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See a sample rate comparisonCPT 21120 Fee Schedule
Last Verified: October 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.
Genioplasty Augmentation (Aut, Genioplasty Augmentation (Autograft Allograft Prosthetic Material) Genioplasty Augmentation (Autograft Allograft Prosthetic
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 51 - Multiple procedures UB |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21120 |
| Medicaid Fee Schedule | View Medicaid rates for 21120 |
National average reimbursement for CPT 21120 by major payers:
$788.37
$867.97
$903.84
$843.70
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CPT 21120
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$7,810.00Published rateEndoscopy Center Of Grand Junction LLC
$2,388.00Published ratePremier Orthopaedic Surgery Center, LLC
$1,762.00Published rateEndoscopy Center Of Knoxville Lp, The Endoscopy Center West
Endoscopy Center Of Knoxville Lp
$1,271.00Published rateMason Esc, LLC, Mason Eye Surgery Center
Mason Esc LLC
$727.00Published rate
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See a sample payer proposalCPT 21120 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21120 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 21120 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 |
|---|---|---|
| 21120-CPT | Moderate | Genioplasty Augmentation (Aut, Genioplasty Augmentation (Autograft Allograft Prosthetic Material) Genioplasty Augmentation (Autograft Allograft Prosthetic |
| 21121-CPT | Moderate | Genioplasty Sliding Osteotomy Single Pie |
| 21122-CPT | Moderate | Genioplasty Sliding Osteotomi, Genioplasty Sliding Osteotomies Two Or More Osteotomies(Eg Wedge Excision Or Bone Wedge Reversal For Asymmetrical Chin) |
| 21123-CPT | High | Genioplasty Sliding Augmenta, Genioplasty Sliding Augmentation With Interpositional Bonegrafts (Includes Obtaining Autografts) Genioplasty Sliding Augmentation With Interpositional Bone |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21120. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21120 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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