# CPT 21421: Closed treatment of palatal/alveolar ridge fracture

Medicare CPT 21421 pays $660.00 in a non-facility setting and $513.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $587.00 in Arkansas to $776.86 in Alaska, a 32% spread.

Web page: https://www.med-reveal.com/rates/21421-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $660.00 |
| National facility | $513.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $776.86 | $621.05 |
| District of Columbia | $751.74 | $579.40 |
| California | $737.93 | $564.82 |
| New York | $728.30 | $565.10 |
| New Jersey | $727.60 | $562.87 |
| Washington | $723.39 | $556.62 |
| Massachusetts | $716.71 | $552.35 |
| Hawaii | $711.26 | $544.92 |
| Connecticut | $702.58 | $545.02 |
| Colorado | $685.81 | $530.15 |
| Maryland | $683.04 | $530.53 |
| Florida | $682.35 | $535.56 |
| Oregon | $679.12 | $525.00 |
| Rhode Island | $675.93 | $524.80 |
| New Hampshire | $675.36 | $523.07 |
| Illinois | $665.86 | $524.50 |
| Puerto Rico | $664.53 | $516.63 |
| Virgin Islands | $664.53 | $516.63 |
| Montana | $659.96 | $513.66 |
| Minnesota | $657.30 | $506.76 |
| Nevada | $656.76 | $510.32 |
| Wyoming | $654.27 | $507.97 |
| Pennsylvania | $654.22 | $510.93 |
| Delaware | $653.45 | $508.91 |
| Texas | $652.67 | $508.63 |
| North Dakota | $646.91 | $500.61 |
| Virginia | $646.01 | $502.20 |
| South Dakota | $645.36 | $499.07 |
| Vermont | $644.69 | $499.86 |
| Georgia | $644.30 | $504.73 |
| Arizona | $643.13 | $501.37 |
| Michigan | $642.03 | $504.66 |
| Maine | $632.11 | $492.32 |
| Utah | $631.24 | $493.72 |
| New Mexico | $627.76 | $493.60 |
| Wisconsin | $626.19 | $486.04 |
| Missouri | $623.27 | $489.02 |
| South Carolina | $623.11 | $487.93 |
| Louisiana | $622.60 | $489.03 |
| North Carolina | $622.44 | $485.94 |
| Ohio | $621.73 | $488.17 |
| Indiana | $616.41 | $480.80 |
| Idaho | $613.03 | $478.44 |
| Nebraska | $612.26 | $477.23 |
| West Virginia | $611.61 | $484.48 |
| Tennessee | $609.58 | $476.60 |
| Iowa | $609.15 | $475.29 |
| Kentucky | $609.08 | $479.02 |
| Oklahoma | $607.80 | $477.16 |
| Kansas | $606.65 | $474.39 |
| Alabama | $595.20 | $467.19 |
| Mississippi | $592.82 | $466.86 |
| Arkansas | $587.00 | $461.33 |

## Related codes

- 21010: Arthrotomy, temporomandibular joint — https://www.med-reveal.com/rates/21010-cpt-fee-schedule
- 21031: Excision of torus mandibularis — https://www.med-reveal.com/rates/21031-cpt-fee-schedule
- 21032: Excision of maxillary torus palatinus — https://www.med-reveal.com/rates/21032-cpt-fee-schedule
- 21060: Meniscectomy, partial or complete, temporomandibular joint — https://www.med-reveal.com/rates/21060-cpt-fee-schedule
- 21085: Impression and custom preparation, oral surgical splint — https://www.med-reveal.com/rates/21085-cpt-fee-schedule
- 21422: Open treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21422-cpt-fee-schedule
- 21432: Percutaneous treatment of craniofacial separation — https://www.med-reveal.com/rates/21432-cpt-fee-schedule
- 21440: Closed treatment of mandibular/maxillary alveolar ridge fracture, dental splinting — https://www.med-reveal.com/rates/21440-cpt-fee-schedule

Commercial negotiated rates for 21421 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules