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See a sample rate comparisonCPT 21122 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 Sliding Osteotomi, Genioplasty Sliding Osteotomies Two Or More Osteotomies(Eg Wedge Excision Or Bone Wedge Reversal For Asymmetrical Chin)
| 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 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21122 |
| Medicaid Fee Schedule | View Medicaid rates for 21122 |
National average reimbursement for CPT 21122 by major payers:
$943.76
$983.78
$1,041.38
$1,208.41
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CPT 21122
5 of 25 sample ratesHigher to lower in this preview
Toms River Surgery Center, LLC, Toms River Surgery Center
Toms River Surgery Center LLC
$3,710.00Published rateTavares Surgery LLC
$2,388.00Published rateBhatti Gi Surgery Center LLC
$1,530.00Published rateAmerican Access Care Of Pennsylvania Asc LLC
$1,200.00Published rateNortheast Ambulatory Center Inc
Northeast Ambulatory Center, Inc.
$420.00Published rate
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See a sample payer proposalCPT 21122 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21122 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 21122 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 21122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21122 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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