Choose 21070 when the operation removes the mandibular coronoid process. Code 21050 concerns removal of the mandibular condyle.
On this page
CMS RVU26D · Effective 2026-10-01
21070 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$546.77
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 21070: Mandibular coronoid process removal
Reports surgical removal of a mandibular coronoid process, typically to relieve restricted jaw opening caused by coronoid impingement or enlargement.
A coronoidectomy removes the mandibular coronoid process when it mechanically limits jaw opening. A typical clinical setting is restricted mandibular movement associated with an enlarged or impinging coronoid process. Oral and maxillofacial surgeons and other surgeons treating maxillofacial conditions may perform the operation in a surgical facility; Medicare volume is reported in facility settings.
Report the procedure when the operative service removes the coronoid process, and document the indication, side, relevant findings, and work performed. This major surgery includes 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 the others at 50%. Bilateral reporting with modifier 50 is paid at 150%. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 21070
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU8.40 · 52%
- Practice expense (office) RVU6.54 · 40%
- Malpractice RVU1.23 · 8%
85
Medicare services in 2024 · #4997 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.
21070 compared with similar codes
Office rates for Chico, from the same CMS release.
Code 21060 concerns cartilage within the temporomandibular joint; it does not describe coronoid process removal.
Code 21073 describes manipulation of the temporomandibular joint under anesthesia. Use 21070 when the coronoid process is surgically removed.
The same code, a different location
How does Chico compare?
21070 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Modesto
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Napa
California · 21070
Office
Unavailable
Facility
$607.02
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21070
Office
Unavailable
Facility
$572.22
No comparable office rate is available.
Redding
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Rest Of California
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21070
Office
Unavailable
Facility
$560.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21070
Office
Unavailable
Facility
$566.74
No comparable office rate is available.
Salinas
California · 21070
Office
Unavailable
Facility
$564.46
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21070
Office
Unavailable
Facility
$572.51
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21070
Office
Unavailable
Facility
$634.08
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21070
Office
Unavailable
Facility
$632.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21070
Office
Unavailable
Facility
$648.44
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21070
Office
Unavailable
Facility
$642.73
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21070
Office
Unavailable
Facility
$556.16
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21070
Office
Unavailable
Facility
$573.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21070
Office
Unavailable
Facility
$565.15
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21070
Office
Unavailable
Facility
$579.25
No comparable office rate is available.
Stockton
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Vallejo
California · 21070
Office
Unavailable
Facility
$605.01
No comparable office rate is available.
Visalia
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Yuba City
California · 21070
Office
Unavailable
Facility
$546.77
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21070
Office
Unavailable
Facility
$598.77
No comparable office rate is available.
Miami
Florida · 21070
Office
Unavailable
Facility
$611.86
No comparable office rate is available.
Chicago
Illinois · 21070
Office
Unavailable
Facility
$596.35
No comparable office rate is available.
Manhattan
New York · 21070
Office
Unavailable
Facility
$617.51
No comparable office rate is available.
Alaska*
Alaska · 21070
Office
Unavailable
Facility
$676.13
No comparable office rate is available.
Alabama
Alabama · 21070
Office
Unavailable
Facility
$494.96
No comparable office rate is available.
Arkansas
Arkansas · 21070
Office
Unavailable
Facility
$489.37
No comparable office rate is available.
Arizona
Arizona · 21070
Office
Unavailable
Facility
$527.40
No comparable office rate is available.
Colorado
Colorado · 21070
Office
Unavailable
Facility
$548.44
No comparable office rate is available.
Connecticut
Connecticut · 21070
Office
Unavailable
Facility
$571.15
No comparable office rate is available.
Delaware
Delaware · 21070
Office
Unavailable
Facility
$534.72
No comparable office rate is available.
Fort Lauderdale
Florida · 21070
Office
Unavailable
Facility
$576.13
No comparable office rate is available.
Rest Of Florida
Florida · 21070
Office
Unavailable
Facility
$551.15
No comparable office rate is available.
Atlanta
Georgia · 21070
Office
Unavailable
Facility
$552.69
No comparable office rate is available.
Rest Of Georgia
Georgia · 21070
Office
Unavailable
Facility
$524.39
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21070
Office
Unavailable
Facility
$552.72
No comparable office rate is available.
Iowa
Iowa · 21070
Office
Unavailable
Facility
$496.75
No comparable office rate is available.
Idaho
Idaho · 21070
Office
Unavailable
Facility
$500.97
No comparable office rate is available.
East St. Louis
Illinois · 21070
Office
Unavailable
Facility
$564.28
No comparable office rate is available.
Rest Of Illinois
Illinois · 21070
Office
Unavailable
Facility
$544.22
No comparable office rate is available.
Suburban Chicago
Illinois · 21070
Office
Unavailable
Facility
$579.67
No comparable office rate is available.
Indiana
Indiana · 21070
Office
Unavailable
Facility
$503.03
No comparable office rate is available.
Kansas
Kansas · 21070
Office
Unavailable
Facility
$498.74
No comparable office rate is available.
Kentucky
Kentucky · 21070
Office
Unavailable
Facility
$512.35
No comparable office rate is available.
New Orleans
Louisiana · 21070
Office
Unavailable
Facility
$532.79
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21070
Office
Unavailable
Facility
$513.25
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21070
Office
Unavailable
Facility
$589.45
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21070
Office
Unavailable
Facility
$547.82
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21070
Office
Unavailable
Facility
$570.26
No comparable office rate is available.
Rest Of Maryland
Maryland · 21070
Office
Unavailable
Facility
$542.15
No comparable office rate is available.
Rest Of Maine
Maine · 21070
Office
Unavailable
Facility
$507.09
No comparable office rate is available.
Southern Maine
Maine · 21070
Office
Unavailable
Facility
$522.97
No comparable office rate is available.
Detroit
Michigan · 21070
Office
Unavailable
Facility
$560.63
No comparable office rate is available.
Rest Of Michigan
Michigan · 21070
Office
Unavailable
Facility
$526.39
No comparable office rate is available.
Minnesota
Minnesota · 21070
Office
Unavailable
Facility
$517.50
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21070
Office
Unavailable
Facility
$525.82
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21070
Office
Unavailable
Facility
$529.69
No comparable office rate is available.
Rest Of Missouri
Missouri · 21070
Office
Unavailable
Facility
$508.88
No comparable office rate is available.
Mississippi
Mississippi · 21070
Office
Unavailable
Facility
$499.01
No comparable office rate is available.
Montana**
Montana · 21070
Office
Unavailable
Facility
$540.01
No comparable office rate is available.
North Carolina
North Carolina · 21070
Office
Unavailable
Facility
$510.63
No comparable office rate is available.
North Dakota**
North Dakota · 21070
Office
Unavailable
Facility
$515.69
No comparable office rate is available.
Nebraska
Nebraska · 21070
Office
Unavailable
Facility
$497.72
No comparable office rate is available.
New Hampshire
New Hampshire · 21070
Office
Unavailable
Facility
$543.91
No comparable office rate is available.
Northern Nj
New Jersey · 21070
Office
Unavailable
Facility
$595.51
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21070
Office
Unavailable
Facility
$575.40
No comparable office rate is available.
New Mexico
New Mexico · 21070
Office
Unavailable
Facility
$530.22
No comparable office rate is available.
Nevada**
Nevada · 21070
Office
Unavailable
Facility
$533.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21070
Office
Unavailable
Facility
$634.54
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21070
Office
Unavailable
Facility
$582.10
No comparable office rate is available.
Queens
New York · 21070
Office
Unavailable
Facility
$615.96
No comparable office rate is available.
Rest Of New York
New York · 21070
Office
Unavailable
Facility
$516.97
No comparable office rate is available.
Ohio
Ohio · 21070
Office
Unavailable
Facility
$521.42
No comparable office rate is available.
Oklahoma
Oklahoma · 21070
Office
Unavailable
Facility
$507.56
No comparable office rate is available.
Portland
Oregon · 21070
Office
Unavailable
Facility
$558.31
No comparable office rate is available.
Rest Of Oregon
Oregon · 21070
Office
Unavailable
Facility
$527.02
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21070
Office
Unavailable
Facility
$562.03
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21070
Office
Unavailable
Facility
$519.92
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21070
Office
Unavailable
Facility
$541.88
No comparable office rate is available.
Rhode Island
Rhode Island · 21070
Office
Unavailable
Facility
$548.19
No comparable office rate is available.
South Carolina
South Carolina · 21070
Office
Unavailable
Facility
$517.33
No comparable office rate is available.
South Dakota**
South Dakota · 21070
Office
Unavailable
Facility
$512.81
No comparable office rate is available.
Tennessee
Tennessee · 21070
Office
Unavailable
Facility
$501.19
No comparable office rate is available.
Austin
Texas · 21070
Office
Unavailable
Facility
$548.64
No comparable office rate is available.
Beaumont
Texas · 21070
Office
Unavailable
Facility
$517.52
No comparable office rate is available.
Brazoria
Texas · 21070
Office
Unavailable
Facility
$531.33
No comparable office rate is available.
Dallas
Texas · 21070
Office
Unavailable
Facility
$535.91
No comparable office rate is available.
Fort Worth
Texas · 21070
Office
Unavailable
Facility
$534.26
No comparable office rate is available.
Galveston
Texas · 21070
Office
Unavailable
Facility
$533.74
No comparable office rate is available.
Houston
Texas · 21070
Office
Unavailable
Facility
$556.26
No comparable office rate is available.
Rest Of Texas
Texas · 21070
Office
Unavailable
Facility
$524.97
No comparable office rate is available.
Utah
Utah · 21070
Office
Unavailable
Facility
$522.80
No comparable office rate is available.
Virginia
Virginia · 21070
Office
Unavailable
Facility
$524.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21070
Office
Unavailable
Facility
$541.88
No comparable office rate is available.
Vermont
Vermont · 21070
Office
Unavailable
Facility
$517.61
No comparable office rate is available.
Rest Of Washington
Washington · 21070
Office
Unavailable
Facility
$545.50
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21070
Office
Unavailable
Facility
$596.19
No comparable office rate is available.
Wisconsin
Wisconsin · 21070
Office
Unavailable
Facility
$502.49
No comparable office rate is available.
West Virginia
West Virginia · 21070
Office
Unavailable
Facility
$529.18
No comparable office rate is available.
Wyoming**
Wyoming · 21070
Office
Unavailable
Facility
$529.41
No comparable office rate is available.
See how rates vary across the country
21070 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 21070 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$601.45
$546.77 × 110% = $601.45
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 21070 in Chico.
PPRRVU2026_Oct_nonQPP.csv
1,859
- Code
- 21070
- Physician work
- 8.40
- Practice expense
- 6.54
- Malpractice
- 1.23
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.40 | × 1.017 | 8.5428 |
| Practice expense | 6.54 | × 1.096 | 7.1678 |
| Malpractice | 1.23 | × 0.536 | 0.6593 |
| Total RVUs | 16.3699 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$546.77
Open 21070 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.4 | 1.017 |
| Practice expense | 6.54 | 1.096 |
| Malpractice | 1.23 | 0.536 |
(8.4 × 1.017 + 6.54 × 1.096 + 1.23 × 0.536) × $33.4009 = $546.77
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
21070 · 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 | $546.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $546.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $546.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $546.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $609.96 | RVU25D |
| 2025-07-01 | Not available in this setting | $609.96 | RVU25C |
| 2025-04-01 | Not available in this setting | $609.96 | RVU25B |
| 2025-01-01 | Not available in this setting | $609.96 | RVU25A |
21070 billing questions
How is this different from removing the mandibular condyle?
This code is for removal of the coronoid process, which can restrict jaw opening. Code 21050 concerns the mandibular condyle, a different part of the jaw joint.
What documentation supports reporting this procedure?
Document the jaw-opening problem, findings connecting it to the coronoid process, the side treated, and the operative work removing the process.
Can this code be reported for both sides?
Yes. For bilateral surgery, modifier 50 is paid at 150% under the CMS facts provided.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is an assistant at surgery payable?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. 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.
