No office rate
21048 is for a maxillary benign cyst or lesion excision requiring an intraoral osteotomy. Choose 21049 when the operative extent requires an extraoral approach, partial maxillary resection, and repair.
On this page
CMS RVU26D · Effective 2026-10-01
21049 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1023.36
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 21049: Maxillary cyst excision with repair
Reports removal of a maxillary cyst or benign lesion when the extent requires an extraoral approach, partial maxillary resection, and repair.
This service addresses a benign cyst or lesion of the upper jaw that requires an extraoral surgical approach and removal of part of the maxilla, with repair of the resulting defect. An oral and maxillofacial surgeon or another surgeon experienced in maxillary surgery may perform it in an operating room. The operative report should identify the maxillary lesion, the extraoral approach, the bone removed, and the repair performed.
Select this code for the documented extent of maxillary excision and repair, rather than a less extensive removal or a procedure on the mandible. It 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 other procedures are subject to the standard 50% multiple-procedure reduction. Bilateral adjustment is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 21049
- 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 RVU18.84 · 62%
- Practice expense (office) RVU9.27 · 30%
- Malpractice RVU2.46 · 8%
197
Medicare services in 2024 · #4338 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.
21049 compared with similar codes
Office rates for Redding, from the same CMS release.
$497.98
21030 describes maxillary benign cyst or tumor removal by enucleation and curettage. It is not the choice for the more extensive maxillary resection and repair represented by 21049.
No office rate
21047 concerns an extensive benign cyst or tumor excision of the mandible. 21049 is for the corresponding upper-jaw site.
$1,339.50
21034 is for a malignant tumor of the maxilla or zygoma. 21049 is for a benign cyst or lesion requiring extensive maxillary removal and repair.
The same code, a different location
How does Redding compare?
21049 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Merced
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Modesto
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Napa
California · 21049
Office
Unavailable
Facility
$1118.75
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 21049
Office
Unavailable
Facility
$1064.06
No comparable office rate is available.
Rest Of California
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 21049
Office
Unavailable
Facility
$1050.04
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 21049
Office
Unavailable
Facility
$1056.06
No comparable office rate is available.
Salinas
California · 21049
Office
Unavailable
Facility
$1051.68
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 21049
Office
Unavailable
Facility
$1063.00
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 21049
Office
Unavailable
Facility
$1163.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 21049
Office
Unavailable
Facility
$1160.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 21049
Office
Unavailable
Facility
$1189.02
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 21049
Office
Unavailable
Facility
$1177.59
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 21049
Office
Unavailable
Facility
$1036.68
No comparable office rate is available.
Santa Cruz-Watsonville
California · 21049
Office
Unavailable
Facility
$1062.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 21049
Office
Unavailable
Facility
$1051.96
No comparable office rate is available.
Santa Rosa-Petaluma
California · 21049
Office
Unavailable
Facility
$1072.41
No comparable office rate is available.
Stockton
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Vallejo
California · 21049
Office
Unavailable
Facility
$1114.72
No comparable office rate is available.
Visalia
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Yuba City
California · 21049
Office
Unavailable
Facility
$1023.36
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 21049
Office
Unavailable
Facility
$1119.44
No comparable office rate is available.
Miami
Florida · 21049
Office
Unavailable
Facility
$1159.39
No comparable office rate is available.
Chicago
Illinois · 21049
Office
Unavailable
Facility
$1133.42
No comparable office rate is available.
Manhattan
New York · 21049
Office
Unavailable
Facility
$1159.65
No comparable office rate is available.
Alaska*
Alaska · 21049
Office
Unavailable
Facility
$1318.94
No comparable office rate is available.
Alabama
Alabama · 21049
Office
Unavailable
Facility
$946.70
No comparable office rate is available.
Arkansas
Arkansas · 21049
Office
Unavailable
Facility
$937.56
No comparable office rate is available.
Arizona
Arizona · 21049
Office
Unavailable
Facility
$999.64
No comparable office rate is available.
Colorado
Colorado · 21049
Office
Unavailable
Facility
$1030.44
No comparable office rate is available.
Connecticut
Connecticut · 21049
Office
Unavailable
Facility
$1074.75
No comparable office rate is available.
Delaware
Delaware · 21049
Office
Unavailable
Facility
$1012.20
No comparable office rate is available.
Fort Lauderdale
Florida · 21049
Office
Unavailable
Facility
$1091.48
No comparable office rate is available.
Rest Of Florida
Florida · 21049
Office
Unavailable
Facility
$1048.77
No comparable office rate is available.
Atlanta
Georgia · 21049
Office
Unavailable
Facility
$1044.42
No comparable office rate is available.
Rest Of Georgia
Georgia · 21049
Office
Unavailable
Facility
$1003.40
No comparable office rate is available.
Hawaii, Guam
Hawaii · 21049
Office
Unavailable
Facility
$1028.89
No comparable office rate is available.
Iowa
Iowa · 21049
Office
Unavailable
Facility
$945.20
No comparable office rate is available.
Idaho
Idaho · 21049
Office
Unavailable
Facility
$952.99
No comparable office rate is available.
East St. Louis
Illinois · 21049
Office
Unavailable
Facility
$1079.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 21049
Office
Unavailable
Facility
$1040.39
No comparable office rate is available.
Suburban Chicago
Illinois · 21049
Office
Unavailable
Facility
$1097.26
No comparable office rate is available.
Indiana
Indiana · 21049
Office
Unavailable
Facility
$956.23
No comparable office rate is available.
Kansas
Kansas · 21049
Office
Unavailable
Facility
$950.59
No comparable office rate is available.
Kentucky
Kentucky · 21049
Office
Unavailable
Facility
$979.71
No comparable office rate is available.
New Orleans
Louisiana · 21049
Office
Unavailable
Facility
$1013.97
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 21049
Office
Unavailable
Facility
$982.01
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 21049
Office
Unavailable
Facility
$1097.89
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 21049
Office
Unavailable
Facility
$1030.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 21049
Office
Unavailable
Facility
$1073.21
No comparable office rate is available.
Rest Of Maryland
Maryland · 21049
Office
Unavailable
Facility
$1024.34
No comparable office rate is available.
Rest Of Maine
Maine · 21049
Office
Unavailable
Facility
$965.24
No comparable office rate is available.
Southern Maine
Maine · 21049
Office
Unavailable
Facility
$987.96
No comparable office rate is available.
Detroit
Michigan · 21049
Office
Unavailable
Facility
$1066.59
No comparable office rate is available.
Rest Of Michigan
Michigan · 21049
Office
Unavailable
Facility
$1004.73
No comparable office rate is available.
Minnesota
Minnesota · 21049
Office
Unavailable
Facility
$972.20
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 21049
Office
Unavailable
Facility
$1000.29
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 21049
Office
Unavailable
Facility
$1006.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 21049
Office
Unavailable
Facility
$976.20
No comparable office rate is available.
Mississippi
Mississippi · 21049
Office
Unavailable
Facility
$956.58
No comparable office rate is available.
Montana**
Montana · 21049
Office
Unavailable
Facility
$1020.90
No comparable office rate is available.
North Carolina
North Carolina · 21049
Office
Unavailable
Facility
$970.66
No comparable office rate is available.
North Dakota**
North Dakota · 21049
Office
Unavailable
Facility
$972.26
No comparable office rate is available.
Nebraska
Nebraska · 21049
Office
Unavailable
Facility
$946.12
No comparable office rate is available.
New Hampshire
New Hampshire · 21049
Office
Unavailable
Facility
$1023.49
No comparable office rate is available.
Northern Nj
New Jersey · 21049
Office
Unavailable
Facility
$1115.84
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 21049
Office
Unavailable
Facility
$1082.69
No comparable office rate is available.
New Mexico
New Mexico · 21049
Office
Unavailable
Facility
$1011.88
No comparable office rate is available.
Nevada**
Nevada · 21049
Office
Unavailable
Facility
$1007.65
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 21049
Office
Unavailable
Facility
$1190.27
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 21049
Office
Unavailable
Facility
$1096.05
No comparable office rate is available.
Queens
New York · 21049
Office
Unavailable
Facility
$1154.01
No comparable office rate is available.
Rest Of New York
New York · 21049
Office
Unavailable
Facility
$981.18
No comparable office rate is available.
Ohio
Ohio · 21049
Office
Unavailable
Facility
$994.79
No comparable office rate is available.
Oklahoma
Oklahoma · 21049
Office
Unavailable
Facility
$969.61
No comparable office rate is available.
Portland
Oregon · 21049
Office
Unavailable
Facility
$1044.47
No comparable office rate is available.
Rest Of Oregon
Oregon · 21049
Office
Unavailable
Facility
$995.42
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 21049
Office
Unavailable
Facility
$1060.95
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 21049
Office
Unavailable
Facility
$991.16
No comparable office rate is available.
Puerto Rico
Puerto Rico · 21049
Office
Unavailable
Facility
$1023.24
No comparable office rate is available.
Rhode Island
Rhode Island · 21049
Office
Unavailable
Facility
$1034.37
No comparable office rate is available.
South Carolina
South Carolina · 21049
Office
Unavailable
Facility
$985.21
No comparable office rate is available.
South Dakota**
South Dakota · 21049
Office
Unavailable
Facility
$966.51
No comparable office rate is available.
Tennessee
Tennessee · 21049
Office
Unavailable
Facility
$954.85
No comparable office rate is available.
Austin
Texas · 21049
Office
Unavailable
Facility
$1030.92
No comparable office rate is available.
Beaumont
Texas · 21049
Office
Unavailable
Facility
$987.37
No comparable office rate is available.
Brazoria
Texas · 21049
Office
Unavailable
Facility
$1005.24
No comparable office rate is available.
Dallas
Texas · 21049
Office
Unavailable
Facility
$1013.82
No comparable office rate is available.
Fort Worth
Texas · 21049
Office
Unavailable
Facility
$1011.79
No comparable office rate is available.
Galveston
Texas · 21049
Office
Unavailable
Facility
$1009.80
No comparable office rate is available.
Houston
Texas · 21049
Office
Unavailable
Facility
$1054.83
No comparable office rate is available.
Rest Of Texas
Texas · 21049
Office
Unavailable
Facility
$997.30
No comparable office rate is available.
Utah
Utah · 21049
Office
Unavailable
Facility
$994.11
No comparable office rate is available.
Virginia
Virginia · 21049
Office
Unavailable
Facility
$991.64
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 21049
Office
Unavailable
Facility
$1023.24
No comparable office rate is available.
Vermont
Vermont · 21049
Office
Unavailable
Facility
$977.38
No comparable office rate is available.
Rest Of Washington
Washington · 21049
Office
Unavailable
Facility
$1026.02
No comparable office rate is available.
Seattle (King Cnty)
Washington · 21049
Office
Unavailable
Facility
$1107.78
No comparable office rate is available.
Wisconsin
Wisconsin · 21049
Office
Unavailable
Facility
$951.20
No comparable office rate is available.
West Virginia
West Virginia · 21049
Office
Unavailable
Facility
$1015.92
No comparable office rate is available.
Wyoming**
Wyoming · 21049
Office
Unavailable
Facility
$999.70
No comparable office rate is available.
See how rates vary across the country
21049 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 21049 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1125.70
$1023.36 × 110% = $1125.70
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 21049 in Redding.
PPRRVU2026_Oct_nonQPP.csv
1,856
- Code
- 21049
- Physician work
- 18.84
- Practice expense
- 9.27
- Malpractice
- 2.46
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.84 | × 1.017 | 19.1603 |
| Practice expense | 9.27 | × 1.096 | 10.1599 |
| Malpractice | 2.46 | × 0.536 | 1.3186 |
| Total RVUs | 30.6388 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1023.36
Open 21049 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.84 | 1.017 |
| Practice expense | 9.27 | 1.096 |
| Malpractice | 2.46 | 0.536 |
(18.84 × 1.017 + 9.27 × 1.096 + 2.46 × 0.536) × $33.4009 = $1023.36
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
21049 · 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 | $1023.36 | RVU26D |
| 2026-07-01 | Not available in this setting | $1023.36 | RVU26C |
| 2026-04-01 | Not available in this setting | $1023.36 | RVU26B |
| 2026-01-01 | Not available in this setting | $1023.36 | RVU26A |
| 2025-10-01 | Not available in this setting | $1141.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $1141.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $1141.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $1141.79 | RVU25A |
21049 billing questions
How does this differ from 21048?
Use 21049 when the documented maxillary excision requires an extraoral approach, partial maxillary resection, and repair. 21048 describes a less extensive maxillary cyst or benign-lesion excision requiring an intraoral osteotomy.
Can the cyst removal and repair be reported separately?
The repair is part of the service described by this code. The operative documentation should show the lesion removal, extent of bone resection, and repair.
Should modifier 50 be appended for bilateral disease?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the 90-day global period affect follow-up visits?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only when supporting documentation is submitted; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
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.
1,85321046,,Remove mandible cyst complex,A,,13.85,11.32,NA,11.32,,1.76,26.93,26.93,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85421047,,Excise lwr jaw cyst w/repair,A,,19.57,10.05,NA,10.05,,2.61,32.23,32.23,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85521048,,Remove maxilla cyst complex,A,,14.34,11.05,NA,11.05,,1.76,27.15,27.15,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85621049,,Excis uppr jaw cyst w/repair,A,,18.84,9.27,NA,9.27,,2.46,30.57,30.57,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85721050,,Removal of jaw joint,A,,11.47,10.70,NA,10.70,,1.66,23.83,23.83,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85821060,,Remove jaw joint cartilage,A,,10.79,9.13,NA,9.13,,1.56,21.48,21.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85921070,,Remove coronoid process,A,,8.40,6.54,NA,6.54,,1.23,16.17,16.17,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536