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CMS RVU26D · Effective 2026-10-01

21440 in Redding

Office / nonfacility

$852.71

Base rate per service

Facility setting

$641.48

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 21440: Closed alveolar ridge fracture treatment

Reports closed management of a fracture in the tooth-bearing alveolar ridge of the mandible or maxilla, rather than open fracture repair.

This service treats a fracture of the tooth-bearing alveolar process of the upper or lower jaw without open surgical exposure. The clinician assesses the fracture and manages the involved ridge segment using a closed approach, which may include alignment or stabilization. Oral and maxillofacial surgeons and dentists commonly provide this care in office or facility settings. The operative or treatment note should identify the affected jaw and alveolar ridge, describe the fracture and the closed method used, and distinguish the injury from a broader mandibular or maxillary fracture.

Report 21440 for closed treatment; open exposure and repair belong to the open-treatment code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 21440

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 RVU3.35 · 14%
  • Practice expense (office) RVU19.95 · 84%
  • Malpractice RVU0.48 · 2%

58

Medicare services in 2024 · #5264 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.

21440 compared with similar codes

Office rates for Redding, from the same CMS release.

21445

Alveolar fracture

Open treatment

$796.49

Both address mandibular or maxillary alveolar ridge fractures; 21440 is closed treatment, while 21445 is open treatment.

21450

Mandibular fracture care

Without manipulation

$638.05

21450 is closed treatment of a mandibular fracture without manipulation. Choose 21440 when the treated fracture is specifically in the tooth-bearing alveolar ridge.

21451

Mandibular fracture

Closed treatment with manipulation

$828.65

21451 is closed treatment of a mandibular fracture with manipulation. It is not the alveolar-ridge-specific service reported with 21440.

21421

Fracture fixation

Closed, interdental wire fixation

$695.53

21421 addresses a palatal or maxillary fracture treated with interdental wire fixation; 21440 is for a fracture of the alveolar ridge.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 21440 is $854.10—$1.39 higher than the $852.71 rate in Redding. Both use the same code, release and participation basis.

21440 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $852.71

  2. Bakersfield

    $854.10

    $1.39 higher than Redding

  3. Chico

    $852.71

    The same base rate than Redding

  4. El Centro

    $852.79

    $0.08 higher than Redding

  5. Fresno

    $852.71

    The same base rate than Redding

  6. Hanford-Corcoran

    $852.71

    The same base rate than Redding

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

    $915.42

    $62.71 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, 21440 ranges from $692.54 in Arkansas to $1093.67 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 · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Merced

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Modesto

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Napa

    California · 21440

    Office

    $1005.33

    Facility

    $751.32

    $152.62 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 21440

    Office

    $912.64

    Facility

    $684.84

    $59.93 higher than Redding for the office setting.

  • Rest Of California

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 21440

    Office

    $857.90

    Facility

    $646.68

    $5.19 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 21440

    Office

    $899.48

    Facility

    $675.34

    $46.77 higher than Redding for the office setting.

  • Salinas

    California · 21440

    Office

    $896.25

    Facility

    $672.89

    $43.54 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 21440

    Office

    $920.89

    Facility

    $690.39

    $68.18 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 21440

    Office

    $1069.43

    Facility

    $797.69

    $216.72 higher than Redding for the office setting.

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

    California · 21440

    Office

    $1068.89

    Facility

    $797.15

    $216.18 higher than Redding for the office setting.

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

    California · 21440

    Office

    $1093.67

    Facility

    $815.76

    $240.96 higher than Redding for the office setting.

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

    California · 21440

    Office

    $1091.44

    Facility

    $813.53

    $238.73 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 21440

    Office

    $881.36

    Facility

    $661.85

    $28.65 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 21440

    Office

    $932.45

    Facility

    $698.29

    $79.74 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 21440

    Office

    $900.58

    Facility

    $675.87

    $47.87 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 21440

    Office

    $942.12

    Facility

    $705.45

    $89.41 higher than Redding for the office setting.

  • Stockton

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 21440

    Office

    $1004.55

    Facility

    $750.54

    $151.84 higher than Redding for the office setting.

  • Visalia

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 21440

    Office

    $852.71

    Facility

    $641.48

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 21440

    Office

    $920.74

    Facility

    $693.71

    $68.03 higher than Redding for the office setting.

  • Miami

    Florida · 21440

    Office

    $846.11

    Facility

    $645.48

    $6.60 lower than Redding for the office setting.

  • Chicago

    Illinois · 21440

    Office

    $819.15

    Facility

    $625.46

    $33.56 lower than Redding for the office setting.

  • Manhattan

    New York · 21440

    Office

    $918.78

    Facility

    $694.83

    $66.07 higher than Redding for the office setting.

  • Alaska*

    Alaska · 21440

    Office

    $886.33

    Facility

    $681.08

    $33.62 higher than Redding for the office setting.

  • Alabama

    Alabama · 21440

    Office

    $704.02

    Facility

    $535.39

    $148.69 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 21440

    Office

    $692.54

    Facility

    $526.99

    $160.17 lower than Redding for the office setting.

  • Arizona

    Arizona · 21440

    Office

    $771.31

    Facility

    $584.56

    $81.40 lower than Redding for the office setting.

  • Colorado

    Colorado · 21440

    Office

    $834.75

    Facility

    $629.69

    $17.96 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 21440

    Office

    $851.19

    Facility

    $643.62

    $1.52 lower than Redding for the office setting.

  • Delaware

    Delaware · 21440

    Office

    $785.22

    Facility

    $594.81

    $67.49 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 21440

    Office

    $815.89

    Facility

    $620.66

    $36.82 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 21440

    Office

    $773.02

    Facility

    $588.78

    $79.69 lower than Redding for the office setting.

  • Atlanta

    Georgia · 21440

    Office

    $808.49

    Facility

    $612.69

    $44.22 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 21440

    Office

    $725.39

    Facility

    $553.48

    $127.32 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 21440

    Office

    $878.81

    Facility

    $659.69

    $26.10 higher than Redding for the office setting.

  • Iowa

    Iowa · 21440

    Office

    $727.97

    Facility

    $551.62

    $124.74 lower than Redding for the office setting.

  • Idaho

    Idaho · 21440

    Office

    $732.52

    Facility

    $555.21

    $120.19 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 21440

    Office

    $757.22

    Facility

    $579.92

    $95.49 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 21440

    Office

    $745.33

    Facility

    $569.37

    $107.38 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 21440

    Office

    $825.43

    Facility

    $627.50

    $27.28 lower than Redding for the office setting.

  • Indiana

    Indiana · 21440

    Office

    $737.39

    Facility

    $558.73

    $115.32 lower than Redding for the office setting.

  • Kansas

    Kansas · 21440

    Office

    $722.35

    Facility

    $548.13

    $130.36 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 21440

    Office

    $718.95

    Facility

    $547.62

    $133.76 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 21440

    Office

    $757.14

    Facility

    $575.79

    $95.57 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 21440

    Office

    $716.97

    Facility

    $546.41

    $135.74 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 21440

    Office

    $926.37

    Facility

    $696.26

    $73.66 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 21440

    Office

    $828.13

    Facility

    $625.19

    $24.58 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 21440

    Office

    $848.51

    Facility

    $641.71

    $4.20 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 21440

    Office

    $802.07

    Facility

    $607.04

    $50.64 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 21440

    Office

    $734.91

    Facility

    $557.60

    $117.80 lower than Redding for the office setting.

  • Southern Maine

    Maine · 21440

    Office

    $782.36

    Facility

    $591.37

    $70.35 lower than Redding for the office setting.

  • Detroit

    Michigan · 21440

    Office

    $781.95

    Facility

    $595.97

    $70.76 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 21440

    Office

    $738.37

    Facility

    $562.41

    $114.34 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 21440

    Office

    $802.31

    Facility

    $604.00

    $50.40 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 21440

    Office

    $753.26

    Facility

    $572.29

    $99.45 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 21440

    Office

    $762.32

    Facility

    $578.85

    $90.39 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 21440

    Office

    $701.90

    Facility

    $535.77

    $150.81 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 21440

    Office

    $697.47

    Facility

    $531.53

    $155.24 lower than Redding for the office setting.

  • Montana**

    Montana · 21440

    Office

    $794.24

    Facility

    $601.52

    $58.47 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 21440

    Office

    $743.84

    Facility

    $564.03

    $108.87 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 21440

    Office

    $784.75

    Facility

    $592.03

    $67.96 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 21440

    Office

    $732.99

    Facility

    $555.11

    $119.72 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 21440

    Office

    $819.59

    Facility

    $618.96

    $33.12 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 21440

    Office

    $909.03

    Facility

    $685.47

    $56.32 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 21440

    Office

    $861.61

    Facility

    $651.15

    $8.90 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 21440

    Office

    $742.19

    Facility

    $565.46

    $110.52 lower than Redding for the office setting.

  • Nevada**

    Nevada · 21440

    Office

    $792.26

    Facility

    $599.35

    $60.45 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 21440

    Office

    $941.11

    Facility

    $711.97

    $88.40 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 21440

    Office

    $865.98

    Facility

    $654.95

    $13.27 higher than Redding for the office setting.

  • Queens

    New York · 21440

    Office

    $929.80

    Facility

    $702.00

    $77.09 higher than Redding for the office setting.

  • Rest Of New York

    New York · 21440

    Office

    $756.19

    Facility

    $573.11

    $96.52 lower than Redding for the office setting.

  • Ohio

    Ohio · 21440

    Office

    $736.43

    Facility

    $560.47

    $116.28 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 21440

    Office

    $719.40

    Facility

    $547.30

    $133.31 lower than Redding for the office setting.

  • Portland

    Oregon · 21440

    Office

    $865.92

    Facility

    $651.81

    $13.21 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 21440

    Office

    $786.85

    Facility

    $594.89

    $65.86 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 21440

    Office

    $826.70

    Facility

    $626.08

    $26.01 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 21440

    Office

    $738.75

    Facility

    $561.83

    $113.96 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 21440

    Office

    $801.36

    Facility

    $606.52

    $51.35 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 21440

    Office

    $816.66

    Facility

    $617.57

    $36.05 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 21440

    Office

    $741.23

    Facility

    $563.15

    $111.48 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 21440

    Office

    $783.63

    Facility

    $590.90

    $69.08 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 21440

    Office

    $726.21

    Facility

    $551.03

    $126.50 lower than Redding for the office setting.

  • Austin

    Texas · 21440

    Office

    $831.32

    Facility

    $627.42

    $21.39 lower than Redding for the office setting.

  • Beaumont

    Texas · 21440

    Office

    $733.16

    Facility

    $557.79

    $119.55 lower than Redding for the office setting.

  • Brazoria

    Texas · 21440

    Office

    $785.64

    Facility

    $594.66

    $67.07 lower than Redding for the office setting.

  • Dallas

    Texas · 21440

    Office

    $790.34

    Facility

    $598.39

    $62.37 lower than Redding for the office setting.

  • Fort Worth

    Texas · 21440

    Office

    $783.88

    Facility

    $593.86

    $68.83 lower than Redding for the office setting.

  • Galveston

    Texas · 21440

    Office

    $787.75

    Facility

    $596.37

    $64.96 lower than Redding for the office setting.

  • Houston

    Texas · 21440

    Office

    $796.53

    Facility

    $605.16

    $56.18 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 21440

    Office

    $758.73

    Facility

    $575.84

    $93.98 lower than Redding for the office setting.

  • Utah

    Utah · 21440

    Office

    $752.66

    Facility

    $571.50

    $100.05 lower than Redding for the office setting.

  • Virginia

    Virginia · 21440

    Office

    $778.23

    Facility

    $588.79

    $74.48 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 21440

    Office

    $801.36

    Facility

    $606.52

    $51.35 lower than Redding for the office setting.

  • Vermont

    Vermont · 21440

    Office

    $779.69

    Facility

    $588.89

    $73.02 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 21440

    Office

    $827.21

    Facility

    $624.28

    $25.50 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 21440

    Office

    $948.20

    Facility

    $711.72

    $95.49 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 21440

    Office

    $755.19

    Facility

    $570.56

    $97.52 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 21440

    Office

    $713.89

    Facility

    $546.42

    $138.82 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 21440

    Office

    $790.10

    Facility

    $597.38

    $62.61 lower than Redding for the office setting.

See how rates vary across the country

21440 · 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.

$692.54

$973.19

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$886.331
AL$704.021
AR$692.541
AZ$771.311
CA$852.71–$1,093.6729
CO$834.751
CT$851.191
DC$920.741
DE$785.221
FL$773.02–$846.113
GA$725.39–$808.492
GU$878.811
HI$878.811
IA$727.971
ID$732.521
IL$745.33–$825.434
IN$737.391
KS$722.351
KY$718.951
LA$716.97–$757.142
MA$828.13–$926.372
MD$802.07–$920.743
ME$734.91–$782.362
MI$738.37–$781.952
MN$802.311
MO$701.90–$762.323
MS$697.471
MT$794.241
NC$743.841
ND$784.751
NE$732.991
NH$819.591
NJ$861.61–$909.032
NM$742.191
NV$792.261
NY$756.19–$941.115
OH$736.431
OK$719.401
OR$786.85–$865.922
PA$738.75–$826.702
PR$801.361
RI$816.661
SC$741.231
SD$783.631
TN$726.211
TX$733.16–$831.328
UT$752.661
VA$778.23–$920.742
VI$801.361
VT$779.691
WA$827.21–$948.202
WI$755.191
WV$713.891
WY$790.101

Explore 21440 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 21440 in Redding, the physician’s office rate is $852.71 and the facility-setting rate is $641.48: a difference of $211.23.

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 21440 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$937.98

$852.71 × 110% = $937.98

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.

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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 21440 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,982

Code
21440
Physician work
3.35
Practice expense
19.95
Malpractice
0.48

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 21440 in Redding
ComponentRVULocality factorAdjusted
Physician work3.35× 1.0173.4069
Practice expense19.95× 1.09621.8652
Malpractice0.48× 0.5360.2573
Total RVUs25.5294
Conversion factor× 33.4009

Office / nonfacility rate, Redding$852.71

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

Open 21440 in the RVU calculator →

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Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.351.017
Practice expense19.951.096
Malpractice0.480.536

(3.35 × 1.017 + 19.95 × 1.096 + 0.48 × 0.536) × $33.4009 = $852.71

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.351.017
Practice expense14.181.096
Malpractice0.480.536

(3.35 × 1.017 + 14.18 × 1.096 + 0.48 × 0.536) × $33.4009 = $641.48

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

21440 · Office / nonfacility

$852.71

Effective 2026-10-01

The base rate is $74.70 higher than on 2025-10-01, moving from $778.01 to $852.71 (9.6%).

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

    $778.01changed to$852.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.44 changed to 3.35
    • Practice expense RVU 18.63 changed to 19.95
    • Malpractice RVU 0.36 changed to 0.48
    • 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: $778.01

    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$852.71$641.48RVU26D
2026-07-01$852.71$641.48RVU26C
2026-04-01$852.71$641.48RVU26B
2026-01-01$852.71$641.48RVU26A
2025-10-01$778.01$620.33RVU25D
2025-07-01$778.01$620.33RVU25C
2025-04-01$778.01$620.33RVU25B
2025-01-01$778.01$620.33RVU25A

21440 billing questions

How is 21440 different from 21445?

21440 is for closed management of the alveolar ridge fracture. Use 21445 when the fracture is treated through an open surgical approach.

When is 21440 more appropriate than 21450 or 21451?

Use 21440 when the fracture involves the tooth-bearing alveolar ridge. Codes 21450 and 21451 describe closed treatment of a mandibular fracture outside that specific alveolar-ridge service.

Can modifier 50 be reported for fractures on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 21440; modifier 50 should not be used.

What documentation supports reporting 21440?

Document the affected jaw and alveolar ridge, the fracture treated, and how it was managed without open surgical exposure. The note should make clear that the service is not treatment of a broader mandibular or maxillary fracture.

How does the 90-day global period affect follow-up care?

The global period includes the day-before preoperative visit and related postoperative care for 90 days. Unrelated services are not included solely because they occur during that period.

When may an assistant-at-surgery be paid?

Assistant-at-surgery payment is allowed only when the record documents 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 21440PPRRVU2026_Oct_nonQPP.csv, line 1,982 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet