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See a sample rate comparisonCPT 21182 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.
Reconstruct Cranial Bone, Reconstruction Of Orbital Walls Rims Forehead Nasoethmoid Complex Following Intra And Extracranial Excision Of Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia With Multiple Autografts Includes Obtaining Grafts Total Area Of Bone Grafting Less Than 40 Sq Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None RT - Right side of body GC - Service performed by resident under supervision 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21182 |
| Medicaid Fee Schedule | View Medicaid rates for 21182 |
National average reimbursement for CPT 21182 by major payers:
$2,673.74
$2,810.43
$2,828.44
$3,403.86
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CPT 21182
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford
$16,929.00Published rateVanguard Asc, LLC, Vanguard Surgical Center
$5,056.00Published rateHudson Valley Ambulatory Surgery, LLC
Hudson Valley Ambulatory
$2,996.00Published rateThe Physicians' North Atlanta Surgery Center LLC
The Physicians North Atlanta Surgery Center LLC
$2,092.00Published rateCenter For Digestive Health LLC
$1,083.00Published rate
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See a sample payer proposalCPT 21182 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21182 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 21182 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 |
|---|---|---|
| 21172-CPT | High | Reconstruction Superior-Latera, Reconstruction Superior-Lateral Orbital Rim And Lowerforehead Advancement Or Alteration With Or Without Grafts (Includes Obtaining Autografts) |
| 21182-CPT | High | Reconstruct Cranial Bone, Reconstruction Of Orbital Walls Rims Forehead Nasoethmoid Complex Following Intra And Extracranial Excision Of Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia With Multiple Autografts Includes Obtaining Grafts Total Area Of Bone Grafting Less Than 40 Sq Cm |
| 21183-CPT | High | Reconstruct Cranial Bone, Reconstruction Of Orbital Walls Rims Forehead Nasoethmoid Complex Following Intra And Extracranial Excision Of Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia With Multiple Autografts Includes Obtaining Grafts Total Area Of Bone Grafting Greater Than 40 Sq Cm But Less Than 80 Sq Cm |
| 21184-CPT | High | Reconstruct Cranial Bone, Reconstruction Of Orbital Walls Rims Forehead Nasoethmoid Complex Following Intra And Extracranial Excision Of Benign Tumor Of Cranial Bone Eg Fibrous Dysplasia With Multiple Autografts Includes Obtaining Grafts Total Area Of Bone Grafting Greater Than 80 Sq Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21182. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21182 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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