HCPCS Level IIcptActive
21422
Optx palatal/max fracture
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
$590.19
Non-Facility Price
$590.19
Facility Price
8.51
Work RVU
17.67
Total RVU (Non-Fac)
090
Global Days
Active
Status
Coverage Policies
No coverage policies currently reference this code