No office rate
Use 21154 for LeFort III midface reconstruction without an interpositional bone graft; 21155 includes the interpositional graft.
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CMS RVU26D · Effective 2026-10-01
21155 Midface reconstruction Medicare reimbursement rates in Kansas
Reports LeFort III-level midface reconstruction using an interpositional bone graft to support repositioned facial segments, commonly for significant midface hypoplasia. Compare 21155 office and facility rates across CMS payment localities in Kansas.
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 21155 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1716.85
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
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.
Craniofacial surgery
About 21155: LeFort III midface reconstruction with graft
Reports LeFort III-level midface reconstruction using an interpositional bone graft to support repositioned facial segments, commonly for significant midface hypoplasia.
This procedure reconstructs the midface at the LeFort III level, mobilizing the central and lateral midfacial skeleton and placing an interpositional bone graft between repositioned segments. Craniofacial, plastic, or oral and maxillofacial surgeons may perform it for substantial midface deficiency, including deficiency associated with craniosynostosis or other craniofacial conditions. It is a major reconstructive operation generally performed in a hospital setting.
Select this code when the documented LeFort III reconstruction includes an interpositional bone graft; the operative report should identify the reconstruction level, repositioning performed, and graft placement. The 90-day global period includes 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. Modifier 50 is inappropriate for this descriptor and anatomy. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 21155
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU34.34 · 62%
- Practice expense (office) RVU16.08 · 29%
- Malpractice RVU5.01 · 9%
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.
21155 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
21159 is the LeFort III advancement option without an interpositional graft. This code is for LeFort III reconstruction with an interpositional graft when the advancement-specific code does not describe the procedure.
No office rate
21160 describes LeFort III advancement with an interpositional graft. Use 21155 for the corresponding grafted LeFort III reconstruction when the procedure is not the advancement-specific service.
No office rate
21151 is a LeFort II reconstruction with a bone graft. The operative level is LeFort III for 21155.
Compare 21155 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.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$1716.85
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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 21155 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
1,895
- Code
- 21155
- Physician work
- 34.34
- Practice expense
- 16.08
- Malpractice
- 5.01
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.34 | × 1.000 | 34.3400 |
| Practice expense | 16.08 | × 0.904 | 14.5363 |
| Malpractice | 5.01 | × 0.504 | 2.5250 |
| Total RVUs | 51.4014 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1716.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.34 | 1 |
| Practice expense | 16.08 | 0.904 |
| Malpractice | 5.01 | 0.504 |
(34.34 × 1 + 16.08 × 0.904 + 5.01 × 0.504) × $33.4009 = $1716.85
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.
21155 billing questions
How does this differ from 21154?
Both describe LeFort III midface reconstruction. Choose 21155 when an interpositional bone graft is used; 21154 describes the reconstruction without that graft.
When would 21159 or 21160 be considered instead?
Those codes describe LeFort III reconstruction specifically identified as advancement. Their graft distinction is without interpositional graft for 21159 and with interpositional graft for 21160.
Can modifier 50 be reported?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
What documentation supports reporting 21155?
The operative report should establish LeFort III-level reconstruction and describe placement of an interpositional bone graft. It should distinguish the procedure from a LeFort III advancement when that is the operation performed.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction. The 90-day global period includes the day-before preoperative visit and 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.
1,89221150,,Rcnstj mdfc lefrtii ant ntru,A,,25.31,13.37,NA,13.37,,3.69,42.37,42.37,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89321151,,Rcnstj mdfc lefrtii w/b1 grf,A,,28.29,14.10,NA,14.10,,4.13,46.52,46.52,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89421154,,Rcnstj mdfc lefort iii w/o i,A,,30.51,15.14,NA,15.14,,4.46,50.11,50.11,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89521155,,Rcnstj mdfc lefort iii w/i,A,,34.34,16.08,NA,16.08,,5.01,55.43,55.43,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89621159,,Rcnst mdfc lfrtiii advm wo i,A,,42.06,17.96,NA,17.96,,6.15,66.17,66.17,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89721160,,Rcnst mdfc lfrtiii advm w/i,A,,46.01,18.92,NA,18.92,,6.71,71.64,71.64,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,89821172,,Rcnst supr-lat orb rm&lw fhd,A,,27.50,23.42,NA,23.42,,11.63,62.55,62.55,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958