# CPT 21422: Open treatment of palatal/alveolar ridge fracture

Medicare CPT 21422 pays $590.19 in a non-facility setting and $590.19 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $532.81 in Arkansas to $730.91 in Alaska, a 37% spread.

Web page: https://www.med-reveal.com/rates/21422-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $590.19 |
| National facility | $590.19 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $730.91 | $730.91 |
| District of Columbia | $657.31 | $657.31 |
| New York | $649.14 | $649.14 |
| New Jersey | $641.58 | $641.58 |
| Florida | $630.29 | $630.29 |
| California | $629.90 | $629.90 |
| Washington | $627.44 | $627.44 |
| Connecticut | $624.95 | $624.95 |
| Massachusetts | $624.48 | $624.48 |
| Illinois | $619.99 | $619.99 |
| Hawaii | $609.00 | $609.00 |
| Maryland | $608.34 | $608.34 |
| Colorado | $601.46 | $601.46 |
| Rhode Island | $599.85 | $599.85 |
| New Hampshire | $595.86 | $595.86 |
| Oregon | $595.17 | $595.17 |
| Puerto Rico | $592.48 | $592.48 |
| Virgin Islands | $592.48 | $592.48 |
| Michigan | $590.93 | $590.93 |
| Pennsylvania | $590.18 | $590.18 |
| Montana | $590.11 | $590.11 |
| Georgia | $586.59 | $586.59 |
| Texas | $584.71 | $584.71 |
| Delaware | $584.26 | $584.26 |
| Nevada | $583.54 | $583.54 |
| Wyoming | $579.43 | $579.43 |
| New Mexico | $576.56 | $576.56 |
| Arizona | $576.03 | $576.03 |
| Virginia | $573.52 | $573.52 |
| West Virginia | $573.39 | $573.39 |
| Utah | $570.10 | $570.10 |
| Louisiana | $569.13 | $569.13 |
| Minnesota | $568.71 | $568.71 |
| Missouri | $567.76 | $567.76 |
| Ohio | $567.51 | $567.51 |
| Vermont | $567.09 | $567.09 |
| North Dakota | $565.59 | $565.59 |
| South Carolina | $563.88 | $563.88 |
| Maine | $562.95 | $562.95 |
| South Dakota | $562.69 | $562.69 |
| North Carolina | $557.52 | $557.52 |
| Kentucky | $557.31 | $557.31 |
| Oklahoma | $552.65 | $552.65 |
| Wisconsin | $550.42 | $550.42 |
| Indiana | $549.59 | $549.59 |
| Idaho | $547.20 | $547.20 |
| Tennessee | $546.95 | $546.95 |
| Kansas | $544.26 | $544.26 |
| Nebraska | $544.06 | $544.06 |
| Iowa | $542.73 | $542.73 |
| Mississippi | $542.61 | $542.61 |
| Alabama | $539.15 | $539.15 |
| Arkansas | $532.81 | $532.81 |

## 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
- 21421: Closed treatment of palatal/alveolar ridge fracture — https://www.med-reveal.com/rates/21421-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 21422 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