$544.58
21026 describes excision of facial bone. Choose 21029 when the documented service is contouring a benign facial bone tumor rather than excising facial bone.
On this page
CMS RVU26D · Effective 2026-10-01
21029 Bone contouring Medicare reimbursement rates in Ohio
Reports operative reshaping of a benign facial bone tumor when the surgeon contours the lesion rather than performing a distinct excision. Compare 21029 office and facility rates across CMS payment localities in Ohio.
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 21029 in Ohio?
Ohio 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
$770.91
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$549.52
1 of 1 localities have a supported rate.
Payment area: Ohio
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 21029: Facial bone benign tumor contouring
Reports operative reshaping of a benign facial bone tumor when the surgeon contours the lesion rather than performing a distinct excision.
Code 21029 describes surgically reducing and reshaping a benign tumor of a facial bone, typically by burring or similar contouring. An oral and maxillofacial surgeon or craniofacial surgeon may perform the procedure when a bony growth creates a prominence or irregular facial contour. The operative approach and extent depend on the lesion’s location and the correction needed; this is not a code for removing a soft-tissue facial mass.
Report the code when the operative documentation supports a benign facial bone tumor treated by contouring. Record the bone and lesion treated, the technique, and the work performed; distinguish contouring from excision of a defined tumor or removal of an exostosis. Medicare 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 21029
- 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 RVU8.18 · 34%
- Practice expense (office) RVU14.83 · 61%
- Malpractice RVU1.35 · 6%
187
Medicare services in 2024 · #4373 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.
21029 compared with similar codes
Office rates for Ohio, from the same CMS release.
$450.35
21030 describes excision of a benign tumor of the maxilla or zygoma. 21029 represents contouring a benign facial bone tumor, not that excision service.
$366.29
21031 is for removal of a mandibular exostosis. Use the documented diagnosis and procedure to distinguish an exostosis removal from contouring a benign facial bone tumor.
Compare 21029 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
Ohio →
Office / nonfacility
$770.91
Facility
$549.52
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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 21029 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
1,845
- Code
- 21029
- Physician work
- 8.18
- Practice expense
- 14.83
- Malpractice
- 1.35
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.18 | × 1.000 | 8.1800 |
| Practice expense | 14.83 | × 0.913 | 13.5398 |
| Malpractice | 1.35 | × 1.008 | 1.3608 |
| Total RVUs | 23.0806 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$770.91
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.18 | 1 |
| Practice expense | 14.83 | 0.913 |
| Malpractice | 1.35 | 1.008 |
(8.18 × 1 + 14.83 × 0.913 + 1.35 × 1.008) × $33.4009 = $770.91
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.18 | 1 |
| Practice expense | 7.57 | 0.913 |
| Malpractice | 1.35 | 1.008 |
(8.18 × 1 + 7.57 × 0.913 + 1.35 × 1.008) × $33.4009 = $549.52
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.
21029 billing questions
How is 21029 different from excision of a facial bone tumor?
Use 21029 when the surgeon treats the benign tumor by contouring the facial bone. A separately excised tumor may point to a different procedure code, depending on the bone and technique.
Can 21029 be used for a mandibular or maxillary exostosis?
Do not select 21029 solely because bone was reshaped. Codes 21031 and 21032 describe removal of exostoses of the mandible and maxilla, respectively; base code selection on the documented diagnosis and procedure.
Is related postoperative care separately reported?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
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 multiple procedure reduction when performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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.
1,84221016,,Resect face/scalp tum 2 cm/>,A,,14.88,9.36,NA,9.36,,2.75,26.99,26.99,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84321025,,Excision of bone lower jaw,A,,9.78,14.06,,7.28,,1.31,25.15,18.37,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84421026,,Excision of facial bone(s),A,,5.56,10.94,,6.07,,0.75,17.25,12.38,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84521029,,Contour of face bone lesion,A,,8.18,14.83,,7.57,,1.35,24.36,17.10,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84621030,,Excise max/zygoma b9 tumor,A,,4.79,8.87,,4.70,,0.59,14.25,10.08,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84721031,,Remove exostosis mandible,A,,3.22,8.01,,3.93,,0.43,11.66,7.58,0,090,0.10,0.69,0.21,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,84821032,,Remove exostosis maxilla,A,,3.26,7.80,,3.62,,0.43,11.49,7.31,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703