No office rate
21141 describes a LeFort I midface reconstruction approach. Use 21206 when the documented operation is a segmental osteotomy of the maxilla.
On this page
CMS RVU26D · Effective 2026-10-01
21206 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$884.26
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.
Facial bone surgery
About 21206: Segmental maxillary osteotomy
Reports a segmental osteotomy of the maxilla to reposition upper-jaw segments, commonly to correct dentofacial deformity and improve occlusion.
This service involves surgically dividing the maxilla into segments and repositioning them to correct upper-jaw alignment, dental-arch relationships, or occlusion. Oral and maxillofacial surgeons and other surgeons with appropriate facial-surgery expertise perform it, typically in an operating room. It is distinct from simply reshaping facial bone or adding bone or an implant to the maxilla.
Report 21206 when the operative work is a segmental maxillary osteotomy; the operative note should support the indication, the portions of the maxilla treated, and the osteotomy and repositioning performed. CMS assigns 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 other procedures are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 21206
- 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 RVU15.20 · 58%
- Practice expense (office) RVU9.19 · 35%
- Malpractice RVU1.76 · 7%
233
Medicare services in 2024 · #4190 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.
21206 compared with similar codes
Office rates for Merced, from the same CMS release.
$1,762.22
21208 covers augmentation of facial bone with graft or implant material; 21206 covers segmenting and repositioning the maxilla.
$841.44
21209 is for reducing or contouring facial bone. 21206 is for a segmental maxillary osteotomy with repositioning.
$1,910.67
21210 describes bone grafting to nasal, maxillary, or malar areas. It does not represent the segmental maxillary osteotomy itself.
The same code, a different location
How does Merced compare?
21206 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
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
Madera
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Modesto
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Napa
California · 21206
Office
Unavailable
Facility
$974.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21206
Office
Unavailable
Facility
$921.35
No comparable office rate is available.
Redding
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Rest Of California
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21206
Office
Unavailable
Facility
$903.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21206
Office
Unavailable
Facility
$914.47
No comparable office rate is available.
Salinas
California · 21206
Office
Unavailable
Facility
$910.70
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21206
Office
Unavailable
Facility
$921.90
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21206
Office
Unavailable
Facility
$1015.71
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21206
Office
Unavailable
Facility
$1013.71
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21206
Office
Unavailable
Facility
$1037.68
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21206
Office
Unavailable
Facility
$1029.51
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21206
Office
Unavailable
Facility
$897.45
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21206
Office
Unavailable
Facility
$922.81
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21206
Office
Unavailable
Facility
$911.33
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21206
Office
Unavailable
Facility
$931.37
No comparable office rate is available.
Stockton
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Vallejo
California · 21206
Office
Unavailable
Facility
$971.23
No comparable office rate is available.
Visalia
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Yuba City
California · 21206
Office
Unavailable
Facility
$884.26
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21206
Office
Unavailable
Facility
$962.13
No comparable office rate is available.
Miami
Florida · 21206
Office
Unavailable
Facility
$975.90
No comparable office rate is available.
Chicago
Illinois · 21206
Office
Unavailable
Facility
$954.65
No comparable office rate is available.
Manhattan
New York · 21206
Office
Unavailable
Facility
$990.10
No comparable office rate is available.
Alaska*
Alaska · 21206
Office
Unavailable
Facility
$1120.84
No comparable office rate is available.
Alabama
Alabama · 21206
Office
Unavailable
Facility
$809.55
No comparable office rate is available.
Arkansas
Arkansas · 21206
Office
Unavailable
Facility
$801.64
No comparable office rate is available.
Arizona
Arizona · 21206
Office
Unavailable
Facility
$855.45
No comparable office rate is available.
Colorado
Colorado · 21206
Office
Unavailable
Facility
$886.30
No comparable office rate is available.
Connecticut
Connecticut · 21206
Office
Unavailable
Facility
$919.57
No comparable office rate is available.
Delaware
Delaware · 21206
Office
Unavailable
Facility
$866.35
No comparable office rate is available.
Fort Lauderdale
Florida · 21206
Office
Unavailable
Facility
$924.92
No comparable office rate is available.
Rest Of Florida
Florida · 21206
Office
Unavailable
Facility
$889.50
No comparable office rate is available.
Atlanta
Georgia · 21206
Office
Unavailable
Facility
$891.68
No comparable office rate is available.
Rest Of Georgia
Georgia · 21206
Office
Unavailable
Facility
$851.57
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21206
Office
Unavailable
Facility
$890.74
No comparable office rate is available.
Iowa
Iowa · 21206
Office
Unavailable
Facility
$811.89
No comparable office rate is available.
Idaho
Idaho · 21206
Office
Unavailable
Facility
$817.90
No comparable office rate is available.
East St. Louis
Illinois · 21206
Office
Unavailable
Facility
$908.49
No comparable office rate is available.
Rest Of Illinois
Illinois · 21206
Office
Unavailable
Facility
$879.82
No comparable office rate is available.
Suburban Chicago
Illinois · 21206
Office
Unavailable
Facility
$930.66
No comparable office rate is available.
Indiana
Indiana · 21206
Office
Unavailable
Facility
$820.81
No comparable office rate is available.
Kansas
Kansas · 21206
Office
Unavailable
Facility
$814.81
No comparable office rate is available.
Kentucky
Kentucky · 21206
Office
Unavailable
Facility
$834.36
No comparable office rate is available.
New Orleans
Louisiana · 21206
Office
Unavailable
Facility
$863.32
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21206
Office
Unavailable
Facility
$835.66
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21206
Office
Unavailable
Facility
$947.33
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21206
Office
Unavailable
Facility
$885.89
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21206
Office
Unavailable
Facility
$917.90
No comparable office rate is available.
Rest Of Maryland
Maryland · 21206
Office
Unavailable
Facility
$877.37
No comparable office rate is available.
Rest Of Maine
Maine · 21206
Office
Unavailable
Facility
$826.66
No comparable office rate is available.
Southern Maine
Maine · 21206
Office
Unavailable
Facility
$848.98
No comparable office rate is available.
Detroit
Michigan · 21206
Office
Unavailable
Facility
$903.02
No comparable office rate is available.
Rest Of Michigan
Michigan · 21206
Office
Unavailable
Facility
$854.31
No comparable office rate is available.
Minnesota
Minnesota · 21206
Office
Unavailable
Facility
$840.95
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21206
Office
Unavailable
Facility
$853.36
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21206
Office
Unavailable
Facility
$858.82
No comparable office rate is available.
Rest Of Missouri
Missouri · 21206
Office
Unavailable
Facility
$829.55
No comparable office rate is available.
Mississippi
Mississippi · 21206
Office
Unavailable
Facility
$815.42
No comparable office rate is available.
Montana**
Montana · 21206
Office
Unavailable
Facility
$873.32
No comparable office rate is available.
North Carolina
North Carolina · 21206
Office
Unavailable
Facility
$831.65
No comparable office rate is available.
North Dakota**
North Dakota · 21206
Office
Unavailable
Facility
$838.51
No comparable office rate is available.
Nebraska
Nebraska · 21206
Office
Unavailable
Facility
$813.23
No comparable office rate is available.
New Hampshire
New Hampshire · 21206
Office
Unavailable
Facility
$878.67
No comparable office rate is available.
Northern Nj
New Jersey · 21206
Office
Unavailable
Facility
$958.53
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21206
Office
Unavailable
Facility
$927.68
No comparable office rate is available.
New Mexico
New Mexico · 21206
Office
Unavailable
Facility
$859.77
No comparable office rate is available.
Nevada**
Nevada · 21206
Office
Unavailable
Facility
$863.92
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21206
Office
Unavailable
Facility
$1014.32
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21206
Office
Unavailable
Facility
$937.79
No comparable office rate is available.
Queens
New York · 21206
Office
Unavailable
Facility
$987.77
No comparable office rate is available.
Rest Of New York
New York · 21206
Office
Unavailable
Facility
$840.63
No comparable office rate is available.
Ohio
Ohio · 21206
Office
Unavailable
Facility
$847.20
No comparable office rate is available.
Oklahoma
Oklahoma · 21206
Office
Unavailable
Facility
$827.48
No comparable office rate is available.
Portland
Oregon · 21206
Office
Unavailable
Facility
$900.58
No comparable office rate is available.
Rest Of Oregon
Oregon · 21206
Office
Unavailable
Facility
$854.75
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21206
Office
Unavailable
Facility
$906.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21206
Office
Unavailable
Facility
$845.03
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21206
Office
Unavailable
Facility
$875.93
No comparable office rate is available.
Rhode Island
Rhode Island · 21206
Office
Unavailable
Facility
$886.86
No comparable office rate is available.
South Carolina
South Carolina · 21206
Office
Unavailable
Facility
$841.29
No comparable office rate is available.
South Dakota**
South Dakota · 21206
Office
Unavailable
Facility
$834.40
No comparable office rate is available.
Tennessee
Tennessee · 21206
Office
Unavailable
Facility
$818.28
No comparable office rate is available.
Austin
Texas · 21206
Office
Unavailable
Facility
$885.55
No comparable office rate is available.
Beaumont
Texas · 21206
Office
Unavailable
Facility
$841.63
No comparable office rate is available.
Brazoria
Texas · 21206
Office
Unavailable
Facility
$861.80
No comparable office rate is available.
Dallas
Texas · 21206
Office
Unavailable
Facility
$868.43
No comparable office rate is available.
Fort Worth
Texas · 21206
Office
Unavailable
Facility
$866.12
No comparable office rate is available.
Galveston
Texas · 21206
Office
Unavailable
Facility
$865.24
No comparable office rate is available.
Houston
Texas · 21206
Office
Unavailable
Facility
$897.45
No comparable office rate is available.
Rest Of Texas
Texas · 21206
Office
Unavailable
Facility
$852.08
No comparable office rate is available.
Utah
Utah · 21206
Office
Unavailable
Facility
$849.02
No comparable office rate is available.
Virginia
Virginia · 21206
Office
Unavailable
Facility
$850.93
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21206
Office
Unavailable
Facility
$875.93
No comparable office rate is available.
Vermont
Vermont · 21206
Office
Unavailable
Facility
$841.32
No comparable office rate is available.
Rest Of Washington
Washington · 21206
Office
Unavailable
Facility
$882.25
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21206
Office
Unavailable
Facility
$957.74
No comparable office rate is available.
Wisconsin
Wisconsin · 21206
Office
Unavailable
Facility
$819.86
No comparable office rate is available.
West Virginia
West Virginia · 21206
Office
Unavailable
Facility
$858.56
No comparable office rate is available.
Wyoming**
Wyoming · 21206
Office
Unavailable
Facility
$858.15
No comparable office rate is available.
See how rates vary across the country
21206 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 21206 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$972.69
$884.26 × 110% = $972.69
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 21206 in Merced.
PPRRVU2026_Oct_nonQPP.csv
1,913
- Code
- 21206
- Physician work
- 15.20
- Practice expense
- 9.19
- Malpractice
- 1.76
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 15.20 | × 1.017 | 15.4584 |
| Practice expense | 9.19 | × 1.096 | 10.0722 |
| Malpractice | 1.76 | × 0.536 | 0.9434 |
| Total RVUs | 26.4740 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$884.26
Open 21206 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 15.2 | 1.017 |
| Practice expense | 9.19 | 1.096 |
| Malpractice | 1.76 | 0.536 |
(15.2 × 1.017 + 9.19 × 1.096 + 1.76 × 0.536) × $33.4009 = $884.26
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
21206 · 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 | $884.26 | RVU26D |
| 2026-07-01 | Not available in this setting | $884.26 | RVU26C |
| 2026-04-01 | Not available in this setting | $884.26 | RVU26B |
| 2026-01-01 | Not available in this setting | $884.26 | RVU26A |
| 2025-10-01 | Not available in this setting | $975.86 | RVU25D |
| 2025-07-01 | Not available in this setting | $975.86 | RVU25C |
| 2025-04-01 | Not available in this setting | $975.86 | RVU25B |
| 2025-01-01 | Not available in this setting | $975.86 | RVU25A |
21206 billing questions
How is 21206 different from 21208?
21206 represents a segmental osteotomy that repositions portions of the maxilla. 21208 is for facial-bone augmentation, such as adding bone or implant material, rather than dividing and repositioning the upper jaw.
When should 21209 be considered instead?
Use 21209 for reduction or contouring of facial bone. Choose 21206 when the documented service is a segmental maxillary osteotomy with repositioning, not simply bone reduction.
Does 21206 include a separate bone graft?
The code describes the segmental maxillary osteotomy, not bone grafting as a separate service. Code 21210 describes grafting to nasal, maxillary, or malar areas; separate reporting depends on the work documented and applicable coding edits.
Can modifier 50 be reported?
No. CMS identifies modifier 50 as inappropriate for this code's descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,91021196,,Reconst lwr jaw w/fixation,A,,20.31,15.56,NA,15.56,,2.95,38.82,38.82,0,090,0.10,0.69,0.21,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91121198,,Reconstr lwr jaw segment,A,,15.32,9.88,NA,9.88,,2.01,27.21,27.21,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91221199,,Reconstr lwr jaw w/advance,A,,16.31,8.45,NA,8.45,,2.37,27.13,27.13,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91321206,,Reconstruct upper jaw bone,A,,15.20,9.19,NA,9.19,,1.76,26.15,26.15,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91421208,,Augmentation of facial bones,A,,11.13,37.17,,7.64,,1.31,49.61,20.08,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91521209,,Reduction of facial bones,A,,7.62,15.46,,8.02,,0.93,24.01,16.57,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91621210,,Face bone graft,A,,11.40,40.96,,8.01,,1.34,53.70,20.75,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623