No office rate
21620 describes partial sternum removal. Use 21630 when the documented operation is a radical resection rather than a partial sternectomy.
On this page
CMS RVU26D · Effective 2026-10-01
21630 Sternum resection Medicare reimbursement rates in Kansas
Report radical sternum resection for an extensive operation removing the sternum, such as for a tumor involving the bone, rather than partial removal or debridement. Compare 21630 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 21630 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
$1071.92
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.
Thoracic surgery
About 21630: Radical resection of the sternum
Report radical sternum resection for an extensive operation removing the sternum, such as for a tumor involving the bone, rather than partial removal or debridement.
CPT 21630 describes a radical operation to remove the sternum. It is typically performed by a thoracic or surgical oncologist in an operating room when disease, such as a tumor involving the sternum, requires extensive resection. The operative report should establish the resection’s radical extent; the diagnosis alone does not distinguish this service from partial sternum removal or debridement.
Select the code from the documented operation and structures removed, distinguishing radical resection from partial sternectomy. CMS assigns 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. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 21630
- 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 RVU18.70 · 53%
- Practice expense (office) RVU12.88 · 37%
- Malpractice RVU3.47 · 10%
40
Medicare services in 2024 · #5495 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.
21630 compared with similar codes
Office rates for Kansas, from the same CMS release.
21627
No office rateSternal debridement
21627 is for sternal debridement. It does not describe radical removal of the sternum.
No office rate
21601 addresses chest wall tumor excision involving ribs. Choose based on the actual structures and procedure documented, not the tumor diagnosis alone.
No office rate
21603 is a chest wall tumor excision code involving lymphadenectomy; 21630 describes radical resection of the sternum.
Compare 21630 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
$1071.92
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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 21630 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
2,017
- Code
- 21630
- Physician work
- 18.70
- Practice expense
- 12.88
- Malpractice
- 3.47
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.70 | × 1.000 | 18.7000 |
| Practice expense | 12.88 | × 0.904 | 11.6435 |
| Malpractice | 3.47 | × 0.504 | 1.7489 |
| Total RVUs | 32.0924 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$1071.92
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.7 | 1 |
| Practice expense | 12.88 | 0.904 |
| Malpractice | 3.47 | 0.504 |
(18.7 × 1 + 12.88 × 0.904 + 3.47 × 0.504) × $33.4009 = $1071.92
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.
21630 billing questions
How does 21630 differ from 21620?
21630 is for radical sternum resection; 21620 describes partial sternum removal. Use the operative report to determine the extent of resection.
Can 21630 be reported for sternal debridement?
No. Debridement is distinct from radical resection; code 21627 describes sternal debridement.
Is modifier 50 appropriate for 21630?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor and anatomy.
How does the 90-day global period affect postoperative billing?
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-surgeon payment requires supporting documentation, while 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 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.
2,01421616,,Exc 1st&/crv rib w/sympth,A,,12.37,4.41,NA,4.41,,3.16,19.94,19.94,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,01521620,,Ostectomy sternum partial,A,,7.10,6.16,NA,6.16,,1.72,14.98,14.98,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,01621627,,Sternal debridement,A,,7.12,7.81,NA,7.81,,1.70,16.63,16.63,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,01721630,,Radical resection sternum,A,,18.70,12.88,NA,12.88,,3.47,35.05,35.05,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,01821685,,Hyoid myotomy & suspension,A,,14.88,8.72,NA,8.72,,2.22,25.82,25.82,0,090,0.10,0.76,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,01921700,,Revision of neck muscle,A,,6.15,2.23,NA,2.23,,1.57,9.95,9.95,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,02021705,,Revision of neck muscle/rib,A,,9.67,2.65,NA,2.65,,2.48,14.80,14.80,0,090,0.10,0.69,0.21,2,1,2,0,0,9,,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