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See a sample rate comparisonCPT 21139 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Reduct Forehead; Contour & Setback Of Anterio Frntal Sinus, Reduction Forehead; Contouring And Setback Of Anterior Frontal Sinus W
| 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 | High |
| Medicare Fee Schedule | View Medicare rates for 21139 |
| Medicaid Fee Schedule | View Medicaid rates for 21139 |
National average reimbursement for CPT 21139 by major payers:
$1,308.81
$1,440.30
$1,512.65
$1,758.30
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CPT 21139
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Northwest, LLP, Memorial Hermann Surgery Center Greater Heights
Memorial Hermann Surgery Center Northwest LLP
$8,825.00Published rateSkyway Surgery Center, LLC
Skyway Surgery Center LLC
$5,020.00Published ratePhysicians Ambulatory Surgery Center Inc
Physicians Ambulatory Surgery Center, Inc.
$2,900.00Published rateEye Care Surgery Center, Inc
Eye Care Surgery Center Inc
$1,724.00Published rateCarolina Digestive Health Associates, PA, Carolina Digestive Endoscopy Center
Carolina Digestive Health Associates, PA
$519.00Published rate
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See a sample payer proposalCPT 21139 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21139 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 21139 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 |
|---|---|---|
| 21137-CPT | Moderate | Corrective Shaping Of Forehead, Surgery To Correct The Shape Of The Forehead. |
| 21138-CPT | High | Reduction Forehead Contouring, Reduction Forehead Contouring And Application Of Prostheticmaterial Or Bone Graft (Includes Obtaining Autograft) |
| 21139-CPT | High | Reduct Forehead; Contour & Setback Of Anterio Frntal Sinus, Reduction Forehead; Contouring And Setback Of Anterior Frontal Sinus W |
| 21141-CPT | High | Reconstruction Midface, Lefort I; Single Piece Segment Movement In Any Direction Without Bone Graft -Commercial Rn Review>=1/1/1996: Medicaid Rn Review=1/1/1996-9/30/2020 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21139. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21139 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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