CPT 21060
Global 090 ActiveRemove jaw joint cartilage
CPT 21060 Billing & Documentation Guide
CPT code 21060 (Remove jaw joint cartilage) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 10.79, a non-facility practice expense RVU of 9.13, and a malpractice RVU of 1.56, a total non-facility RVU of 21.48 and facility RVU of 21.48. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $730.62, though rates vary from $649.18 to $894.08 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 21060, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 21060 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 21060 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 21060
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 10.79 | 10.79 |
| Practice Expense RVU | 9.13 | 9.13 |
| Malpractice RVU | 1.56 | 1.56 |
| Total RVU | 21.48 | 21.48 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 21060
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $762.41 | $762.41 | $728.68 - $867.71 | 29 |
| Florida | $767.79 | $767.79 | $730.24 - $809.62 | 3 |
| Georgia | $714.2 | $714.2 | $694.52 - $733.88 | 2 |
| Illinois | $755.89 | $755.89 | $720.26 - $788.98 | 4 |
| Michigan | $720.08 | $720.08 | $697.64 - $742.52 | 2 |
| North Carolina | $678.21 | $678.21 | $678.21 - $678.21 | 1 |
| New York | $788.52 | $788.52 | $686.73 - $842.81 | 5 |
| Ohio | $691.34 | $691.34 | $691.34 - $691.34 | 1 |
| Pennsylvania | $718.04 | $718.04 | $689.58 - $746.5 | 2 |
| Texas | $711 | $711 | $686.31 - $737.79 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 21060
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 21060 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | CPT Separate procedure definition |
| 11000 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 21060
What does CPT code 21060 mean? +
CPT code 21060 represents: Remove jaw joint cartilage. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 21060? +
The 2026 Medicare national average non-facility payment for CPT 21060 is $730.62. Rates range from $649.18 to $894.08 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 21060? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 21060? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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