{"procedure":{"code_type":"CPT","code":"21172","lay_name":"Reconstruction of orbital rim and lower forehead","blurb":"Surgical advancement or reshaping of the upper and outer bony rim of one eye socket along with the lower forehead, with or without bone grafts.","slug":"cpt-21172-reconstruction-of-orbital-rim-and-lower-forehead","description":"Rcnstj Superior-Lateral Orbital Rim & Lower Fhd","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"161","label":"Other OR therapeutic procedures on bone","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":245,"n_usable":227,"n_not_usable":1,"n_labelled":16,"n_no_cash":1,"n_estimated":0,"n_states":36,"cash_p10":2090.32,"cash_p20":3161.6,"cash_p25":3465.7,"cash_p50":5419.0,"cash_p75":7389.63,"cash_p80":8540.27,"cash_p90":11933.6,"cash_mean_trimmed":5286.88,"gross_p50":6138.0,"cash_to_gross_p50":0.6,"medicare_rate":6048.05,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.896,"by_state":[{"state":"AK","n":1,"p20":null,"p50":null,"p80":null},{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":35,"p20":3161.6,"p50":11933.6,"p80":11933.6},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":4910.4,"p50":4910.4,"p80":4910.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":11,"p20":1642.2,"p50":3980.53,"p80":4554.9},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":3689.6,"p50":3689.6,"p80":8139.99},{"state":"MN","n":3,"p20":null,"p50":null,"p80":null},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":23,"p20":4881.0,"p50":6465.11,"p80":6839.0},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":19,"p20":6048.05,"p50":7000.36,"p80":7026.75},{"state":"OH","n":7,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":3465.7,"p50":3465.7,"p80":3465.7},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":1309.66,"p50":1547.78,"p80":10001.37},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":20,"p20":6474.0,"p50":6612.37,"p80":6612.37},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":4,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":201,"p20":3161.6,"p50":5635.25,"p80":8139.99},{"key":"childrens","n":10,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":15,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":21,"p20":1642.2,"p50":6612.37,"p80":8912.72},{"key":"government","n":28,"p20":3449.0,"p50":4798.0,"p80":7000.36},{"key":"nonprofit","n":177,"p20":3161.6,"p50":5339.0,"p80":8945.0}],"affiliation":[{"key":"affiliated","n":188,"p20":3161.6,"p50":5635.25,"p80":8912.72},{"key":"independent","n":39,"p20":3040.0,"p50":4798.0,"p80":8017.53}]},"histogram":[{"lo":1607.31,"hi":1966.2,"n":10},{"lo":1966.2,"hi":2405.22,"n":6},{"lo":2405.22,"hi":2942.27,"n":3},{"lo":2942.27,"hi":3599.24,"n":34},{"lo":3599.24,"hi":4402.9,"n":28},{"lo":4402.9,"hi":5386.0,"n":21},{"lo":5386.0,"hi":6588.62,"n":24},{"lo":6588.62,"hi":8059.76,"n":39},{"lo":8059.76,"hi":9859.38,"n":17},{"lo":9859.38,"hi":12060.84,"n":23}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-01","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T18:19:36.920443Z","n_priced_setters":3956,"n_filed":152,"n_usable":141,"n_not_usable":0,"n_labelled":10,"n_no_cash":1,"n_estimated":0,"n_states":30,"cash_p10":2628.76,"cash_p20":3161.6,"cash_p25":3449.0,"cash_p50":4910.4,"cash_p75":8293.0,"cash_p80":11147.23,"cash_p90":11933.6,"cash_mean_trimmed":5112.76,"gross_p50":6312.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":32,"p20":3161.6,"p50":11933.6,"p80":11933.6},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":13,"p20":4910.4,"p50":4910.4,"p80":4910.4},{"state":"ID","n":6,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MN","n":1,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":3,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":3,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":10,"p20":3465.7,"p50":3465.7,"p80":3465.7},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":6,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":18,"p20":6612.37,"p50":6612.37,"p80":6612.37},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":1,"p20":null,"p50":null,"p80":null},{"state":"WV","n":2,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":122,"p20":3161.6,"p50":4910.4,"p80":11147.23},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":13,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":14,"p20":null,"p50":null,"p80":null},{"key":"government","n":9,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":117,"p20":3161.6,"p50":4910.4,"p80":11933.6}],"affiliation":[{"key":"affiliated","n":119,"p20":3161.6,"p50":4910.4,"p80":11933.6},{"key":"independent","n":22,"p20":3040.0,"p50":4077.0,"p80":6474.0}]},"histogram":[{"lo":1939.7,"hi":2341.4,"n":6},{"lo":2341.4,"hi":2826.28,"n":3},{"lo":2826.28,"hi":3411.59,"n":18},{"lo":3411.59,"hi":4118.1,"n":28},{"lo":4118.1,"hi":4970.93,"n":17},{"lo":4970.93,"hi":6000.37,"n":3},{"lo":6000.37,"hi":7243.0,"n":20},{"lo":7243.0,"hi":8742.98,"n":4},{"lo":8742.98,"hi":10553.58,"n":5},{"lo":10553.58,"hi":12739.15,"n":23}],"previous":null}},"related":[{"code_type":"CPT","code":"20680","lay_name":"Removal of a deeply placed plate, rod, screw, or nail","slug":"cpt-20680-removal-of-a-deeply-placed-plate-rod-screw-or-nail"},{"code_type":"CPT","code":"20670","lay_name":"Removal of a pin, wire, or screw just under the skin","slug":"cpt-20670-removal-of-a-pin-wire-or-screw-just-under-the-skin"},{"code_type":"CPT","code":"28308","lay_name":"Cutting a long foot bone other than the first, each bone","slug":"cpt-28308-cutting-a-long-foot-bone-other-than-the-first-each-bone"},{"code_type":"CPT","code":"20694","lay_name":"Removal of an external bone fixator under anesthesia","slug":"cpt-20694-removal-of-an-external-bone-fixator-under-anesthesia"},{"code_type":"CPT","code":"20615","lay_name":"Draining and injecting a bone cyst","slug":"cpt-20615-draining-and-injecting-a-bone-cyst"},{"code_type":"CPT","code":"28315","lay_name":"Removal of a small sesamoid bone under the big toe","slug":"cpt-28315-removal-of-a-small-sesamoid-bone-under-the-big-toe"},{"code_type":"CPT","code":"28300","lay_name":"Cutting and realigning the heel bone","slug":"cpt-28300-cutting-and-realigning-the-heel-bone"},{"code_type":"CPT","code":"20690","lay_name":"Applying a single-plane external bone fixator","slug":"cpt-20690-applying-a-single-plane-external-bone-fixator"},{"code_type":"CPT","code":"20900","lay_name":"Small bone graft taken from the patient's own body","slug":"cpt-20900-small-bone-graft-taken-from-the-patient-s-own-body"},{"code_type":"CPT","code":"20692","lay_name":"Applying a multi-plane external bone fixator","slug":"cpt-20692-applying-a-multi-plane-external-bone-fixator"},{"code_type":"CPT","code":"28306","lay_name":"Cutting and realigning the first long foot bone","slug":"cpt-28306-cutting-and-realigning-the-first-long-foot-bone"},{"code_type":"CPT","code":"28005","lay_name":"Opening a foot bone to treat infection","slug":"cpt-28005-opening-a-foot-bone-to-treat-infection"}]}