# CPT 21480: Closed treatment of temporomandibular dislocation

Medicare CPT 21480 pays $172.01 in a non-facility setting and $30.39 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $149.05 in Arkansas to $199.91 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/21480-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $172.01 |
| National facility | $30.39 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $199.91 | $33.08 |
| California | $197.85 | $30.28 |
| Washington | $192.44 | $30.99 |
| New Jersey | $192.04 | $32.57 |
| New York | $191.61 | $33.63 |
| Hawaii | $190.46 | $29.44 |
| Massachusetts | $190.17 | $31.07 |
| Alaska | $189.54 | $38.71 |
| Connecticut | $184.71 | $32.19 |
| Colorado | $180.77 | $30.09 |
| Maryland | $178.90 | $31.26 |
| Oregon | $178.89 | $29.69 |
| New Hampshire | $177.54 | $30.11 |
| Rhode Island | $176.80 | $30.51 |
| Florida | $176.62 | $34.53 |
| Puerto Rico | $173.58 | $30.40 |
| Virgin Islands | $173.58 | $30.40 |
| Minnesota | $173.25 | $27.52 |
| Montana | $172.01 | $30.39 |
| Nevada | $171.44 | $29.68 |
| Illinois | $171.05 | $34.21 |
| Wyoming | $170.89 | $29.27 |
| Delaware | $169.90 | $29.98 |
| Texas | $169.52 | $30.10 |
| Pennsylvania | $169.46 | $30.75 |
| North Dakota | $169.44 | $27.82 |
| South Dakota | $169.13 | $27.51 |
| Vermont | $168.39 | $28.19 |
| Virginia | $168.22 | $29.01 |
| Arizona | $166.80 | $29.57 |
| Georgia | $166.09 | $30.99 |
| Michigan | $164.76 | $31.78 |
| Maine | $163.81 | $28.49 |
| Wisconsin | $162.80 | $27.12 |
| Utah | $162.69 | $29.57 |
| New Mexico | $160.61 | $30.74 |
| North Carolina | $160.53 | $28.40 |
| South Carolina | $160.12 | $29.26 |
| Missouri | $159.76 | $29.81 |
| Louisiana | $159.35 | $30.05 |
| Ohio | $159.18 | $29.88 |
| Indiana | $158.98 | $27.70 |
| Nebraska | $157.92 | $27.21 |
| Idaho | $157.89 | $27.60 |
| Iowa | $156.82 | $27.24 |
| Tennessee | $156.54 | $27.81 |
| Kansas | $155.66 | $27.63 |
| Kentucky | $155.22 | $29.32 |
| Oklahoma | $155.21 | $28.75 |
| West Virginia | $154.50 | $31.43 |
| Alabama | $151.63 | $27.72 |
| Mississippi | $150.31 | $28.38 |
| Arkansas | $149.05 | $27.39 |

## 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
- 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

Commercial negotiated rates for 21480 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