$578.44
21100 is identified as maxillofacial fixation. Choose 21110 when the documented service specifically places fixation between the dental arches for a nonfracture, nondislocation condition.
On this page
CMS RVU26D · Effective 2026-10-01
21110 Interdental fixation Medicare reimbursement rates in Kentucky
Reports placement of an interdental fixation device to stabilize the dental arches for a condition other than a fracture or dislocation. Compare 21110 office and facility rates across CMS payment localities in Kentucky.
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 21110 in Kentucky?
Kentucky 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
$798.16
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$622.08
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Oral and maxillofacial surgery
About 21110: Interdental fixation for nonfracture conditions
Reports placement of an interdental fixation device to stabilize the dental arches for a condition other than a fracture or dislocation.
An oral and maxillofacial surgeon or another qualified surgeon places a device that secures the teeth of opposing arches to restrict jaw movement. The defining distinction is the indication: this service is for a condition other than a fracture or dislocation. Documentation should identify the condition, the purpose of stabilization, and the device placement; a mandibular fracture treated with fixation belongs to the fracture-treatment codes instead.
Report 21110 for the fixation service supported by the operative record. It has 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 21110
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.84 · 22%
- Practice expense (office) RVU19.58 · 75%
- Malpractice RVU0.71 · 3%
2.1K
Medicare services in 2024 · #2438 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.
21110 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$1,021.05
21453 is for closed treatment of a mandibular fracture with interdental fixation. 21110 is for interdental fixation when the condition is not a fracture or dislocation.
No office rate
21454 is for open treatment of a mandibular fracture with interdental fixation. 21110 describes fixation for a condition other than fracture or dislocation.
Compare 21110 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
Kentucky →
Office / nonfacility
$798.16
Facility
$622.08
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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 21110 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,875
- Code
- 21110
- Physician work
- 5.84
- Practice expense
- 19.58
- Malpractice
- 0.71
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.84 | × 1.000 | 5.8400 |
| Practice expense | 19.58 | × 0.889 | 17.4066 |
| Malpractice | 0.71 | × 0.915 | 0.6496 |
| Total RVUs | 23.8963 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$798.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.84 | 1 |
| Practice expense | 19.58 | 0.889 |
| Malpractice | 0.71 | 0.915 |
(5.84 × 1 + 19.58 × 0.889 + 0.71 × 0.915) × $33.4009 = $798.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.84 | 1 |
| Practice expense | 13.65 | 0.889 |
| Malpractice | 0.71 | 0.915 |
(5.84 × 1 + 13.65 × 0.889 + 0.71 × 0.915) × $33.4009 = $622.08
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.
21110 billing questions
How does 21110 differ from mandibular fracture treatment with fixation?
21110 is for interdental fixation used for a condition other than fracture or dislocation. For a mandibular fracture, select the applicable fracture-treatment code based on the treatment performed.
What documentation supports reporting 21110?
Document the nonfracture, nondislocation condition, why jaw stabilization was needed, and placement of the interdental fixation device.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor and anatomy do not support modifier 50.
How does the global period affect related follow-up?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction.
Can an assistant or surgical team be reported?
Medicare does not pay an assistant at surgery for 21110. Co-surgeons and team surgery are not permitted.
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.
1,87221088,,Impres&prep facial prosth,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,090,0.10,0.69,0.21,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87321089,,Unlisted maxlfcl prosth px,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87421100,,Maxillofacial fixation,A,,4.61,13.77,,4.83,,0.51,18.89,9.95,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87521110,,Interdental fixation,A,,5.84,19.58,,13.65,,0.71,26.13,20.20,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87621116,,Injection jaw joint x-ray,A,,0.79,5.75,,0.25,,0.12,6.66,1.16,0,000,0.00,0.00,0.00,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87721120,,Genioplasty augmentation,A,,4.97,15.53,,8.74,,0.92,21.42,14.63,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,87821121,,Geniop sldg osteot 1,A,,7.61,10.98,,6.10,,0.87,19.46,14.58,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631