$550.47–$608.40
21450 is for closed treatment without manipulation; 21451 requires manipulation to restore fracture alignment.
On this page
CMS RVU26D · Effective 2026-10-01
21451 Mandibular fracture Medicare reimbursement rates in Georgia
Report this service when a clinician restores alignment of a mandibular fracture by manipulating the fragments without surgically exposing the fracture. Compare 21451 office and facility rates across CMS payment localities in Georgia.
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.
What does Medicare pay for 21451 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$721.77–$793.83
2 of 2 localities have a supported rate.
Facility setting
$568.63–$619.40
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Fracture treatment
About 21451: Mandibular fracture treatment with manipulation
Report this service when a clinician restores alignment of a mandibular fracture by manipulating the fragments without surgically exposing the fracture.
An oral and maxillofacial surgeon, plastic surgeon, or other qualified surgeon uses manipulation to realign a fractured mandible without surgically exposing the fracture site. Treatment may occur in a hospital or other surgical setting after facial trauma. The service is distinct from treating an alveolar ridge fracture or a temporomandibular joint dislocation.
Choose this code when the clinician documents active manipulation to restore fracture alignment; treatment without manipulation is a different service, and closed treatment with interdental fixation has its own code. The operative report should identify the mandibular fracture and describe the reduction. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 21451
- 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 RVU5.51 · 24%
- Practice expense (office) RVU17.22 · 74%
- Malpractice RVU0.62 · 3%
23
Medicare services in 2024 · #5832 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.
21451 compared with similar codes
Office rates for Georgia, from the same CMS release.
$1,032.73–$1,141.78
21453 describes closed treatment with interdental fixation. Use 21451 when manipulation is performed without that fixation service.
$1,643.71–$1,824.10
21461 is open treatment of a mandibular fracture without interdental fixation. Choose it when the fracture is surgically exposed and treated.
$1,869.87–$2,072.63
21462 is open treatment with interdental fixation, rather than closed manipulation without surgical exposure.
Compare 21451 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$793.83
Facility
$619.40
Rest Of Georgia →
Office / nonfacility
$721.77
Facility
$568.63
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
21451 billing questions
How does this differ from 21450?
Use 21451 when the provider manipulates the mandibular fracture to restore alignment. Code 21450 describes closed treatment without manipulation.
When is 21453 more appropriate?
Use 21453 for closed mandibular fracture treatment with interdental fixation. Document the fixation method and treatment performed.
Can this be reported with an open-treatment code?
The codes describe different treatment approaches. If the surgeon exposes and treats the fracture operatively, select the appropriate open-treatment code rather than reporting this closed-treatment service for the same fracture treatment.
What documentation supports 21451?
Document the mandibular fracture, the manipulation performed to restore alignment, and the treatment approach. The record should make clear that the fracture was not surgically exposed.
How does the 90-day global period affect follow-up?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. CMS applies the standard multiple-procedure reduction when other procedures are performed in the same session.
Can an assistant surgeon be paid for this service?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment 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.
1,98221440,,Cltx mndblr/max alv ridge fx,A,,3.35,19.95,,14.18,,0.48,23.78,18.01,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98321445,,Optx mndblr/max alv ridge fx,A,,6.10,15.76,,10.18,,0.69,22.55,16.97,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98421450,,Cltx mndblr fx w/o mnpj,A,,3.62,13.87,,9.74,,0.41,17.90,13.77,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98521451,,Cltx mndblr fx w/mnpj,A,,5.51,17.22,,12.08,,0.62,23.35,18.21,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98621452,,Perq tx mndblr fx xtrnl fixj,A,,2.34,20.23,,11.06,,0.35,22.92,13.75,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98721453,,Cltx mndblr fx ntrdntl fixj,A,,6.47,26.10,,19.25,,0.98,33.55,26.70,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,98821454,,Optx mndblr fx xtrnl fixj,A,,7.18,5.49,NA,5.49,,0.82,13.49,13.49,0,090,0.10,0.69,0.21,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00