No office rate
Choose 21073 when the joint is manipulated under anesthesia. Choose 21050 when the surgeon performs a condylectomy.
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CMS RVU26D · Effective 2026-10-01
21073 TMJ manipulation Medicare reimbursement rates in New Jersey
Reports manipulation of a temporomandibular joint under general or monitored anesthesia care to address restricted jaw movement such as a closed lock. Compare 21073 office and facility rates across CMS payment localities in New Jersey.
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 21073 in New Jersey?
New Jersey 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
$463.66–$486.29
2 of 2 localities have a supported rate.
Facility setting
$238.25–$246.84
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.
Oral surgery
About 21073: Temporomandibular joint manipulation under anesthesia
Reports manipulation of a temporomandibular joint under general or monitored anesthesia care to address restricted jaw movement such as a closed lock.
An oral and maxillofacial surgeon or another qualified surgeon uses this service to manipulate the temporomandibular joint while the patient is under anesthesia. A typical indication is restricted mandibular opening from a locked or poorly mobile joint. The service may be performed in a hospital operating room or ambulatory surgery center; the defining feature is manipulation under anesthesia, not an open operation on the joint.
Report the code when the documented service is TMJ manipulation requiring anesthesia, rather than an office-based maneuver or a separate operation such as removal of joint tissue. The record should support the joint condition, the restricted movement prompting treatment, anesthesia use, the manipulation performed, and laterality. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 21073
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU3.36 · 26%
- Practice expense (office) RVU9.03 · 70%
- Malpractice RVU0.48 · 4%
101
Medicare services in 2024 · #4875 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.
21073 compared with similar codes
Office rates for New Jersey, from the same CMS release.
No office rate
21073 covers manipulation under anesthesia; 21060 applies when TMJ meniscal tissue is surgically removed.
No office rate
21073 is manipulation without an open arthroplasty. Use 21240 when the documented service is TMJ arthroplasty.
No office rate
Use 21242 for TMJ arthroplasty with an alloplastic replacement; 21073 is for manipulation under anesthesia.
Compare 21073 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
Northern Nj →
Office / nonfacility
$486.29
Facility
$246.84
Rest Of New Jersey →
Office / nonfacility
$463.66
Facility
$238.25
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21073 billing questions
When should this be reported instead of an office manipulation?
Use 21073 for TMJ manipulation that requires anesthesia, such as treatment of a restricted or locked jaw under general anesthesia or monitored anesthesia care. An office maneuver without anesthesia does not meet that distinction.
Does this code describe open TMJ surgery?
No. It describes manipulation under anesthesia. Procedures that remove joint structures or perform arthroplasty are reported according to the operation actually performed.
How is bilateral manipulation reported?
When both TMJs are manipulated, report modifier 50. CMS identifies bilateral payment with modifier 50 at 150%.
What documentation supports the service?
Document the joint problem and resulting motion restriction, the reason manipulation was needed, anesthesia use, the manipulation performed, and the treated side or sides.
How does the global period affect related care?
The 90-day global 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 or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. CMS does not permit co-surgeons or team surgery 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.
1,85721050,,Removal of jaw joint,A,,11.47,10.70,NA,10.70,,1.66,23.83,23.83,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85821060,,Remove jaw joint cartilage,A,,10.79,9.13,NA,9.13,,1.56,21.48,21.48,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,85921070,,Remove coronoid process,A,,8.40,6.54,NA,6.54,,1.23,16.17,16.17,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86021073,,Mnpj of tmj w/anesth,A,,3.36,9.03,,2.85,,0.48,12.87,6.69,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86121076,,Impres&prep surg obt prosth,A,,13.07,12.80,,4.07,,1.67,27.54,18.81,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86221077,,Impres&prep orbital prosth,A,,32.86,29.07,,9.15,,3.75,65.68,45.76,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,86321079,,Impres&prep intrm obt prosth,A,,21.75,21.26,,6.72,,2.55,45.56,31.02,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00