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See a sample rate comparisonCPT 21299 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.
Unlisted Craniofacial And Maxi, Unlisted Craniofacial And Maxillofacial Procedureunlisted Craniofacial And Maxillofacial Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None XS - Separate Structure 51 - Multiple procedures |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 21299 |
| Medicaid Fee Schedule | View Medicaid rates for 21299 |
National average reimbursement for CPT 21299 by major payers:
$1,011.45
$101.91
$1,590.71
$4,219.91
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CPT 21299
5 of 25 sample ratesHigher to lower in this preview
Glastonbury Surgery Center, LLC
$1,543.00Published rateSouthwest Endoscopy LLC
$566.00Published rateBattle Creek Endoscopy & Surgery LLC
Battle Creek Endoscopy & Surgery Center PLLC
$182.00Published rateGreensboro Nc Endoscopy Asc LLC, Guilford Endoscopy Center
Greensboro Nc Endoscopy Asc LLC
$128.00Published rateInnovative Surgery Center, LLC
Innovative Surgery Center LLC
$60.00Published rate
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See a sample payer proposalCPT 21299 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21299 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 21299 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 |
|---|---|---|
| 21299-CPT | High | Unlisted Craniofacial And Maxi, Unlisted Craniofacial And Maxillofacial Procedureunlisted Craniofacial And Maxillofacial Procedure |
| 21343-CPT | High | Open Treatment Of Depressed Fr, Open Treatment Of Depressed Frontal Sinus Fractureopen Treatment Of Depressed Frontal Sinus Fracture |
| 21348-CPT | High | Reposition Broken Bone In Face, Surgery To Repair A Fracture That Breaks The Cheekbone Below The Eye Socket And Runs Across The Bridge Of The Nose. Dental Wiring May Be Used To Bind The Jaw Shut And Stabilize The Bones. |
| 21407-CPT | Moderate | Open Treatment Of Fracture Of, Open Treatment Of Fracture Of Orbit Except Blowout With Implant Open Treatment Of Fracture Of Orbit Except Blowout With |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21299. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21299 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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