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See a sample rate comparisonCPT 21440 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Or Maxillary Alveolar Ridgefracture (Separate Procedure) Closed Treatment Of Mandibular Or Maxillary Alveolar Ridge
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None KX - Requirements specified in the medical policy have been met XS - Separate Structure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21440 |
| Medicaid Fee Schedule | View Medicaid rates for 21440 |
National average reimbursement for CPT 21440 by major payers:
$795.55
$776.45
$866.77
$1,061.25
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CPT 21440
5 of 25 sample ratesHigher to lower in this preview
Day Surgery Center Of North Texas Ltd
$3,500.00Published rateEssex Surgical Arts Surgery Center, LLC, Mobile Vascular Physicians
Essex Surgical Arts Surgery
$1,900.00Published rateNorth Oak Ambulatory Surgery Center, LLC
$1,401.00Published ratePanama City Surgery Center,LLC
Panama City Surgery Center, LLC
$1,062.00Published rateWilliam Salinas
Deaconess Hospital Inc
$486.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 21440 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21440 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 21440 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 |
|---|---|---|
| 21440-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Or Maxillary Alveolar Ridgefracture (Separate Procedure) Closed Treatment Of Mandibular Or Maxillary Alveolar Ridge |
| 21445-CPT | Moderate | Open Treatment Of Mandibular O, Open Treatment Of Mandibular Or Maxillary Alveolarridgefracture (Separate Procedure) Open Treatmen T Of Mandibular Or Maxillary Alveolar Ridge |
| 21450-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Fracture Withoutmanipulation Closed Treatment Of Mandibular Fracture Without |
| 21451-CPT | Moderate | Closed Treatment Of Mandibular, Closed Treatment Of Mandibular Fracture With Manipulationclosed Treatment Of Mandibular Fracture With Manipulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21440 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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