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CMS RVU26D · Effective 2026-10-01

21082 in Manhattan

Office / nonfacility

$1708.57

Base rate per service

Facility setting

$1121.74

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 21082: Palatal augmentation prosthesis preparation

Reports custom preparation of a palatal augmentation prosthesis that reshapes the palate to improve tongue contact for speech or swallowing.

A palatal augmentation prosthesis changes the contour of the hard palate so the tongue can make more effective contact during speech or swallowing. It is commonly considered for patients with reduced tongue mobility or tissue loss, such as after glossectomy. A maxillofacial prosthodontist or another clinician experienced in oral prosthetic rehabilitation evaluates the oral anatomy, obtains an impression, and customizes the appliance to the patient’s functional needs. The service may involve fitting and adjustments to establish the intended palatal contour.

Report this code when the service is for a palatal augmentation prosthesis, rather than a device that lifts the soft palate or closes a surgical defect. Documentation should identify the functional problem, relevant oral anatomy, impression and customization work, and the prosthesis’s fit and purpose. CMS assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 21082

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 RVU20.32 · 45%
  • Practice expense (office) RVU22.14 · 49%
  • Malpractice RVU2.40 · 5%

206

Medicare services in 2024 · #4297 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.

21082 compared with similar codes

Office rates for Manhattan, from the same CMS release.

21083

Palatal lift prosthesis

Impression and custom preparation

$1,608.99

21082 reshapes the palate to improve tongue-to-palate contact. 21083 describes a palatal lift intended to elevate the soft palate.

21084

Speech aid prosthesis

Impression and custom preparation

$1,835.16

21084 is for a speech-aid prosthesis serving a different functional purpose; select 21082 when the custom appliance augments the palate for tongue contact.

21080

Obturator prosthesis

Definitive obturator

$1,971.31

21080 concerns a definitive obturator for a palatal defect. 21082 is for a palatal contour designed to improve tongue contact, not to obturate the defect.

21081

Mandibular prosthesis

Impression and custom preparation

$1,815.19

21081 concerns a prosthesis associated with mandibular resection. 21082 is selected for an appliance that augments the palate.

The same code, a different location

How does Manhattan compare?

In Nyc Suburbs/Long Island, the office rate for 21082 is $1750.27—$41.70 higher than the $1708.57 rate in Manhattan. Both use the same code, release and participation basis.

21082 across payment areas

Same release and payment basis · bars start at $0

  1. Manhattan · This locality

    $1708.57

  2. Nyc Suburbs/Long Island

    $1750.27

    $41.70 higher than Manhattan

  3. Poughkpsie/N Nyc Suburbs

    $1615.99

    $92.58 lower than Manhattan

  4. Queens

    $1711.82

    $3.25 higher than Manhattan

  5. Rest Of New York

    $1437.58

    $270.99 lower than Manhattan

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $1634.58

    $73.99 lower than Manhattan

  7. Dc + Md/Va Suburbs

    $1675.70

    $32.87 lower than Manhattan

Other payment areas listed in New York 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, 21082 ranges from $1355.22 in Arkansas to $1862.68 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

  • Miami

    Florida · 21082

    Office

    $1651.25

    Facility

    $1125.52

    $57.32 lower than Manhattan for the office setting.

  • Chicago

    Illinois · 21082

    Office

    $1610.62

    Facility

    $1103.08

    $97.95 lower than Manhattan for the office setting.

  • Alaska*

    Alaska · 21082

    Office

    $1849.79

    Facility

    $1311.94

    $141.22 higher than Manhattan for the office setting.

  • Alabama

    Alabama · 21082

    Office

    $1371.14

    Facility

    $929.24

    $337.43 lower than Manhattan for the office setting.

  • Arkansas

    Arkansas · 21082

    Office

    $1355.22

    Facility

    $921.40

    $353.35 lower than Manhattan for the office setting.

  • Arizona

    Arizona · 21082

    Office

    $1463.90

    Facility

    $974.53

    $244.67 lower than Manhattan for the office setting.

  • Bakersfield

    California · 21082

    Office

    $1550.91

    Facility

    $997.40

    $157.66 lower than Manhattan for the office setting.

  • Chico

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • El Centro

    California · 21082

    Office

    $1544.10

    Facility

    $990.60

    $164.47 lower than Manhattan for the office setting.

  • Fresno

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Hanford-Corcoran

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Madera

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Merced

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Modesto

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Napa

    California · 21082

    Office

    $1736.84

    Facility

    $1071.22

    $28.27 higher than Manhattan for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21082

    Office

    $1621.74

    Facility

    $1024.80

    $86.83 lower than Manhattan for the office setting.

  • Redding

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Rest Of California

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21082

    Office

    $1569.79

    Facility

    $1016.29

    $138.78 lower than Manhattan for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21082

    Office

    $1606.14

    Facility

    $1018.80

    $102.43 lower than Manhattan for the office setting.

  • Salinas

    California · 21082

    Office

    $1599.79

    Facility

    $1014.47

    $108.78 lower than Manhattan for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21082

    Office

    $1626.95

    Facility

    $1022.95

    $81.62 lower than Manhattan for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21082

    Office

    $1822.67

    Facility

    $1110.59

    $114.10 higher than Manhattan for the office setting.

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

    California · 21082

    Office

    $1819.94

    Facility

    $1107.86

    $111.37 higher than Manhattan for the office setting.

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

    California · 21082

    Office

    $1862.68

    Facility

    $1134.44

    $154.11 higher than Manhattan for the office setting.

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

    California · 21082

    Office

    $1851.54

    Facility

    $1123.30

    $142.97 higher than Manhattan for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21082

    Office

    $1575.50

    Facility

    $1000.28

    $133.07 lower than Manhattan for the office setting.

  • Santa Cruz-Watsonville

    California · 21082

    Office

    $1634.41

    Facility

    $1020.81

    $74.16 lower than Manhattan for the office setting.

  • Santa Maria-Santa Barbara

    California · 21082

    Office

    $1602.93

    Facility

    $1014.07

    $105.64 lower than Manhattan for the office setting.

  • Santa Rosa-Petaluma

    California · 21082

    Office

    $1650.14

    Facility

    $1029.97

    $58.43 lower than Manhattan for the office setting.

  • Stockton

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Vallejo

    California · 21082

    Office

    $1732.91

    Facility

    $1067.30

    $24.34 higher than Manhattan for the office setting.

  • Visalia

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Yuba City

    California · 21082

    Office

    $1543.70

    Facility

    $990.20

    $164.87 lower than Manhattan for the office setting.

  • Colorado

    Colorado · 21082

    Office

    $1536.28

    Facility

    $998.94

    $172.29 lower than Manhattan for the office setting.

  • Connecticut

    Connecticut · 21082

    Office

    $1585.71

    Facility

    $1041.81

    $122.86 lower than Manhattan for the office setting.

  • Delaware

    Delaware · 21082

    Office

    $1484.79

    Facility

    $985.83

    $223.78 lower than Manhattan for the office setting.

  • Fort Lauderdale

    Florida · 21082

    Office

    $1572.75

    Facility

    $1061.16

    $135.82 lower than Manhattan for the office setting.

  • Rest Of Florida

    Florida · 21082

    Office

    $1506.15

    Facility

    $1023.35

    $202.42 lower than Manhattan for the office setting.

  • Atlanta

    Georgia · 21082

    Office

    $1528.35

    Facility

    $1015.24

    $180.22 lower than Manhattan for the office setting.

  • Rest Of Georgia

    Georgia · 21082

    Office

    $1433.89

    Facility

    $983.41

    $274.68 lower than Manhattan for the office setting.

  • Hawaii, Guam

    Hawaii · 21082

    Office

    $1565.93

    Facility

    $991.72

    $142.64 lower than Manhattan for the office setting.

  • Iowa

    Iowa · 21082

    Office

    $1387.17

    Facility

    $925.07

    $321.40 lower than Manhattan for the office setting.

  • Idaho

    Idaho · 21082

    Office

    $1396.96

    Facility

    $932.34

    $311.61 lower than Manhattan for the office setting.

  • East St. Louis

    Illinois · 21082

    Office

    $1520.49

    Facility

    $1055.87

    $188.08 lower than Manhattan for the office setting.

  • Rest Of Illinois

    Illinois · 21082

    Office

    $1479.16

    Facility

    $1018.07

    $229.41 lower than Manhattan for the office setting.

  • Suburban Chicago

    Illinois · 21082

    Office

    $1584.97

    Facility

    $1066.31

    $123.60 lower than Manhattan for the office setting.

  • Indiana

    Indiana · 21082

    Office

    $1403.18

    Facility

    $935.02

    $305.39 lower than Manhattan for the office setting.

  • Kansas

    Kansas · 21082

    Office

    $1387.61

    Facility

    $931.07

    $320.96 lower than Manhattan for the office setting.

  • Kentucky

    Kentucky · 21082

    Office

    $1409.47

    Facility

    $960.50

    $299.10 lower than Manhattan for the office setting.

  • New Orleans

    Louisiana · 21082

    Office

    $1465.64

    Facility

    $990.41

    $242.93 lower than Manhattan for the office setting.

  • Rest Of Louisiana

    Louisiana · 21082

    Office

    $1409.96

    Facility

    $963.01

    $298.61 lower than Manhattan for the office setting.

  • Metropolitan Boston

    Massachusetts · 21082

    Office

    $1660.84

    Facility

    $1057.84

    $47.73 lower than Manhattan for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21082

    Office

    $1532.14

    Facility

    $1000.36

    $176.43 lower than Manhattan for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21082

    Office

    $1582.21

    Facility

    $1040.32

    $126.36 lower than Manhattan for the office setting.

  • Rest Of Maryland

    Maryland · 21082

    Office

    $1507.45

    Facility

    $996.37

    $201.12 lower than Manhattan for the office setting.

  • Rest Of Maine

    Maine · 21082

    Office

    $1408.90

    Facility

    $944.28

    $299.67 lower than Manhattan for the office setting.

  • Southern Maine

    Maine · 21082

    Office

    $1462.13

    Facility

    $961.65

    $246.44 lower than Manhattan for the office setting.

  • Detroit

    Michigan · 21082

    Office

    $1527.47

    Facility

    $1040.13

    $181.10 lower than Manhattan for the office setting.

  • Rest Of Michigan

    Michigan · 21082

    Office

    $1444.37

    Facility

    $983.28

    $264.20 lower than Manhattan for the office setting.

  • Minnesota

    Minnesota · 21082

    Office

    $1463.38

    Facility

    $943.71

    $245.19 lower than Manhattan for the office setting.

  • Metropolitan Kansas City

    Missouri · 21082

    Office

    $1451.41

    Facility

    $977.20

    $257.16 lower than Manhattan for the office setting.

  • Metropolitan St. Louis

    Missouri · 21082

    Office

    $1463.03

    Facility

    $982.25

    $245.54 lower than Manhattan for the office setting.

  • Rest Of Missouri

    Missouri · 21082

    Office

    $1394.23

    Facility

    $958.90

    $314.34 lower than Manhattan for the office setting.

  • Mississippi

    Mississippi · 21082

    Office

    $1374.65

    Facility

    $939.83

    $333.92 lower than Manhattan for the office setting.

  • Montana**

    Montana · 21082

    Office

    $1498.20

    Facility

    $993.18

    $210.37 lower than Manhattan for the office setting.

  • North Carolina

    North Carolina · 21082

    Office

    $1419.88

    Facility

    $948.69

    $288.69 lower than Manhattan for the office setting.

  • North Dakota**

    North Dakota · 21082

    Office

    $1450.75

    Facility

    $945.73

    $257.82 lower than Manhattan for the office setting.

  • Nebraska

    Nebraska · 21082

    Office

    $1391.56

    Facility

    $925.43

    $317.01 lower than Manhattan for the office setting.

  • New Hampshire

    New Hampshire · 21082

    Office

    $1518.66

    Facility

    $992.94

    $189.91 lower than Manhattan for the office setting.

  • Northern Nj

    New Jersey · 21082

    Office

    $1664.89

    Facility

    $1079.07

    $43.68 lower than Manhattan for the office setting.

  • Rest Of New Jersey

    New Jersey · 21082

    Office

    $1601.32

    Facility

    $1049.84

    $107.25 lower than Manhattan for the office setting.

  • New Mexico

    New Mexico · 21082

    Office

    $1453.10

    Facility

    $989.99

    $255.47 lower than Manhattan for the office setting.

  • Nevada**

    Nevada · 21082

    Office

    $1485.72

    Facility

    $980.19

    $222.85 lower than Manhattan for the office setting.

  • Ohio

    Ohio · 21082

    Office

    $1434.67

    Facility

    $973.58

    $273.90 lower than Manhattan for the office setting.

  • Oklahoma

    Oklahoma · 21082

    Office

    $1401.36

    Facility

    $950.38

    $307.21 lower than Manhattan for the office setting.

  • Portland

    Oregon · 21082

    Office

    $1570.79

    Facility

    $1009.71

    $137.78 lower than Manhattan for the office setting.

  • Rest Of Oregon

    Oregon · 21082

    Office

    $1471.60

    Facility

    $968.60

    $236.97 lower than Manhattan for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21082

    Office

    $1556.37

    Facility

    $1030.64

    $152.20 lower than Manhattan for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21082

    Office

    $1433.32

    Facility

    $969.71

    $275.25 lower than Manhattan for the office setting.

  • Puerto Rico

    Puerto Rico · 21082

    Office

    $1505.30

    Facility

    $994.72

    $203.27 lower than Manhattan for the office setting.

  • Rhode Island

    Rhode Island · 21082

    Office

    $1527.01

    Facility

    $1005.32

    $181.56 lower than Manhattan for the office setting.

  • South Carolina

    South Carolina · 21082

    Office

    $1430.14

    Facility

    $963.50

    $278.43 lower than Manhattan for the office setting.

  • South Dakota**

    South Dakota · 21082

    Office

    $1445.14

    Facility

    $940.12

    $263.43 lower than Manhattan for the office setting.

  • Tennessee

    Tennessee · 21082

    Office

    $1393.96

    Facility

    $934.89

    $314.61 lower than Manhattan for the office setting.

  • Austin

    Texas · 21082

    Office

    $1533.47

    Facility

    $999.16

    $175.10 lower than Manhattan for the office setting.

  • Beaumont

    Texas · 21082

    Office

    $1426.12

    Facility

    $966.55

    $282.45 lower than Manhattan for the office setting.

  • Brazoria

    Texas · 21082

    Office

    $1479.50

    Facility

    $979.03

    $229.07 lower than Manhattan for the office setting.

  • Dallas

    Texas · 21082

    Office

    $1490.13

    Facility

    $987.13

    $218.44 lower than Manhattan for the office setting.

  • Fort Worth

    Texas · 21082

    Office

    $1483.78

    Facility

    $985.83

    $224.79 lower than Manhattan for the office setting.

  • Galveston

    Texas · 21082

    Office

    $1484.83

    Facility

    $983.34

    $223.74 lower than Manhattan for the office setting.

  • Houston

    Texas · 21082

    Office

    $1528.76

    Facility

    $1027.27

    $179.81 lower than Manhattan for the office setting.

  • Rest Of Texas

    Texas · 21082

    Office

    $1452.87

    Facility

    $973.61

    $255.70 lower than Manhattan for the office setting.

  • Utah

    Utah · 21082

    Office

    $1445.82

    Facility

    $971.10

    $262.75 lower than Manhattan for the office setting.

  • Virginia

    Virginia · 21082

    Office

    $1462.23

    Facility

    $965.79

    $246.34 lower than Manhattan for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21082

    Office

    $1505.30

    Facility

    $994.72

    $203.27 lower than Manhattan for the office setting.

  • Vermont

    Vermont · 21082

    Office

    $1451.37

    Facility

    $951.40

    $257.20 lower than Manhattan for the office setting.

  • Rest Of Washington

    Washington · 21082

    Office

    $1527.22

    Facility

    $995.43

    $181.35 lower than Manhattan for the office setting.

  • Seattle (King Cnty)

    Washington · 21082

    Office

    $1685.50

    Facility

    $1065.83

    $23.07 lower than Manhattan for the office setting.

  • Wisconsin

    Wisconsin · 21082

    Office

    $1411.83

    Facility

    $928.02

    $296.74 lower than Manhattan for the office setting.

  • West Virginia

    West Virginia · 21082

    Office

    $1436.04

    Facility

    $997.18

    $272.53 lower than Manhattan for the office setting.

  • Wyoming**

    Wyoming · 21082

    Office

    $1477.52

    Facility

    $972.50

    $231.05 lower than Manhattan for the office setting.

See how rates vary across the country

21082 · 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.

$1,355.22

$1,849.79

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$1,849.791
AL$1,371.141
AR$1,355.221
AZ$1,463.901
CA$1,543.70–$1,862.6829
CO$1,536.281
CT$1,585.711
DC$1,675.701
DE$1,484.791
FL$1,506.15–$1,651.253
GA$1,433.89–$1,528.352
GU$1,565.931
HI$1,565.931
IA$1,387.171
ID$1,396.961
IL$1,479.16–$1,610.624
IN$1,403.181
KS$1,387.611
KY$1,409.471
LA$1,409.96–$1,465.642
MA$1,532.14–$1,660.842
MD$1,507.45–$1,675.703
ME$1,408.90–$1,462.132
MI$1,444.37–$1,527.472
MN$1,463.381
MO$1,394.23–$1,463.033
MS$1,374.651
MT$1,498.201
NC$1,419.881
ND$1,450.751
NE$1,391.561
NH$1,518.661
NJ$1,601.32–$1,664.892
NM$1,453.101
NV$1,485.721
NY$1,437.58–$1,750.275
OH$1,434.671
OK$1,401.361
OR$1,471.60–$1,570.792
PA$1,433.32–$1,556.372
PR$1,505.301
RI$1,527.011
SC$1,430.141
SD$1,445.141
TN$1,393.961
TX$1,426.12–$1,533.478
UT$1,445.821
VA$1,462.23–$1,675.702
VI$1,505.301
VT$1,451.371
WA$1,527.22–$1,685.502
WI$1,411.831
WV$1,436.041
WY$1,477.521

Explore 21082 on the national rate map →

Where does this rate apply?

Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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 New York →

Why are the office and facility amounts different?

For 21082 in Manhattan, the physician’s office rate is $1708.57 and the facility-setting rate is $1121.74: a difference of $586.83.

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 →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 21082 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$1879.43

$1708.57 × 110% = $1879.43

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.

Compare your contract offer →

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 21082 in Manhattan.

PPRRVU2026_Oct_nonQPP.csv

1,866

Code
21082
Physician work
20.32
Practice expense
22.14
Malpractice
2.40

GPCI2026.csv

78

Locality
Manhattan
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office / nonfacility calculation for 21082 in Manhattan
ComponentRVULocality factorAdjusted
Physician work20.32× 1.06421.6205
Practice expense22.14× 1.16225.7267
Malpractice2.40× 1.5863.8064
Total RVUs51.1536
Conversion factor× 33.4009

Office / nonfacility rate, Manhattan$1708.57

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 21082 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work20.321.064
Practice expense22.141.162
Malpractice2.41.586

(20.32 × 1.064 + 22.14 × 1.162 + 2.4 × 1.586) × $33.4009 = $1708.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work20.321.064
Practice expense7.021.162
Malpractice2.41.586

(20.32 × 1.064 + 7.02 × 1.162 + 2.4 × 1.586) × $33.4009 = $1121.74

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

21082 · Office / nonfacility

$1708.57

Effective 2026-10-01

The base rate is $82.12 higher than on 2025-10-01, moving from $1626.45 to $1708.57 (5.0%).

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

    $1626.45changed to$1708.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 20.84 changed to 20.32
    • Practice expense RVU 21.22 changed to 22.14
    • Malpractice RVU 2.02 changed to 2.40
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1626.45

    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$1708.57$1121.74RVU26D
2026-07-01$1708.57$1121.74RVU26C
2026-04-01$1708.57$1121.74RVU26B
2026-01-01$1708.57$1121.74RVU26A
2025-10-01$1626.45$1249.29RVU25D
2025-07-01$1626.45$1249.29RVU25C
2025-04-01$1626.45$1249.29RVU25B
2025-01-01$1626.45$1249.29RVU25A

21082 billing questions

How is this different from a palatal lift prosthesis?

Use 21082 for a prosthesis that reshapes the palate to improve tongue contact. A palatal lift, reported with 21083, elevates the soft palate to address inadequate closure between the oral and nasal cavities.

What should the record show?

Document the patient’s tongue-related functional limitation, relevant oral anatomy, the impression and custom contouring performed, and how the prosthesis fits and is intended to help.

Is adjustment of the prosthesis included in the global period?

The 90-day global period includes the day-before preoperative visit and related postoperative care. Related postoperative adjustments during that period are included in the global service.

Can this code be reported with another procedure on the same date?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. The code’s bilateral adjustment is inappropriate.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted for this code.

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 21082PPRRVU2026_Oct_nonQPP.csv, line 1,866 (RVU26D)
Geographic factors for ManhattanGPCI2026.csv, line 78 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet