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See a sample rate comparisonCPT 21510 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.
Ncision Deep W/ Open Of Bone Cortex (Eg For Osteomyeli Or, Incision Deep With Opening Of Bone Cortex (Eg For Osteomyelitis Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Musculoskeletal System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None GC - Service performed by resident under supervision 78 - Return to OR - related procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21510 |
| Medicaid Fee Schedule | View Medicaid rates for 21510 |
National average reimbursement for CPT 21510 by major payers:
$600.27
$614.39
$617.72
$740.50
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CPT 21510
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC
$13,460.00Published rateSurgcenter Of Glen Burnie, Surgcenter Of Glen Burnie, LLC
Surgcenter Of Glen Burnie, LLC
$5,249.00Published rateGeorgia Urology, PA
$3,200.00Published rateBaptist-Physicians Surgery Center
Baptist-Physicians Surgery Cent
$2,587.00Published rateCenter For Digestive Health
The Center For Digestive Health, LLC
$961.00Published rate
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See a sample payer proposalCPT 21510 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21510 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 21510 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 |
|---|---|---|
| 21501-CPT | Moderate | Incision And Drainage Deep Ab, Incision And Drainage Deep Abscess Or Hematoma Softtissues Of Neck Or Thorax Incision And Drainage Deep Abscess Or Hematoma Soft |
| 21502-CPT | Moderate | Incision And Drainage Deep Ab, Incision And Drainage Deep Abscess Or Hematoma Softtissues Of Neck Or Thorax With Partial Rib Ostectomy Incision And Drainage Deep Abscess Or Hematoma Soft |
| 21510-CPT | Moderate | Ncision Deep W/ Open Of Bone Cortex (Eg For Osteomyeli Or, Incision Deep With Opening Of Bone Cortex (Eg For Osteomyelitis Or |
| 21550-CPT | Moderate | Biopsy Of Tissue Under Skin, A Procedure To Remove A Sample Of Soft Tissue From Near The Skin Surface For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21510 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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