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See a sample rate comparisonCPT 21142 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.
Reconstruction Midface Lefort, Reconstruction Midface Lefort I Two Pieces Segmentmovement In Any Direction Without Bone Graft Reconstruction Midface Lefort I Two Pieces Segment
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 80 - Assistant surgeon 52 - Reduced Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21142 |
| Medicaid Fee Schedule | View Medicaid rates for 21142 |
National average reimbursement for CPT 21142 by major payers:
$1,857.86
$1,846.09
$1,974.19
$2,260.98
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CPT 21142
5 of 25 sample ratesHigher to lower in this preview
Summit Orthopedic Surgery Center, LLC, Sosc
Summit Orthopedic Surgery Center LLC
$10,481.00Published rateRoseville Surgery Center, Lp, Roseville Surgery Center
Roseville Surgery Center Lp
$5,237.00Published rateThe Center For Aesthetic Surgery LLC
$2,509.00Published ratePhoenix Ophthalmology Asc LLC, Arizona Ophthalmic Outpatient Surgery
Phoenix Ophthalmology Asc LLC
$1,090.00Published rateEye Surgery Center Of Western Ohio LLC, Eye Surgery Center Of Western Ohio
Eye Surgery Center Of Western Ohio LLC
$586.00Published rate
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See a sample payer proposalCPT 21142 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21142 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 21142 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 |
|---|---|---|
| 21138-CPT | High | Reduction Forehead Contouring, Reduction Forehead Contouring And Application Of Prostheticmaterial Or Bone Graft (Includes Obtaining Autograft) |
| 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 |
| 21142-CPT | High | Reconstruction Midface Lefort, Reconstruction Midface Lefort I Two Pieces Segmentmovement In Any Direction Without Bone Graft Reconstruction Midface Lefort I Two Pieces Segment |
| 21143-CPT | High | Reconstruction Midface Lefort, Reconstruction Midface Lefort I Three Or More Piecessegment Movement In Any Direction Without Bone Graft Reconstruction Midface Lefort I Three Or More Pieces |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21142. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21142 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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