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See a sample rate comparisonCPT 21073 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Manipulation Of Temporomandibu, Manipulation Of Temporomandibular Joint(S) (Tmj) Therapeutic Requiring An Anesthesia Service (I.E. General Or Monitored Anesthesia Care)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21073 |
| Medicaid Fee Schedule | View Medicaid rates for 21073 |
National average reimbursement for CPT 21073 by major payers:
$446.01
$503.04
$511.04
$428.98
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CPT 21073
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$4,278.00Published rateLowcountry Ambulatory Center, LLC
Lowcountry Ambulatory Center LLC
$1,400.00Published rateRome Orthopaedic Clinic Asc, Inc.
Rome Orthopaedic Clinic Asc Inc
$941.00Published rateMarin Ophthalmic Surgery Center
$646.00Published rateTriad Surgery Center LLC, Triad Eye Medical Clinic And Cataract Institute PLLC
$461.00Published rate
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See a sample payer proposalCPT 21073 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21073 code is part of the Surgery services used for Surgical Procedures on the Musculoskeletal System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 21073 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 21050-CPT | High | Condylecyomy Temporomandibular |
| 21060-CPT | High | Meniscectomy Partial Or Compl, Meniscectomy Partial Or Complete Temporomandibular Joint(Separate Procedure) Meniscectomy Partial Or Complete Temporomandibular Joint |
| 21070-CPT | Moderate | Coronoidectomy Unilateral |
| 21073-CPT | Moderate | Manipulation Of Temporomandibu, Manipulation Of Temporomandibular Joint(S) (Tmj) Therapeutic Requiring An Anesthesia Service (I.E. General Or Monitored Anesthesia Care) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21073. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21073 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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