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See a sample rate comparisonCPT 21244 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 Jaw And Teeth, Surgery To Reconstruct The Jaw Using An Artificial Part With Posts That Extend Through The Upper Or Lower Jaw Into The Mouth. Dentures Are Attached To The Posts To Replace Missing Teeth.
| 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 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21244 |
| Medicaid Fee Schedule | View Medicaid rates for 21244 |
National average reimbursement for CPT 21244 by major payers:
$1,347.52
$1,380.65
$1,462.81
$1,677.69
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CPT 21244
5 of 25 sample ratesHigher to lower in this preview
St. David'S Healthcare Partnership, L.P., LLP, St. David'S Medical Center
$12,577.00Published rateSouth Florida Ambulatory Surgical Center LLC
South Florida Ambulatory Surgi
$5,249.00Published rateMelbourne Surgery Center Lp
$3,275.00Published rateAdvanced Ambulatory Surgical Center LLC
$2,174.00Published rateCenter For Advanced Eye Surgery, Ltd
Center For Advanced Eye Surgery Ltd
$678.00Published rate
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See a sample payer proposalCPT 21244 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21244 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 21244 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 |
|---|---|---|
| 21240-CPT | High | Arthroplasty Temporomandibula, Arthroplasty Temporomandibular Joint With Or Withoutautograft (Includes Obtaining Graft) Arthroplasty Temporomandibular Joint With Or Without |
| 21242-CPT | High | Arthroplasty Temporomandibula, Arthroplasty Temporomandibular Joint With Allograftarthroplasty Temporomandibular Joint With Allograft |
| 21243-CPT | High | Arthroplasty Temporomandibula, Arthroplasty Temporomandibular Joint With Prosthetic Jointreplacement Arthroplasty Temporomandibular Joint With Prosthetic Joint |
| 21244-CPT | High | Reconstruct Jaw And Teeth, Surgery To Reconstruct The Jaw Using An Artificial Part With Posts That Extend Through The Upper Or Lower Jaw Into The Mouth. Dentures Are Attached To The Posts To Replace Missing Teeth. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21244. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21244 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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