21740
Office
Unavailable
Facility
$976.83
No comparable office rate is available.
Rest Of Missouri
Missouri · 21740
Office
Unavailable
Facility
$948.18
No comparable office rate is available.
Mississippi
Mississippi · 21740
Office
Unavailable
Facility
$914.07
No comparable office rate is available.
Montana**
Montana · 21740
Office
Unavailable
Facility
$989.38
No comparable office rate is available.
North Carolina
North Carolina · 21740
Office
Unavailable
Facility
$919.37
No comparable office rate is available.
North Dakota**
North Dakota · 21740
Office
Unavailable
Facility
$904.16
No comparable office rate is available.
Nebraska
Nebraska · 21740
Office
Unavailable
Facility
$879.06
No comparable office rate is available.
New Hampshire
New Hampshire · 21740
Office
Unavailable
Facility
$982.89
No comparable office rate is available.
Northern Nj
New Jersey · 21740
Office
Unavailable
Facility
$1079.27
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21740
Office
Unavailable
Facility
$1051.69
No comparable office rate is available.
New Mexico
New Mexico · 21740
Office
Unavailable
Facility
$995.90
No comparable office rate is available.
Nevada**
Nevada · 21740
Office
Unavailable
Facility
$965.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21740
Office
Unavailable
Facility
$1201.36
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21740
Office
Unavailable
Facility
$1071.63
No comparable office rate is available.
Queens
New York · 21740
Office
Unavailable
Facility
$1139.70
No comparable office rate is available.
Rest Of New York
New York · 21740
Office
Unavailable
Facility
$933.24
No comparable office rate is available.
Ohio
Ohio · 21740
Office
Unavailable
Facility
$967.02
No comparable office rate is available.
Oklahoma
Oklahoma · 21740
Office
Unavailable
Facility
$928.30
No comparable office rate is available.
Portland
Oregon · 21740
Office
Unavailable
Facility
$992.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 21740
Office
Unavailable
Facility
$945.82
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21740
Office
Unavailable
Facility
$1038.97
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21740
Office
Unavailable
Facility
$959.32
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21740
Office
Unavailable
Facility
$990.52
No comparable office rate is available.
Rhode Island
Rhode Island · 21740
Office
Unavailable
Facility
$994.02
No comparable office rate is available.
South Carolina
South Carolina · 21740
Office
Unavailable
Facility
$947.28
No comparable office rate is available.
South Dakota**
South Dakota · 21740
Office
Unavailable
Facility
$894.08
No comparable office rate is available.
Tennessee
Tennessee · 21740
Office
Unavailable
Facility
$898.12
No comparable office rate is available.
Utah
Utah · 21740
Office
Unavailable
Facility
$958.57
No comparable office rate is available.
Virginia
Virginia · 21740
Office
Unavailable
Facility
$942.69
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21740
Office
Unavailable
Facility
$990.52
No comparable office rate is available.
Vermont
Vermont · 21740
Office
Unavailable
Facility
$915.82
No comparable office rate is available.
Rest Of Washington
Washington · 21740
Office
Unavailable
Facility
$977.20
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21740
Office
Unavailable
Facility
$1054.03
No comparable office rate is available.
Wisconsin
Wisconsin · 21740
Office
Unavailable
Facility
$878.56
No comparable office rate is available.
West Virginia
West Virginia · 21740
Office
Unavailable
Facility
$1015.88
No comparable office rate is available.
Wyoming**
Wyoming · 21740
Office
Unavailable
Facility
$952.24
No comparable office rate is available.
See how rates vary across the country
21740 · 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 21740 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1050.31
$954.83 × 110% = $1050.31
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 21740 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
2,023
- Code
- 21740
- Physician work
- 17.13
- Practice expense
- 8.19
- Malpractice
- 4.31
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.13 | × 1.000 | 17.1300 |
| Practice expense | 8.19 | × 0.910 | 7.4529 |
| Malpractice | 4.31 | × 0.929 | 4.0040 |
| Total RVUs | 28.5869 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$954.83
Open 21740 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.13 | 1 |
| Practice expense | 8.19 | 0.91 |
| Malpractice | 4.31 | 0.929 |
(17.13 × 1 + 8.19 × 0.91 + 4.31 × 0.929) × $33.4009 = $954.83
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
21740 · 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 | $954.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $954.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $954.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $954.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $958.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $958.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $958.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $958.85 | RVU25A |
21740 billing questions
How does this differ from the minimally invasive pectus repair codes?
This code describes open sternal reconstruction for a deformity. The minimally invasive pectus codes distinguish repair performed without thoracoscopy from repair performed with thoracoscopy.
Should this be reported for closure of a separated median sternotomy?
No. Code 21750 describes closure of median sternotomy separation; choose based on the documented procedure and indication rather than the shared sternal anatomy.
Can modifier 50 be used for bilateral reconstruction?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What documentation supports reporting this code?
The operative report should describe the congenital or acquired sternal deformity, the reconstruction performed, and the extent of the surgical work.
How does the 90-day global period affect postoperative reporting?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. Those related services are included in the surgical global package.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
2,02021705,,Revision of neck muscle/rib,A,,9.67,2.65,NA,2.65,,2.48,14.80,14.80,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02121720,,Revision of neck muscle,A,,5.66,9.16,NA,9.16,,2.38,17.20,17.20,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02221725,,Revision of neck muscle,A,,7.01,6.94,NA,6.94,,1.48,15.43,15.43,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02321740,,Reconstruction of sternum,A,,17.13,8.19,NA,8.19,,4.31,29.63,29.63,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02421742,,Repair stern/nuss w/o scope,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02521743,,Repair sternum/nuss w/scope,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02621750,,Repair of sternum separation,A,,11.12,5.93,NA,5.93,,2.73,19.78,19.78,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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