$1,781.99
Choose 21215 for a graft placed in the mandible; choose 21210 for grafting in the nasal, maxillary, or malar region.
On this page
CMS RVU26D · Effective 2026-10-01
21215 Bone graft Medicare reimbursement rates in Wyoming
Reports placement of a bone graft in the lower jaw to rebuild a mandibular defect or deficient area, including obtaining the graft as part of the operation. Compare 21215 office and facility rates across CMS payment localities in Wyoming.
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 21215 in Wyoming?
Wyoming 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
$4107.76
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$708.21
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 21215: Mandibular bone graft placement
Reports placement of a bone graft in the lower jaw to rebuild a mandibular defect or deficient area, including obtaining the graft as part of the operation.
CPT 21215 represents placement of bone graft material in the mandible to rebuild a defect or deficient area, such as after trauma, resection, or substantial ridge loss. The service includes obtaining the graft when it is harvested as part of the operation, so that donor-site work is not separately reported under this code. Oral and maxillofacial surgeons and reconstructive surgeons commonly perform the procedure in an operating room or another equipped surgical setting.
Report the code when the graft is placed in the lower jaw itself; a graft to the nasal, maxillary, or malar region is a different service. Document the mandibular site, the defect or reason for grafting, and the graft placement and harvest performed. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 21215
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.92 · 10%
- Practice expense (office) RVU110.02 · 89%
- Malpractice RVU1.41 · 1%
2.2K
Medicare services in 2024 · #2403 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.
21215 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
21215 describes graft placement in the mandible. 21244 is for mandibular reconstruction using a transosteal bone plate.
21247
No office rateLower jaw reconstruction
Both concern the lower jaw, but 21247 is a reconstruction service. Use 21215 when the documented procedure is mandibular bone graft placement.
Compare 21215 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
Wyoming** →
Office / nonfacility
$4107.76
Facility
$708.21
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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 21215 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,917
- Code
- 21215
- Physician work
- 11.92
- Practice expense
- 110.02
- Malpractice
- 1.41
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.92 | × 1.000 | 11.9200 |
| Practice expense | 110.02 | × 1.000 | 110.0200 |
| Malpractice | 1.41 | × 0.740 | 1.0434 |
| Total RVUs | 122.9834 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$4107.76
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.92 | 1 |
| Practice expense | 110.02 | 1 |
| Malpractice | 1.41 | 0.74 |
(11.92 × 1 + 110.02 × 1 + 1.41 × 0.74) × $33.4009 = $4107.76
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.92 | 1 |
| Practice expense | 8.24 | 1 |
| Malpractice | 1.41 | 0.74 |
(11.92 × 1 + 8.24 × 1 + 1.41 × 0.74) × $33.4009 = $708.21
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.
21215 billing questions
How is 21215 distinguished from 21210?
21215 is for graft placement in the mandible. 21210 is used for grafting in the nasal, maxillary, or malar region.
Is graft harvest separately reportable?
No. Obtaining the graft as part of the operation is included in 21215; document the harvest and recipient site.
Should modifier 50 be used for grafting both sides of the mandible?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Can an assistant surgeon be paid for this service?
Medicare does not pay an assistant at surgery for 21215 under the stated statutory restriction.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of 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.
1,91421208,,Augmentation of facial bones,A,,11.13,37.17,,7.64,,1.31,49.61,20.08,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91521209,,Reduction of facial bones,A,,7.62,15.46,,8.02,,0.93,24.01,16.57,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91621210,,Face bone graft,A,,11.40,40.96,,8.01,,1.34,53.70,20.75,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91721215,,Lower jaw bone graft,A,,11.92,110.02,,8.24,,1.41,123.35,21.57,0,090,0.10,0.69,0.21,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91821230,,Rib cartilage graft,A,,10.89,7.11,NA,7.11,,1.75,19.75,19.75,0,090,0.10,0.69,0.21,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,91921235,,Ear cartilage graft,A,,7.31,13.74,,6.82,,1.02,22.07,15.15,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,92021240,,Reconstruction of jaw joint,A,,15.67,10.48,NA,10.48,,2.10,28.25,28.25,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,