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See a sample rate comparisonCPT 21600 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.
Excision Rib Partial
| 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 59 - Distinct Procedural Service RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 21600 |
| Medicaid Fee Schedule | View Medicaid rates for 21600 |
National average reimbursement for CPT 21600 by major payers:
$738.02
$745.23
$802.20
$917.03
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CPT 21600
5 of 25 sample ratesHigher to lower in this preview
Tarrant County Surgery Center Lp
$5,124.00Published rateRincon Asc, LLC
Rincon Asc LLC
$2,550.00Published rateClearway Surgery Center Of Crestview, LLC
Clearway Surgery Center Of Crestview LLC
$1,907.00Published rateCentinela Valley Endoscopy Center Inc.
Centinela Valley Endoscopy Center Inc
$1,484.00Published rateWinter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring
$575.00Published rate
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See a sample payer proposalCPT 21600 vs. Other Surgical Procedures on the Musculoskeletal System Codes
The CPT 21600 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 21600 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 |
|---|---|---|
| 21600-CPT | Moderate | Excision Rib Partial |
| 21601-CPT | High | Surgery For Chest Tumor, Surgery On The Chest To Remove A Tumor Including Nearby Ribs That May Be Involved. |
| 21602-CPT | High | Surgery For Chest Tumor, Surgery On The Chest To Remove A Tumor Including Nearby Ribs That May Be Involved. The Surgery Can Include Reconstruction Of Ribs And Removal Of Affected Lymph Nodes. |
| 21603-CPT | High | Surgery For Chest Tumor, Surgery On The Chest To Remove A Tumor Including Nearby Ribs That May Be Involved. The Surgery Can Include Reconstruction Of Ribs And Removal Of Affected Lymph Nodes. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 21600. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 21600 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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