CPT 21110
Global 090 ActiveInterdental fixation
CPT 21110 Billing & Documentation Guide
CPT code 21110 (Interdental fixation) is classified under Surgery (Musculoskeletal) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.84, a non-facility practice expense RVU of 19.58, and a malpractice RVU of 0.71, a total non-facility RVU of 26.13 and facility RVU of 20.2. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $901.87, though rates vary from $769.05 to $1172.28 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 21110, 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 21110 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 2 units of 21110 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 21110
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.84 | 5.84 |
| Practice Expense RVU | 19.58 | 13.65 |
| Malpractice RVU | 0.71 | 0.71 |
| Total RVU | 26.13 | 20.2 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 21110
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 | $988.76 | $754.39 | $927.86 - $1172.28 | 29 |
| Florida | $897.4 | $698.67 | $855.92 - $935.84 | 3 |
| Georgia | $847.64 | $658.68 | $806.69 - $888.58 | 2 |
| Illinois | $872.98 | $681.6 | $829.22 - $910.1 | 4 |
| Michigan | $842.54 | $656.55 | $818.93 - $866.14 | 2 |
| North Carolina | $820.39 | $635.59 | $820.39 - $820.39 | 1 |
| New York | $966.14 | $745.18 | $833.02 - $1029.18 | 5 |
| Ohio | $816.06 | $635.22 | $816.06 - $816.06 | 1 |
| Pennsylvania | $862.75 | $668.75 | $817.83 - $907.67 | 2 |
| Texas | $862.01 | $667.02 | $812.22 - $908.38 | 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 21110
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 21110 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 |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 21110
What does CPT code 21110 mean? +
CPT code 21110 represents: Interdental fixation. It's in the Surgery (Musculoskeletal) category with a global period of 090.
What is the Medicare reimbursement for CPT 21110? +
The 2026 Medicare national average non-facility payment for CPT 21110 is $901.87. Rates range from $769.05 to $1172.28 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 21110? +
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 21110? +
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 June 1, 2026.
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