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CMS RVU26D · Effective 2026-10-01

21215 in Redding

Office / nonfacility

$4457.69

Base rate per service

Facility setting

$731.80

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 21215: Mandibular bone graft placement

Reports placement of a bone graft in the lower jaw to rebuild a mandibular defect or deficient area, including obtaining the graft as part of the operation.

CPT 21215 represents placement of bone graft material in the mandible to rebuild a defect or deficient area, such as after trauma, resection, or substantial ridge loss. The service includes obtaining the graft when it is harvested as part of the operation, so that donor-site work is not separately reported under this code. Oral and maxillofacial surgeons and reconstructive surgeons commonly perform the procedure in an operating room or another equipped surgical setting.

Report the code when the graft is placed in the lower jaw itself; a graft to the nasal, maxillary, or malar region is a different service. Document the mandibular site, the defect or reason for grafting, and the graft placement and harvest performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 21215

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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU11.92 · 10%
  • Practice expense (office) RVU110.02 · 89%
  • Malpractice RVU1.41 · 1%

2.2K

Medicare services in 2024 · #2403 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.

21215 compared with similar codes

Office rates for Redding, from the same CMS release.

21210

Facial bone graft

Nasal, maxillary, or malar area

$1,910.67

Choose 21215 for a graft placed in the mandible; choose 21210 for grafting in the nasal, maxillary, or malar region.

21244

Jaw reconstruction

Extraoral, with bone plate

No office rate

21215 describes graft placement in the mandible. 21244 is for mandibular reconstruction using a transosteal bone plate.

21247

Lower jaw reconstruction

No office rate

Both concern the lower jaw, but 21247 is a reconstruction service. Use 21215 when the documented procedure is mandibular bone graft placement.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 21215 is $4461.93—$4.24 higher than the $4457.69 rate in Redding. Both use the same code, release and participation basis.

21215 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $4457.69

  2. Bakersfield

    $4461.93

    $4.24 higher than Redding

  3. Chico

    $4457.69

    The same base rate than Redding

  4. El Centro

    $4457.93

    $0.24 higher than Redding

  5. Fresno

    $4457.69

    The same base rate than Redding

  6. Hanford-Corcoran

    $4457.69

    The same base rate than Redding

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

    $4792.98

    $335.29 higher than Redding

Other payment areas listed in California 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, 21215 ranges from $3579.02 in Arkansas to $5766.19 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

  • Madera

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Merced

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Modesto

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Napa

    California · 21215

    Office

    $5290.49

    Facility

    $809.89

    $832.80 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21215

    Office

    $4782.20

    Facility

    $763.94

    $324.51 higher than Redding for the office setting.

  • Rest Of California

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21215

    Office

    $4473.02

    Facility

    $747.12

    $15.33 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21215

    Office

    $4711.47

    Facility

    $757.80

    $253.78 higher than Redding for the office setting.

  • Salinas

    California · 21215

    Office

    $4694.78

    Facility

    $754.71

    $237.09 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21215

    Office

    $4830.63

    Facility

    $764.78

    $372.94 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21215

    Office

    $5639.00

    Facility

    $845.64

    $1181.31 higher than Redding for the office setting.

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

    California · 21215

    Office

    $5637.40

    Facility

    $844.04

    $1179.71 higher than Redding for the office setting.

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

    California · 21215

    Office

    $5766.19

    Facility

    $864.05

    $1308.50 higher than Redding for the office setting.

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

    California · 21215

    Office

    $5759.64

    Facility

    $857.50

    $1301.95 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21215

    Office

    $4615.71

    Facility

    $743.63

    $158.02 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 21215

    Office

    $4896.58

    Facility

    $766.14

    $438.89 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 21215

    Office

    $4719.31

    Facility

    $755.44

    $261.62 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 21215

    Office

    $4947.94

    Facility

    $773.30

    $490.25 higher than Redding for the office setting.

  • Stockton

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 21215

    Office

    $5288.18

    Facility

    $807.58

    $830.49 higher than Redding for the office setting.

  • Visalia

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 21215

    Office

    $4457.69

    Facility

    $731.80

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21215

    Office

    $4800.93

    Facility

    $796.27

    $343.24 higher than Redding for the office setting.

  • Miami

    Florida · 21215

    Office

    $4342.68

    Facility

    $803.75

    $115.01 lower than Redding for the office setting.

  • Chicago

    Illinois · 21215

    Office

    $4202.15

    Facility

    $785.61

    $255.54 lower than Redding for the office setting.

  • Manhattan

    New York · 21215

    Office

    $4768.39

    Facility

    $818.12

    $310.70 higher than Redding for the office setting.

  • Alaska*

    Alaska · 21215

    Office

    $4536.78

    Facility

    $916.27

    $79.09 higher than Redding for the office setting.

  • Alabama

    Alabama · 21215

    Office

    $3640.22

    Facility

    $665.62

    $817.47 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 21215

    Office

    $3579.02

    Facility

    $658.81

    $878.67 lower than Redding for the office setting.

  • Arizona

    Arizona · 21215

    Office

    $3999.30

    Facility

    $705.14

    $458.39 lower than Redding for the office setting.

  • Colorado

    Colorado · 21215

    Office

    $4349.65

    Facility

    $732.54

    $108.04 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 21215

    Office

    $4420.81

    Facility

    $759.50

    $36.88 lower than Redding for the office setting.

  • Delaware

    Delaware · 21215

    Office

    $4073.14

    Facility

    $714.39

    $384.55 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 21215

    Office

    $4205.83

    Facility

    $762.09

    $251.86 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 21215

    Office

    $3982.00

    Facility

    $732.04

    $475.69 lower than Redding for the office setting.

  • Atlanta

    Georgia · 21215

    Office

    $4189.46

    Facility

    $735.52

    $268.23 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 21215

    Office

    $3732.17

    Facility

    $699.78

    $725.52 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 21215

    Office

    $4603.62

    Facility

    $738.34

    $145.93 higher than Redding for the office setting.

  • Iowa

    Iowa · 21215

    Office

    $3779.25

    Facility

    $668.66

    $678.44 lower than Redding for the office setting.

  • Idaho

    Idaho · 21215

    Office

    $3801.20

    Facility

    $673.62

    $656.49 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 21215

    Office

    $3873.77

    Facility

    $746.19

    $583.92 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 21215

    Office

    $3826.81

    Facility

    $723.03

    $630.88 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 21215

    Office

    $4258.36

    Facility

    $767.03

    $199.33 lower than Redding for the office setting.

  • Indiana

    Indiana · 21215

    Office

    $3827.54

    Facility

    $676.16

    $630.15 lower than Redding for the office setting.

  • Kansas

    Kansas · 21215

    Office

    $3743.86

    Facility

    $670.68

    $713.83 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 21215

    Office

    $3708.10

    Facility

    $685.90

    $749.59 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 21215

    Office

    $3909.59

    Facility

    $710.62

    $548.10 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 21215

    Office

    $3695.42

    Facility

    $686.83

    $762.27 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 21215

    Office

    $4844.05

    Facility

    $784.99

    $386.36 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21215

    Office

    $4311.57

    Facility

    $731.85

    $146.12 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21215

    Office

    $4405.79

    Facility

    $758.08

    $51.90 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 21215

    Office

    $4164.22

    Facility

    $723.88

    $293.47 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 21215

    Office

    $3808.22

    Facility

    $680.64

    $649.47 lower than Redding for the office setting.

  • Southern Maine

    Maine · 21215

    Office

    $4069.55

    Facility

    $700.60

    $388.14 lower than Redding for the office setting.

  • Detroit

    Michigan · 21215

    Office

    $4023.69

    Facility

    $743.13

    $434.00 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 21215

    Office

    $3806.37

    Facility

    $702.59

    $651.32 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 21215

    Office

    $4193.41

    Facility

    $695.28

    $264.28 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 21215

    Office

    $3894.76

    Facility

    $702.59

    $562.93 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 21215

    Office

    $3943.71

    Facility

    $707.34

    $513.98 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 21215

    Office

    $3611.66

    Facility

    $681.25

    $846.03 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 21215

    Office

    $3596.92

    Facility

    $669.91

    $860.77 lower than Redding for the office setting.

  • Montana**

    Montana · 21215

    Office

    $4119.91

    Facility

    $720.36

    $337.78 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 21215

    Office

    $3856.79

    Facility

    $685.02

    $600.90 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 21215

    Office

    $4092.03

    Facility

    $692.48

    $365.66 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 21215

    Office

    $3807.75

    Facility

    $669.97

    $649.94 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 21215

    Office

    $4264.78

    Facility

    $725.85

    $192.91 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 21215

    Office

    $4736.25

    Facility

    $792.78

    $278.56 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 21215

    Office

    $4478.57

    Facility

    $766.27

    $20.88 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 21215

    Office

    $3824.46

    Facility

    $707.08

    $633.23 lower than Redding for the office setting.

  • Nevada**

    Nevada · 21215

    Office

    $4115.81

    Facility

    $712.87

    $341.88 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21215

    Office

    $4880.37

    Facility

    $838.32

    $422.68 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21215

    Office

    $4496.91

    Facility

    $774.41

    $39.22 higher than Redding for the office setting.

  • Queens

    New York · 21215

    Office

    $4835.11

    Facility

    $816.85

    $377.42 higher than Redding for the office setting.

  • Rest Of New York

    New York · 21215

    Office

    $3922.28

    Facility

    $692.71

    $535.41 lower than Redding for the office setting.

  • Ohio

    Ohio · 21215

    Office

    $3800.67

    Facility

    $696.89

    $657.02 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 21215

    Office

    $3716.30

    Facility

    $680.51

    $741.39 lower than Redding for the office setting.

  • Portland

    Oregon · 21215

    Office

    $4522.21

    Facility

    $745.32

    $64.52 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 21215

    Office

    $4091.31

    Facility

    $705.37

    $366.38 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21215

    Office

    $4286.92

    Facility

    $748.00

    $170.77 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21215

    Office

    $3816.08

    Facility

    $695.30

    $641.61 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 21215

    Office

    $4159.72

    Facility

    $722.78

    $297.97 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 21215

    Office

    $4243.75

    Facility

    $732.02

    $213.94 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 21215

    Office

    $3833.65

    Facility

    $692.48

    $624.04 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 21215

    Office

    $4088.73

    Facility

    $689.19

    $368.96 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 21215

    Office

    $3763.79

    Facility

    $673.61

    $693.90 lower than Redding for the office setting.

  • Austin

    Texas · 21215

    Office

    $4328.56

    Facility

    $731.85

    $129.13 lower than Redding for the office setting.

  • Beaumont

    Texas · 21215

    Office

    $3785.93

    Facility

    $692.34

    $671.76 lower than Redding for the office setting.

  • Brazoria

    Texas · 21215

    Office

    $4079.75

    Facility

    $710.80

    $377.94 lower than Redding for the office setting.

  • Dallas

    Texas · 21215

    Office

    $4102.20

    Facility

    $716.25

    $355.49 lower than Redding for the office setting.

  • Fort Worth

    Texas · 21215

    Office

    $4066.06

    Facility

    $714.11

    $391.63 lower than Redding for the office setting.

  • Galveston

    Texas · 21215

    Office

    $4089.36

    Facility

    $713.62

    $368.33 lower than Redding for the office setting.

  • Houston

    Texas · 21215

    Office

    $4115.17

    Facility

    $739.42

    $342.52 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 21215

    Office

    $3928.02

    Facility

    $701.85

    $529.67 lower than Redding for the office setting.

  • Utah

    Utah · 21215

    Office

    $3894.71

    Facility

    $699.14

    $562.98 lower than Redding for the office setting.

  • Virginia

    Virginia · 21215

    Office

    $4043.68

    Facility

    $701.93

    $414.01 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21215

    Office

    $4159.72

    Facility

    $722.78

    $297.97 lower than Redding for the office setting.

  • Vermont

    Vermont · 21215

    Office

    $4059.99

    Facility

    $694.44

    $397.70 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 21215

    Office

    $4308.68

    Facility

    $728.96

    $149.01 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 21215

    Office

    $4965.46

    Facility

    $794.22

    $507.77 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 21215

    Office

    $3933.07

    Facility

    $676.31

    $524.62 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 21215

    Office

    $3658.90

    Facility

    $704.70

    $798.79 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 21215

    Office

    $4107.76

    Facility

    $708.21

    $349.93 lower than Redding for the office setting.

See how rates vary across the country

21215 · 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.

$3,579.02

$5,111.94

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$4,536.781
AL$3,640.221
AR$3,579.021
AZ$3,999.301
CA$4,457.69–$5,766.1929
CO$4,349.651
CT$4,420.811
DC$4,800.931
DE$4,073.141
FL$3,982.00–$4,342.683
GA$3,732.17–$4,189.462
GU$4,603.621
HI$4,603.621
IA$3,779.251
ID$3,801.201
IL$3,826.81–$4,258.364
IN$3,827.541
KS$3,743.861
KY$3,708.101
LA$3,695.42–$3,909.592
MA$4,311.57–$4,844.052
MD$4,164.22–$4,800.933
ME$3,808.22–$4,069.552
MI$3,806.37–$4,023.692
MN$4,193.411
MO$3,611.66–$3,943.713
MS$3,596.921
MT$4,119.911
NC$3,856.791
ND$4,092.031
NE$3,807.751
NH$4,264.781
NJ$4,478.57–$4,736.252
NM$3,824.461
NV$4,115.811
NY$3,922.28–$4,880.375
OH$3,800.671
OK$3,716.301
OR$4,091.31–$4,522.212
PA$3,816.08–$4,286.922
PR$4,159.721
RI$4,243.751
SC$3,833.651
SD$4,088.731
TN$3,763.791
TX$3,785.93–$4,328.568
UT$3,894.711
VA$4,043.68–$4,800.932
VI$4,159.721
VT$4,059.991
WA$4,308.68–$4,965.462
WI$3,933.071
WV$3,658.901
WY$4,107.761

Explore 21215 on the national rate map →

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.

Browse all communities in California →

Why are the office and facility amounts different?

For 21215 in Redding, the physician’s office rate is $4457.69 and the facility-setting rate is $731.80: a difference of $3725.89.

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 21215 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$4903.46

$4457.69 × 110% = $4903.46

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 21215 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,917

Code
21215
Physician work
11.92
Practice expense
110.02
Malpractice
1.41

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 21215 in Redding
ComponentRVULocality factorAdjusted
Physician work11.92× 1.01712.1226
Practice expense110.02× 1.096120.5819
Malpractice1.41× 0.5360.7558
Total RVUs133.4603
Conversion factor× 33.4009

Office / nonfacility rate, Redding$4457.69

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

Open 21215 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work11.921.017
Practice expense110.021.096
Malpractice1.410.536

(11.92 × 1.017 + 110.02 × 1.096 + 1.41 × 0.536) × $33.4009 = $4457.69

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.921.017
Practice expense8.241.096
Malpractice1.410.536

(11.92 × 1.017 + 8.24 × 1.096 + 1.41 × 0.536) × $33.4009 = $731.80

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

21215 · Office / nonfacility

$4457.69

Effective 2026-10-01

The base rate is $274.14 higher than on 2025-10-01, moving from $4183.55 to $4457.69 (6.6%).

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

    $4183.55changed to$4457.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 12.23 changed to 11.92
    • Practice expense RVU 106.38 changed to 110.02
    • Malpractice RVU 1.18 changed to 1.41
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $4183.55

    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$4457.69$731.80RVU26D
2026-07-01$4457.69$731.80RVU26C
2026-04-01$4457.69$731.80RVU26B
2026-01-01$4457.69$731.80RVU26A
2025-10-01$4183.55$800.10RVU25D
2025-07-01$4183.55$800.10RVU25C
2025-04-01$4183.55$800.10RVU25B
2025-01-01$4183.55$800.10RVU25A

21215 billing questions

How is 21215 distinguished from 21210?

21215 is for graft placement in the mandible. 21210 is used for grafting in the nasal, maxillary, or malar region.

Is graft harvest separately reportable?

No. Obtaining the graft as part of the operation is included in 21215; document the harvest and recipient site.

Should modifier 50 be used for grafting both sides of the mandible?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

Can an assistant surgeon be paid for this service?

Medicare does not pay an assistant at surgery for 21215 under the stated statutory restriction.

How does the multiple-procedure rule affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What postoperative care is included?

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.

RVUs for 21215PPRRVU2026_Oct_nonQPP.csv, line 1,917 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet