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21255 - HCPCS Level II | Verity

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HCPCS Level IIcptActive

21255

Reconstruct lower jaw bone

Referenced in 1 policies

Medicare Fee Schedule

2026 Medicare Physician Fee Schedule national payment rates

$1,220.80

Non-Facility Price

$1,220.80

Facility Price

18.00

Work RVU

36.55

Total RVU (Non-Fac)

090

Global Days

Active

Status

Coverage Policies

This code is referenced in 1 Medicare coverage policy

Sample Policies

AMBETTER-CP.MP.31PayerPolicycovered

Cosmetic and Reconstructive Procedures

ANTHEM-MP-A050276PayerPolicycovered

ANC.00008 Cosmetic and Reconstructive Services of the Head and Neck

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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